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(p. 347) Index 

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Subscriber: null; date: 20 January 2020

accomplishments, recognizing, 63, 248249
action tendencies, 1, 13. See also emotion-driven behaviors
defined, 13
agoraphobia (AG), 4. See also panic disorder with agoraphobia
cases of, 3334
alcohol dependence, case of, 122126
alcohol use and anxiety disorders (AUD/AXDs), comorbid, 127128, 148149
case example, 130132
clinical outcomes, 147148
treatment, 132147
hypothesized rationale for comorbidity, 128
transdiagnostic conceptualization, 132
transdiagnostic treatments, 129130
alcohol use disorders (AUDs), 127
anchoring in the present, 99, 138, 174176, 187188, 192, 195, 199, 209, 212, 285, 286
Anchoring in the Present (exercise), 99, 103104
antecedents of emotions, 11. See also ARC of emotions
anxiety, trait, 4
Anxiety and Its Disorders (Barlow), 1
anxiety disorders, 3839. See also alcohol use and anxiety disorders (AUD/AXDs); specific disorders
Unified Protocol for, 39, 52
clinical case examples, 3942, 4452
cognitive flexibility, 4648
countering emotional behaviors, 4850
mindful emotion awareness, 4546
setting goals and maintaining motivation, 4143
understanding and confronting physical sensations, 5051
understanding emotions, 4345
anxiety sensitivity (AS), 7, 159
anxiety symptoms. See also major depressive disorder: with anxious distress
reductions in, 289t, 289290
ARC of emotions, 11, 28, 120, 123, 155, 174, 237240, 258
following the, 5859, 220221
attention deficit hyperactivity disorder (ADHD), case of, 232251
automatic appraisals, 12, 139, 204, 260, 263, 278, 279. See also cognitive appraisal; UP: Module 4
case material, 77, 100, 102, 120, 139, 223, 241, 242f, 251, 260, 263, 278, 279, 287
automatic emotional responses, 94, 96
automatic emotions, 94
automatic thoughts, 76, 99, 101, 167, 178, 183, 287
case material, 100, 101, 174, 175, 189, 190, 195197, 212, 222, 223, 241, 247, 287
(p. 348) aversive reactions to emotional experiences, 31. See also negative reactions; response to emotional experience
avoidance. See also behavioral avoidance; behavior avoidance
cognitive, 13, 48
experiential, 67
situational, 24. See also emotion exposure hierarchy
avoidant coping, 31, 180181
avoidant efforts to control or change emotions, 30b


behavioral activation, 4, 9. See also extraversion
behavioral avoidance, 48, 49. See also avoidance
behavioral inhibition, 4
behavior avoidance, 102104. See also avoidance; UP: Module 5
subtle, 1213
beliefs
about sleep, dysfunctional, 168
about unwanted emotions, 30b
bipolar disorder, 108109
application of Unified Protocol for, 8990, 109110
case presentation, 90108
and comorbid disorders, 8688
emotion dysregulation in, 8889
borderline personality disorder (BPD)
as an emotional disorder, 200201
case presentations, 205208, 207t, 208212
extant treatments, 202
application of UP skills to BPD-related problems, 202205
Unified Protocol for, 213214
empirical support for, 213
Brief Symptom Inventory–18-Item Version (BSI-18), 218
bulimia nervosa (BN), emotion exposure hierarchy for a patient with, 163t


