writing professional treatment plan for psychological disorders

Emotional Disorders

A unified transdiagnostic approach

COMMONALITIES OF CBT PROTOCOLS

1.  Altering emotion-based misappraisals of salient events

2.  Preventing avoidance of negative, emotionally charged internal or external triggers

3.  Modifying emotion-driven behaviors (EDBs)

Functional Analysis 1.  Symptom topography 2.  Triggers 3.  Cognitions 4.  Behavioral responses to emotions 5.  Consequences of behavioral reactions

Unified Protocol •  5 core treatment modules, and three additional

modules •  12-18, 50- to 60-minute individual sessions

Unified Protocol Preceding core components •  Enhancing motivation •  Psycheducation Following core components: •  Review progress and

relapse prevention

5 Core Treatment Modules 1.  present-focused

emotion awareness 2.  cognitive flexibility 3.  Identifying and

preventing patterns of emotion avoidance and maladaptive EDBs

4.  awareness and tolerance of emotion- related physical sensations

5.  Interoceptive and situation-based emotion- focused exposure

Module 1: Motivation Enhancement

•  Increase motivation and self- efficacy for change o Decisional Balance: Pros and

Cons of changing vs. staying the same

o A treatment goal-setting exercise

Module 1: Motivation Enhancement

o https://www.youtube.com/watch? v=1FnF0hGYS0U

Module 2: Psychoeducation and Tracking of Emotional Experiences •  Psychoeducation about nature and functions

of emotions •  3 Component Model of Emotional Reactions:

o Cognitive o Physiological o Behavioral sequelae

•  Negative Reinforcement

•  https://www.youtube.com/watch?v=vw8SxxS6CKM

Module 3: Emotion Awareness Training

•  Nonjudgmental, present-focused •  Emotions themselves Problem •  How patients react to emotions Problem

Module 4: Cognitive Appraisal and Reappraisal

•  Aim – evaluate patterns of thinking and incorporate more realistic and evidence-based appraisals

•  Steps: Support patients in understanding 1.  How they interpret and appraise situations 2.  How their appraisals influence patterns of emotional

responding 3.  Teach them to generate numerous alternative

attributions and appraisals when experiencing strong emotional experiences.

Focuses on: Probability overestimation and Catastrophizing

Module 4: Cognitive Appraisal and Reappraisal

•  https://www.youtube.com/watch?v=cX61p8hurOc

Module 5: Prevention of Emotion Avoidance and Modifying EDBs

•  Emotional avoidance strategies = behaviors that prevent the full experience of emotion

•  EDBs = behavioral consequences of the experience of emotion

•  THREE categories of emotion avoidance strategies: 1.  Subtle behavioral avoidance 2.  Cognitive avoidance 3.  Safety signals

Module 5: Prevention of Emotion Avoidance and Modifying EDBs

•  https://www.youtube.com/watch?v=IPO_7kc_98E

Module 6: Awareness and Tolerance of Physical Sensation •  Interoceptive Exposure (IE) exercises

Module 7: Interoceptive and Situational Exposures

•  Exposures that maximize emotion for the patient

Module 8: Relapse Prevention

•  Review progress •  Strategies for maintaining gains •  Problem solving for future difficulties