Introduction to the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C)

2017 ◽  
pp. 171-180
Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Emily L. Bilek ◽  
Brian A. Buzzella ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Treatment Strategies ◽  
Evidence Based ◽  
Age Group ◽  
Emotional Experiences ◽  
Obsessive Compulsive ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Wide Range ◽  
Anxiety Depression

Chapter 10 introduces the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C). This is also called the “Emotion Detectives” program, which reflects the guiding treatment metaphor: teaching children to “solve the mystery of their emotions,” as detectives might. The UP-C is intended to reduce the intensity and frequency of symptoms common to youth with emotional disorders by using core evidence-based treatment strategies in a broad manner that applies to a wide range of aversive emotional experiences characteristic of youth emotional disorders (i.e., anxiety, depression, other internalizing disorders). Many anxiety, depression, adjustment, traumatic stress-related, or obsessive-compulsive or related disorders would be appropriate targets for this intervention. The UP-C is intended for children between the ages of 7 and 13, although children slightly above or below this age group may benefit from this format.

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children

2017 ◽  
Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Emily L. Bilek ◽  
David H. Barlow
Keyword(s):  
Emotional Disorders ◽  
Treatment Strategies ◽  
Obsessive Compulsive ◽  
Emotional Challenges ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Making Choices ◽  
Age Range ◽  
Anxiety Depression

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children: Workbook (UP-C) provides evidence-based treatment strategies to assist child clients to function better in their lives. This treatment is designed for children ages 7 to 13 (although some children just outside this age range may also benefit) who are experiencing feelings of sadness, anxiety, worry, anger, or other emotions that get in the way of their ability to enjoy their lives and feel successful. The workbook is written for children (with corresponding parent sessions presented later in the book) and guides them through each week of the program with education, activities, and examples that will help families to understand the role that emotions play in everyday actions. Children are taught helpful strategies for dealing with strong emotions and will receive support in making choices that will move them closer to their long-term goals. The UP-C takes a transdiagnostic approach to the treatment of emotional disorders and the skills presented are appropriate for children with a large range of emotional challenges, including anxiety, depression, obsessive-compulsive symptoms, and other related concerns.

Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

2017 ◽  
Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Emily L. Bilek ◽  
Brian A. Buzzella ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Emotional Disorders ◽  
Depressive Disorders ◽  
Treatment Strategies ◽  
Tic Disorders ◽  
Evidence Based ◽  
Obsessive Compulsive ◽  
Evidence Based Treatment ◽  
Transdiagnostic Treatment ◽  
Obsessive Compulsive Disorders

The therapy manuals included in this volume—the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) and Adolescents (UP-A)—include evidence-based treatment strategies to assist child and adolescent clients to function better in their lives. The manuals include specific guidelines for treatment delivery, and they also contain information about how to introduce parent-directed strategies to help promote long-term uptake of youth-directed therapy skills. The evidence-based treatment skills presented may be applied by therapists to children and adolescents with a wide variety of emotional disorders. This treatment guide takes a transdiagnostic approach to the treatment of emotional disorders. Some of the disorders that may be targeted include anxiety disorders and depressive disorders. This treatment is flexible enough for use with some trauma and stress-related disorders (including adjustment disorders), somatic symptom disorders, tic disorders and obsessive-compulsive disorders. The transdiagnostic presentation of evidence-based intervention techniques within these treatments may be particularly useful for children and adolescents presenting with multiple emotional disorders or mixed/subclinical symptoms of several emotional disorders.

Targeting Comorbid Anxiety and Depression Using the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents

2018 ◽  
Vol 17 (2) ◽  
pp. 59-76 ◽  
Author(s):  
Jamie A. Sherman ◽  
Niza A. Tonarely ◽  
Jill Ehrenreich-May
Keyword(s):  
Emotional Disorders ◽  
Emotional Disorder ◽  
Adolescent Male ◽  
Individual Treatment ◽  
Obsessive Compulsive ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Wide Range ◽  
Core Features