cannabis dependence, case of, 122126
catastrophizing, 12, 46. See also thinking the worst
categorical classification, 1819
chronic pain. See pain, chronic
cognitive appraisal, 223, 240241. See also automatic appraisals; UP: Module 4
cognitive avoidance, 13, 48. See also avoidance
cognitive distortions. See thinking traps
cognitive flexibility, 46, 59, 7677. See also UP: Module 4
case material, 4648, 5960, 7778, 99101, 139141, 174176, 240241
cognitive processing therapy (CPT), 112
Colombian man, use of Unified Protocol with a, 281289
Common Elements Treatment Approach (CETA), 295
comorbid cases, UP for complex, 232, 249251
case presentation, 232233
conceptualization of the case, 233, 234f, 235
transdiagnostic treatment, 235241, 242f, 243245
treatment progress record, 235, 236f
comorbidity, 231232. See also specific disorders
consequences of emotions, 11. See also ARC of emotions
core automatic appraisals, 12
cross-cultural applications of Unified Protocol, 289290. See also cultural case formulation
case presentations, 275289
cultural adaptations
how much is needed, what needs adapting, and for whom, 273
how UP should and shouldn't be adapted, 274
reasons we need, 268269
theoretical models of, 273
to Unified Protocol, 274275
cultural case formulation, recommendations for clinicians for, 270, 273275, 291
assessment recommendations, 270272
treatment recommendations, 272273
(p. 349) Cultural Formulation Interview (CFI), 270271
culture, 269270
defined, 269


depression. See also major depressive disorder
case of, 192198
depression symptoms, reductions in, 289t, 289290
depressive disorder, persistent, 186, 191
depressive disorder not otherwise specified (DD-NOS), case of, 255, 263, 265
dimensional diagnoses and assessment, 89


eating disorders, 150151
Unified Protocol for, 162
countering emotional behaviors, 157159
emotion exposure, 161162
future directions for, 162, 163
increasing mindful emotion awareness, 151154
promoting cognitive flexibility, 154156
understanding and confronting physical sensations, 159161
emotional and situational avoidance hierarchy, 174, 245, 280
emotional avoidance, 13, 54, 65, 113, 122, 157, 158, 223, 265. See also UP: Module 5
emotional behaviors, countering, 48. See also UP: Module 5
case material, 4850, 6061, 7879, 141142, 176, 178, 241
emotional disorders, 180, 201. See also specific topics
commonalities among, 23
defined, 180, 201
functional model of, 233, 234f
hierarchical structure of, 45
questions to assist in identifying features of, 29, 30b
emotional regulation. See emotion dysregulation
emotion awareness. See mindful emotion awareness; UP: Module 3
emotion-driven behaviors (EDBs), 1, 13, 102104. See also UP: Module 5
defined, 13
eating disorders and, 157159, 158t
identifying and changing, 4950, 241, 243t
insomnia and, 172173, 174
emotion dysregulation, 8889, 128
emotion exposure hierarchy, 81, 82f, 143144, 163t, 177f, 246f, 281t
emotion exposure practice, record of, 251f
emotion exposures, 51, 7980, 105108, 143146, 161162. See also UP: Module 7
case material, 51, 8083
emotions. See also automatic emotions; negative emotions; positive affect
adaptive nature and function of, 9397. See also UP: Module 2
primary, 1112
strong uncomfortable, 31
three-component model of, 171, 173f
understanding, 4344, 7374, 134136, 172173, 220221, 237239. See also UP: Module 2
case material, 44, 5859
emotion suppression, 67
ethnic identity, 271
evidence-based interventions (EBIs), 268
evidence-based practice (EBP), 268
experiential avoidance, 67
exposure hierarchy, 51, 245, 246f
(p. 350) extraversion. See also positive affect
defined, 4
terminology, 4


flexibility vs. fidelity (cultural adaptation), 275
functional model of emotional disorders, 233, 234f
future, looking to and planning for the, 63, 248249


generalized anxiety disorder (GAD), 3, 5
cases of, 4042, 4447, 4952, 186, 191, 205206, 207t, 208210, 216229, 232251. See also anxiety disorders: Unified Protocol for
comorbidity with depressive disorder, 1819
goal setting, 41, 132133, 219220. See also treatment planning; UP: Module 1
case material, 4143, 5758
group treatment applications of Unified Protocol, 252253
assessment, 253254
case presentations, 253, 266267
clinical outcomes, 263, 264t, 265266
group members, 254256
patient feedback, 266
treatment delivery, 256263


heavy drinking, defined, 147
homework, 4950, 260261
hyperarousal and insomnia, 167168


