Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide

Barlow, David  H.; Farchione, Todd J.; Fairholme, Christopher P.; Ellard, Kristen K.; Boisseau, Christina L.; Allen, Laura B.; Ehrenreich May, Jill T.

doi:10.1093/med:psych/9780199772667.001.0001

Cited by 220Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPersonality Disorders and Psychopathology

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide

Barlow, David H., Farchione, Todd J., Fairholme, Christopher P., Ellard, Kristen K., Boisseau, Christina L., Allen, Laura B., Ehrenreich May, Jill T.·2010·Oxford University Press eBooks

DOI 10.1093/med:psych/9780199772667.001.0001

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Abstract

This online therapist guide 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 covers the seven modules of UP, and focuses on four core strategies to help patients: 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.

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Individuals with low distress tolerance tend to perceive negative emotions as intolerable and resort to avoidance and suppression strategies, hindering habituation and self-efficacy development, ultimately leading to heightened anxiety and depression.
“Theoretically, individuals with low distress tolerance tend to perceive negative emotions as intolerable and resort to avoidance and suppression strategies, hindering habituation and self-efficacy development, ultimately leading to heightened anxiety and depression (Barlow et al., 2010; Ellard et al., 2010).”
From Distress tolerance as a mediator of mindfulness-based intervention for anxiety and depression: Evidence from two randomized controlled trials (2024) · cites this paper as Barlow et al., 2010
Transdiagnostic intervention and the Unified Protocol emphasize common underlying mechanisms that contribute to the development and maintenance of emotional disorders such as PD/A.
“Transdiagnostic intervention, an emotion-focused, cognitive behavioral intervention that has led to the Unified Protocol (UP), emphasizes the common underlying mechanisms that contribute to the development and maintenance of emotional disorders such as PD/A.”
From Enhancing In Vivo Exposure in the Treatment of Panic Disorder and Agoraphobia Using Location-Based Technologies: A Case Study (2020) · cites this paper as Barlow et al., 2010
Emotion acceptance is an adaptive emotion regulation strategy increasingly incorporated into newer CBT approaches to GAD to counter chronic worry, with promising results.
“Emotion acceptance is one such skill that has been increasingly incorporated into newer cognitive behavioral therapy (CBT) treatments to counter worry in GAD, with promising results (Roemer et al., 2008; Barlow et al., 2010).”
From Neural correlates of emotion acceptance<i>vs</i>worry or suppression in generalized anxiety disorder (2017) · cites this paper as Barlow et al., 2010

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Authors: Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B., & Ehrenreich May, J. T.
ORCID: Barlow, David H.
Farchione, Todd J.
Ellard, Kristen K.
Boisseau, Christina L.
Venue: Oxford University Press eBooks
Publisher: Oxford University Press
Published: 2010-12
DOI: 10.1093/med:psych/9780199772667.001.0001
OpenAlex: W4205461133
Cited by: 208
References: 0
Citations by year: 2026: 15 · 2025: 19 · 2024: 19 · 2023: 12 · 2022: 20 · 2021: 18 · 2020: 17 · 2019: 12 · 2018: 18 · 2017: 15 · 2016: 15 · 2015: 12 · 2014: 9 · 2013: 1 · 2012: 3
FWCI: 1.79
Type: book
Language: en
Open access: closed
Locations: Oxford University Press eBooks (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords: Unified Protocol, transdiagnostic treatment, emotional disorders, anxiety disorders, unipolar mood disorders, somatoform disorders, dissociative disorders, emotion regulation, psychology of emotion, cognitive behavioral therapy, mindfulness, avoidance, interoceptive exposure

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Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide

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