This article presents the use of an emotion-focused, transdiagnostic therapy approach designed for adolescents with a range of anxiety, obsessive-compulsive, depressive, and related disorders, referred to here as emotional disorders. Preliminary work suggests that emotional disorders share underlying temperament factors, such as high neuroticism and low extroversion in adults and adolescents, possibly influencing the development and maintenance of emotional disorders across the life span. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) and similar core dysfunction-focused, transdiagnostic therapy approaches may lead to successful treatment by targeting higher order factors that cut across an array of emotional disorders The utility of UP-A for adolescents experiencing a variety of emotional disorder symptoms is demonstrated here through the case illustration of Tony, a 15-year-old adolescent male with severe social and generalized anxiety and mild levels of depression. After 16 individual treatment sessions, Tony demonstrated significant reductions in anxiety and depressive symptoms, as well as an ability to respond more adaptively to a range of emotional experiences. This case study illustrates how short-term, transdiagnostic treatment using the UP-A can effectively ameliorate a wide range of emotional disorder symptoms in adolescents and may also lead to changes in core features of neuroticism, potentially preventing development of further emotional difficulties over time.

The Unified Protocol for Obsessive-Compulsive and Related Disorders

2017 ◽  
pp. 53-66
Author(s):  
Johanna Thompson-Hollands
Keyword(s):  
Emotional Disorders ◽  
Obsessive Compulsive Disorder ◽  
Cognitive Reappraisal ◽  
Family Members ◽  
Intrusive Thoughts ◽  
Obsessive Compulsive ◽  
Transdiagnostic Treatment ◽  
Compulsive Disorder ◽  
Unified Protocol

The case of a 25-year-old male with obsessive-compulsive disorder (OCD) is presented in this chapter. The patient, “Luke,” had primary obsessions related to harm befalling his family and girlfriend, as well as fears of contamination. His primary compulsions included mental “undoing,” in his words, and repeating actions. He engaged in significant avoidance around potential contaminants. The text reviews Luke’s course of treatment with the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP), including the application of each treatment module and attention to challenging issues that arose in this case. Specific attention is devoted to the use of cognitive reappraisal in the UP for OCD, managing symptom accommodation by family members, and exposure in the context of intrusive thoughts and mental rituals.

Transdiagnostic Assessment and Case Formulation

2017 ◽  
pp. 17-37
Author(s):  
Hannah Boettcher ◽  
Laren R. Conklin
Keyword(s):  
Emotional Disorders ◽  
Relevant Information ◽  
Emotional Disorder ◽  
Self Report ◽  
Case Formulation ◽  
Case Conceptualization ◽  
Emotional Experiences ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Dimensional Assessment

This chapter describes a transdiagnostic, emotion-focused approach to case formulation that facilitates individualized application of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP). We begin by highlighting the advantages of dimensional assessment and classification in the domain of emotional disorders. Next, we describe the elements of case conceptualization essential to the UP, including assessment of strong uncomfortable emotions, aversive reactions to emotional experiences, and efforts to escape or avoid these experiences. We provide examples of such processes, suggestions for how to elicit relevant information from patients, and a worksheet for conducting case formulation within the UP framework. Finally, we preview a recently developed self-report instrument that uses dimensional assessment to yield a transdiagnostic profile of emotional disorder features, which may further facilitate treatment planning.

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders

2010 ◽  
Author(s):  
David H. Barlow ◽  
Kristen K. Ellard ◽  
Christopher P. Fairholme ◽  
Todd J. Farchione ◽  
Christina L. Boisseau ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Emotional Disorders ◽  
Emotional Experience ◽  
Dissociative Disorders ◽  
Emotional Experiences ◽  
Transdiagnostic Treatment ◽  
Situational Cues ◽  
Unified Protocol ◽  
The Common ◽  
Evidenced Based

This online patient workbook is a radical departure from disorder-specific treatments of various emotional disorders, and is designed to be applicable to all anxiety and unipolar mood disorders, as well as other disorders with strong emotional components, such as many somatoform and dissociative disorders. It covers the Unified Protocol (UP), which capitalizes on the contributions made by cognitive-behavioral theorists by distilling and incorporating the common principles of CBT present in all evidenced based protocols for specific emotional disorders, as well as drawing on the field of emotion science for insights into deficits in emotion regulation. It discusses the seven modules of UP, and focuses on four core strategies: becoming mindfully aware of emotional experience; reappraising rigid emotion laden attributions; identifying and preventing behavioral and emotional avoidance; and facilitating exposure to both interoceptive and situational cues associated with emotional experiences.

