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Emerging conceptualizations of major emotional disorders emphasize their commonalities rather than their differences, including considerable overlap in disorder phenomenology, a common set of vulnerabilities to development of emotional disorders, and generalization of treatment response across disorders. Current research lends support for a unified transdiagnostic approach to treatment of these disorders that considers these commonalities and is applicable to a range of emotional disorders. Unified Protocol for Transdiagnostic Treatment of Emotional Disorders, part of the TreatmentsThatWork series of therapist manuals and patient workbooks, 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. The Unified Protocol (UP) 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. The UP contains seven modules 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 facilatating exposure to both interoceptive and situational cues associated with emotional experiences. Unified Protocol for Transdiagnostic Treatment of Emotional Disorders will be an essential resource for all therapists and psychiatrists who implement CBT strategies, as well as any clinician treating anxiety and depressive disorders.

Emerging conceptualizations of major emotional disorders emphasize their commonalities rather than their differences, including considerable overlap in disorder phenomenology, a common set of vulnerabilities to development of emotional disorders, and generalization of treatment response across disorders. Current research lends support for a unified transdiagnostic approach to treatment of these disorders that considers these commonalities and is applicable to a range of emotional disorders. Unified Protocol for Transdiagnostic Treatment of Emotional Disorders, part of the TreatmentsThatWork series of therapist manuals and patient workbooks, 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. The Unified Protocol (UP) 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. The UP contains seven modules 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 facilatating exposure to both interoceptive and situational cues associated with emotional experiences. Unified Protocol for Transdiagnostic Treatment of Emotional Disorders will be an essential resource for all therapists and psychiatrists who implement CBT strategies, as well as any clinician treating anxiety and depressive disorders.

Emerging conceptualizations of major emotional disorders emphasize their commonalities rather than their differences, including considerable overlap in disorder phenomenology, a common set of vulnerabilities to development of emotional disorders, and generalization of treatment response across disorders. Current research lends support for a unified transdiagnostic approach to treatment of these disorders that considers these commonalities and is applicable to a range of emotional disorders. Unified Protocol for Transdiagnostic Treatment of Emotional Disorders, part of the TreatmentsThatWork series of therapist manuals and patient workbooks, 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. The Unified Protocol (UP) 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. The UP contains seven modules 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 facilatating exposure to both interoceptive and situational cues associated with emotional experiences. Unified Protocol for Transdiagnostic Treatment of Emotional Disorders will be an essential resource for all therapists and psychiatrists who implement CBT strategies, as well as any clinician treating anxiety and depressive disorders.

Abstract: Worry in generalized anxiety disorder (GAD) has been conceptualized as an emotion regulation strategy whereby distress triggered by uncertain outcomes is temporarily avoided through internal verbalizations and associated reductions in autonomic arousal. However, worry is ineffective, as subsequent exposure to worry topics elicits continued distress and generalizes to new topics. One potential mechanism by which worry may perpetuate distress is by preventing the development of greater tolerance of internal distress. By contrast, acceptance as an emotion regulation strategy is associated with reduced distress and increased willingness to re-engage in previously distressing tasks. Acceptance may exert its influence by keeping patients in contact with internal distress and preventing avoidance, allowing for repeated exposure and the subsequent development of greater distress tolerance. The present study used functional magnetic resonance imaging to explore neural mechanisms of worry and acceptance in a sample of 21 women meeting DSM-IV criteria for GAD. During scanning, participants read personally relevant worry statements, and were presented with randomized instructions to observe and accept their reactions (Accept), worry as usual (Worry), or suppress reactions (Suppress). Participants were then randomized to receive either brief training in acceptance-based regulation strategies, or no training. Pre-training, the Worry condition was associated with increased limbic (amygdala, insula, hippocampus) and ventromedial prefrontal cortex (vmPFC) activation relative to both the Accept and Suppress conditions, whereas the Accept condition was associated with greater dorsomedial PFC (dmPFC) activation, and the Suppress condition was associated with greater dorsolateral PFC activation. Following training in emotion acceptance, the Training group evidenced significant reductions in amygdala and hippocampus activation in the Worry condition. These results were not found in the No-Training group. Additionally, decreased activation in the Worry and Accept conditions was found in the Training group relative to No-Training in the subgenual anterior cingulate, a vmPFC region implicated in extinction learning. Decreased activation in this region was significantly correlated with participant ratings of lower subjective distress and greater regulation success. Results of this study suggest potential mechanisms by which emotion acceptance may exert effects in the regulation of distress are through neural pathways implicated in both cognitive control and extinction learning.

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders provides an alternative to disorder-specific treatments of various emotional disorders, designed to be applicable to the wide range of anxiety and other disorders with strong emotional components.

The Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents suggest that there may a simple and efficient method of utilizing effective treatment strategies, such as those commonly included in CBT, in a manner that addresses the broad array of emotional disorder symptoms in children and adolescents. The Unified Protocol for children and adolescents comprises a Therapist Guide, as well as two Workbooks, one for children, and one for adolescents.

This patient workbook 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 capitalises on the contributions made by cognitive-behavioural 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.

Los programas de tratamiento basados en la evidencia más recientes, fundamentados en la investigación más actual y la evaluación clínica, se centran en las intervenciones unificadas transdiagnósticas para trastornos que comparten características comunes y responden a procedimientos terapéuticos comunes. Este Manual está diseñado para abordar los trastornos emocionales: ansiedad, estado de ánimo, pánico, fobia social, ansiedad generalizada, estrés postraumático, trastorno obsesivo-compulsivo y depresión. El programa también está diseñado para el tratamiento de «trastornos emocionales» estrechamente relacionados, como la hipocondría y otras alteraciones asociadas con la ansiedad excesiva relacionada con problemas de salud, así como problemas en los que la persona experimenta disociación (sensación de irrealidad).