Identifying and Evaluating Automatic Appraisals worksheet, 260
information hiding, 293
insomnia, 164, 178
as an emotional disorder, 165166
transdiagnostic treatment targets in, 166169
insomnia disorder, 164165
case presentation, 170
diagnostic assessment, 170171
treatment with Unified Protocol, 171176, 177
interoceptive awareness, 104105. See also UP: Module 6
interoceptive exposure (IE), 1314, 7980, 159, 261. See also UP: Module 7


Japanese woman, use of Unified Protocol with a, 275281
jumping to conclusions, 139. See also probability overestimation


Kazdin, A. E., 300


major depressive disorder (MDD), 3, 6768, 8385. See also depression
with anxious distress, 170178
cases of, 6869, 115126, 170178, 207t, 210212, 232251, 275281
case formulation, 6971
posttreatment, 83
treatment, 7183
treatment implications, 68
marijuana. See cannabis dependence
mental disorders, classification of, 1820
mindful emotion awareness, 4546, 7476. See also UP: Module 3
case material, 45, 46, 59, 7476, 97, 99, 137139, 173174, 239240
Mindful Emotion Awareness Meditation, 222
mindfulness, 78
deficits in, 78
defined, 7
mood disorders, 3. See also specific disorders
mood monitoring, 97
mood monitoring chart, daily, 98f
motivation
building, 132133. See also motivation enhancement; UP: Module 1
maintaining, 4143
motivational interviewing (MI) principles and techniques, 10
motivation enhancement, 9293. See also motivation: building; UP: Module 1
Multidimensional Emotional Disorder Inventory (MEDI), 9, 34
case example of using, 3334, 34f
(p. 351)
a profile-based classification approach, 3234
transdiagnostic classification using, 32
Multigroup Ethnic Identity Measure (MEIM), 271


negative affect, 4, 216, 218. See also negative emotions; neuroticism
negative emotions. See also negative affect
frequency and severity, 30b
negative reactions
to emotional experience, 5. See also aversive reactions to emotional experiences; response to emotional experience
associated constructs related to, 68
to unwanted emotions, 30b
neurobiological mechanisms underlying disorders of emotion, 3
neuroticism, 4, 182
alcohol use disorders and, 128
bipolar (and comorbid) disorders and, 8688
defined, 4, 8687, 128, 180, 216
pain and, 216
suicidal ideation and, 181182
nonsuicidal and suicidal self-injurious thoughts and behaviors
application of Unified Protocol to, 182184, 198199
case presentations, 185198
factors to consider in, 184185
definitions and prevalence of, 179180
within the emotional disorders framework, 180185
resisting self-injurious behaviors, 183
nonsuicidal self-injury (NSSI). See also nonsuicidal and suicidal self-injurious thoughts and behaviors
case presentation, 185191
defined, 179
Numeric Rating Scale (NRS), 218


obsessive-compulsive disorder (OCD), 5, 5354
assessment data, 6465
cases of, 66, 118122, 232251
case formulation, 5556
overview, 54
treatment, 5663
treatment challenges, 6566
neuroticism in, 5354
obsessive compulsive-related disorders (OCRDs), 54, 66
Overall Anxiety Severity and Impairment Scale (OASIS), 29
Overall Depression Severity and Interference Scale (ODSIS), 29


pain, chronic, 215216
case presentation, 216217, 228229
assessment, 217218
integrative evaluation, 217
treatment approach, 218227
treatment outcome, 227228, 228f
defined, 215, 220
neuroticism and, 216
Pain Anxiety Symptom Scale–20-Item Version (PASS-20), 218
panic attacks, non-clinical, 5
panic disorder, cases of, 3334. See also anxiety disorders: Unified Protocol for
panic disorder with agoraphobia (PDA), 3, 5
cases of, 3942, 4445, 4752, 232251, 255, 263, 265, 275281
perpetuating factors, 166
persistent depressive disorder, 186, 191
physical sensations, understanding and confronting, 50. See also UP: Module 6
case material, 5051, 61, 142143, 241, 243245
positive affect, 4. See also extraversion
role of, 1516
positive affectivity, 9
Positive and Negative Affect Scale (PANAS), 218
(p. 352) posttraumatic stress disorder (PTSD), 3, 111
cases of, 114126, 283290
current treatments for, 111112
transdiagnostic conceptualization of, 114
Unified Protocol for, 112126
consistent themes in treatment, 125
treatment impact, 126
precipitating factors, 166
predisposing factors, 166
presenting problems, 31
primary emotions, 1112
probability overestimation, 12, 46, 7677. See also jumping to conclusions
Project MATCH, 294
prolonged exposure therapy (PE), 112