Moving UP from Here

2017 ◽  
pp. 149-160
Author(s):  
David H. Barlow ◽  
Shannon Sauer-Zavala ◽  
Todd J. Farchione ◽  
Heather Murray Latin ◽  
Kristen K. Ellard ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Treatment Program ◽  
Treatment Goals ◽  
Emotional Experiences ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Practice Plan ◽  
The Moment ◽  
The Way

Chapter 13 of Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Workbook reviews the treatment program. (1) All emotions, even the ones that feel negative or uncomfortable, provide important information that can motivate us to take action in helpful ways. (2) Staying present in the moment and taking a nonjudgmental view of emotions can help to prevent emotions from increasing in intensity. The way we think about a situation influences how we feel, and how we feel affects the way we interpret a situation. (3) Although avoiding uncomfortable emotional experiences can work well in the short-term, it isn’t an effective long-term coping strategy. The chapter helps us to evaluate our progress and revisit our treatment goals. The most effective way to maintain progress and to keep improving is to continue to practice the skills learned in this program, and therefore a practice plan is developed in this last chapter.

Mindful Emotion Awareness

2017 ◽  
pp. 61-76
Author(s):  
David H. Barlow ◽  
Shannon Sauer-Zavala ◽  
Todd J. Farchione ◽  
Heather Murray Latin ◽  
Kristen K. Ellard ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Mood Induction ◽  
Daily Life ◽  
Emotional Experiences ◽  
Transdiagnostic Treatment ◽  
Mindful Awareness ◽  
Unified Protocol ◽  
Meditation Exercise

Chapter 7 of Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Workbook presents the benefits of applying mindful awareness, a nonjudgmental present-focused stance, to emotional experiences. Mindful awareness is first practiced through a formal meditation exercise that introduces readers to applying this quality of attention to their emotions. Next, readers are encouraged to continue practicing mindful emotion awareness though the use of a Mindful Mood Induction exercise. Finally, the chapter continues by focusing on the Anchoring in the Present skill, which allows us to apply the concept of mindful emotion awareness to emotional experiences as they are coming up in daily life.

Cross-Cultural Applications of the Unified Protocol

2017 ◽  
pp. 268-290
Author(s):  
Amantia A. Ametaj ◽  
Nina Wong Sarver ◽  
Obianujunwa Anakwenze ◽  
Masaya Ito ◽  
Michel Rattner-Castro ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Culturally Diverse ◽  
Cross Cultural ◽  
Evidence Based ◽  
Treatment Goals ◽  
Treatment Dropout ◽  
Cultural Adaptations ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Culturally Adapted

Growing evidence supports the importance of culturally adapting evidence-based interventions to increase their effectiveness and prevent treatment dropout. This chapter discusses several strategies for tailoring treatment to culturally diverse individuals and summarizes two cultural adaptations of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) in two countries, Japan and Colombia. In Japan, the protocol retained a high degrees of fidelity to the original UP while being translated into Japanese, adding illustrations, and changing the structure of the treatment goals. In Colombia, the protocol was culturally adapted to treat patients suffering from the aftereffects of trauma from the armed conflict. Descriptions of the cultural adaptations made to the protocol are outlined. In addition, a case from each setting is presented to illustrate the application of these adaptations.

Module 3: Mindful Emotion Awareness

2017 ◽  
pp. 81-96
Author(s):  
David H. Barlow ◽  
Todd J. Farchione ◽  
Shannon Sauer-Zavala ◽  
Heather Murray Latin ◽  
Kristen K. Ellard ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Open Approach ◽  
Emotional Experiences ◽  
Transdiagnostic Treatment ◽  
Mindful Awareness ◽  
Unified Protocol ◽  
Over Time

Chapter 8 of Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide introduces patients to cultivating a nonjudgmental, present-focused stance toward their emotional experiences. The previous module asked patients to monitor to how their emotions unfold over time. This module builds on that work by encouraging patients to incorporate mindful awareness that moves beyond simply paying attention to these experiences. The principles of mindfulness are very consistent with the overall goal of the UP—to develop a more open, approach-oriented relationship with emotions.

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