| Unified Protocol Overview | Psychoeducation, Treatment Rationale and Motivational Enhancement | Emotional Awareness, Cognitive Appraisal and Reappraisal | Countering EDBs, emotional avoidance, Interoceptive/Situational Exposures and Conclusion/Relapse prevention |
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-both,
-recognizes that positive emotions can be equally as uncomfortable and threatening as negative emotions -validates all emotional experiences and allows for them to be seen as adaptive, functional tools
Does Unified Protocol focus on negative or positive emotions? And what are the benefits of this?
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-to understand the experience of daily emotions and how they interfere with functioning
What is the purpose of the functional assessment?
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-emotions can trigger past memories and lead to thoughts about what can happen in the future, making it difficult to view the emotions in the context of which they are actually occurring
What is the purpose of present-focused awareness when it comes to understanding emotional experiences?
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- breathing through a straw
- running in place - hyperventilating - spinning in circles - jumping jacks -etc
Give at least 4 examples of interoceptive exposures that can elicit emotion?
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- Can be used to treat a variety of disorders
- Flexible (fit to clients needs) - Efficient (treat multiple diagnoses at once) - Single person focus
List 3 benefits of this technique and explain why they are beneficial
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-fear,
-panic -anxiety -lack of control -guilt
List at least 3 emotions Matt expressed during the functional assessment?
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-help patients develop more flexible thinking patterns
What is the main goal of Cognitive appraisal and reappraisal?
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- compulsive behaviours in reaction to distress from obsessive thoughts concerning religion and morals
What were the emotion driven behaviors (EDBs) Matt engaged in most frequently?
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- helps them identify the similarities among their various presenting problems and can improve the generalization process
How does Unified Protocol facilitate patient improvement?
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- at any point
- patients can struggle with staying motivated at any point and it is important to recognize that and deal with it accordingly
When can motivational enhancement be applied during treatment? And what is the rationale?
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-emotions are natural and an informative tool for understanding our surroundings
-if we try to escape an emotion for example it can harm us in the long run (i.e., we start to avoid certain situations where that emotion was once present)
Why is it beneficial for the therapist to explain to the client that emotions aren’t necessarily problematic but how one reacts to them that is?
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- An occasional increase in symptoms doesn't automatically mean relapse
-they can apply skills learned throughout treatment to new situations that may arise
What are patients reminded of at the end of treatment?
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- maybe not effective for every diagnosis or really complex diagnoses
- Doesn't mention long term efficiency outside of relapse prevention
Do you see any flaws with this technique and why?
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-builds the patients awareness of their experiences and allows them to evaluate the ways in which they respond to their emotions
-makes emotional experiences more manageable -breaks it down into more than just an emotion or just a behaviour
What purpose does breaking down emotional experiences into their ABC’s (antecedents, behaviour, consequences) serve?
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-helps patients understand reciprocal relationship b/w thoughts and emotions
-help identify core automatic appraisals that drive clients behaviours -teaches patient multiple interpretations of a situation can coexist (i.e., doesn't always have to be just fear inducing)
What are some benefits of showing clients that there are several different appraisals for one situation?
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-subtle behavioural avoidance,
-cognitive avoidance -safety signals
List the 3 types of emotional avoidance strategies listed in this section?
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- Can cover comorbid diagnoses
- More efficient than single disorder treatments protocols - Short treatment period but is it effective long term - Efficacy for treating treatment resistant disorders
How does this compare to previous techniques and would you prefer this over others for your practice? Why or why not?
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-complete decision balance worksheet by weighing the pros and cons of staying the same vs changing
-helps client visualize the consequences of their behaviour with a focus on the bigger picture
Describe the homework for module 2 and how it benefits the patient?
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1) Countering probability estimation: requires patient to take past experiences and use them to realistically examine the probability of the outcome happening
2) Catastrophizing: helps patients identify their ability to cope -Both help to alter cognitive conditions for when patient encounters emotionally provoking stimuli
Name the two reappraisal skills in module 4 and describe a benefit for each?
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-both are techniques that elicit emotions to learn to cope with and avoid engaging in maladaptive behaviours
-Interoceptive = physical activation -situational = contextual
Compare and contrast interoceptive and situationally based exposures techniques.
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