reactions to primary emotions, 1112. See also negative reactions
relapse prevention, 52, 146147, 178. See also UP: Module 8
rumination, 7


safety behaviors
defined, 168
insomnia and, 168169
safety signals, use of, 13, 4849, 142, 157, 243t
situational avoidance, 24. See also emotional and situational avoidance hierarchy
situational emotion exposure, 8183
sleep, dysfunctional beliefs about, 167
social anxiety disorder (SOC), 32, 67, 147. See also social phobia
cases of, 3334, 4042, 4447, 4952, 90108, 170179, 186, 191, 205210, 207t, 275281
generalized type, cases of, 254256, 258, 263, 265
nongeneralized, case of, 130148
social phobia (SOC), 3, 4, 38. See also social anxiety disorder
case of, 115122
somatic sensations. See physical sensations
substance use disorder. See also alcohol dependence; cannabis dependence
case of, 192198
subtle behavior avoidance, 1213. See also behavior avoidance
suicidal thoughts and behaviors. See also nonsuicidal and suicidal self-injurious thoughts and behaviors
case presentation, 191198
symptom induction exercises. See interoceptive exposure


Taijin kyofusho, 275276, 278
Therapist Certification, 297298
Therapist Guide to the UP (Barlow et al.), ix, xiii, 9, 24, 29, 257, 274, 297
thinking the worst, 139. See also catastrophizing
thinking traps, 12, 46, 76, 77, 139, 223. See also catastrophizing; probability overestimation
thought-action fusion (TAF), 55, 60, 62
Trainer/Research Certification, 298
trait anxiety, 4
transdiagnostic approach, advantages of a, 2021
transdiagnostic procedures, 2
treatment planning. See also goal setting
from assessment to, 29, 3132


unified approach, rationale for a, 26
unified model of psychopathology, 257260
Unified Protocol for Transdiagnostic Treatment of Emotional Disorders. See UP
(p. 353) Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Client Workbook (Barlow et al.). See UP Client Workbook
Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide (Barlow et al.). See Therapist Guide to the UP
UP (Unified Protocol for Transdiagnostic Treatment of Emotional Disorders), ix. See also specific topics
assessment and case conceptualization using, 2224, 25t28t, 26, 2829, 30b
case example of conceptualization with UP, 3637
certification programs, 297298
development, 916
early results and current clinical trial, 1415
future directions, 291292, 301
dismantling, 292296
dissemination, 296301
Module 1: Setting Goals and Maintaining Motivation, 10, 41
case material, 4143, 9293, 132133, 219220, 235236
Module 2: Understanding Emotions, 1011
case material, 9397, 134136, 220221, 237239
Module 3: Mindful Emotion Awareness, 1112, 221222
case material, 97, 99, 137139, 221222, 239240
Module 4: Cognitive Flexibility, 12
case material, 99101, 139141, 222223, 240241
Module 5: Countering Emotional Behaviors, 1213
case material, 102104, 141142, 225226, 244
Module 6: Understanding and Confronting Physical Sensations, 1314. See also interoceptive exposure
case material, 104105, 142143, 225
Module 7: Emotion Exposures, 14.
case material, 105108, 143146, 225227, 245248
Module 8: Recognizing Accomplishments and Looking to the Future, 14. See also relapse prevention
case material, 146147, 227, 248249
origins, 1
suggested session lengths for each module, 10b
UP Client Workbook (Barlow et al.), 222, 256, 274, 277, 277f, 297


Visiting Nurses Association of Boston (VNA-B), 298299


worry, 4647