The “Anxiety Treatment Protocol”: A Group Case Study Demonstration of a Transdiagnostic Group Cognitive—Behavioral Therapy for Anxiety Disorders
Abstract
This article describes a group study of clients partaking in the Anxiety Treatment Protocol (ATP), a 12-week transdiagnostic group cognitive—behavioral therapy (CBT) for individuals with any anxiety disorder. The treatment rationale is briefly described, along with a discussion of the accessibility, dissemination, and therapeutic advantages of delivering transdiagnostic anxiety group treatment. The session-by-session protocol is described in detail, and a quantitative case study of one recent group—and two clients in particular—is presented.
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Both of these transdiagnostic group interventions demonstrate differences from the TCC, such as using techniques that challenge distorted thinking.
“Both of these transdiagnostic group interventions demonstrate differences from the TCC, such as using techniques that challenge distorted thinking.”
From Experiences of a transdiagnostic group, the <scp>T</scp>ake <scp>C</scp>ontrol <scp>C</scp>ourse, for clients with common mental health problems: A qualitative study (2018) · cites this paper as Norton & Hope, 2008
A flexible delivery style is not explicitly described as an aspect of the Unified Protocol or transdiagnostic CBT anxiety groups.
“A flexible delivery style is not explicitly described as an aspect of the Unified Protocol or transdiagnostic CBT anxiety groups, and without more detailed qualitative data, it is difficult to ascertain whether participants felt groups were sufficiently adapted to their individual needs.”
From Experiences of a transdiagnostic group, the <scp>T</scp>ake <scp>C</scp>ontrol <scp>C</scp>ourse, for clients with common mental health problems: A qualitative study (2018) · cites this paper as Norton & Hope, 2008
Within two case studies of participants who accessed a transdiagnostic CBT anxiety group, both clients expressed that the group process was helpful.
“Further, within the two case studies reported of participants who accessed a transdiagnostic CBT anxiety group, both these clients expressed that the group process was helpful (e.g., seeing other people coping with similar problems).”
From Experiences of a transdiagnostic group, the <scp>T</scp>ake <scp>C</scp>ontrol <scp>C</scp>ourse, for clients with common mental health problems: A qualitative study (2018) · cites this paper as Norton & Hope, 2008
The Unified Protocol has a greater emphasis on the adaptive function of emotions than the transdiagnostic group CBT and is designed to target anxiety and mood disorders.
“The Unified Protocol has a greater emphasis on the adaptive function of emotions than the transdiagnostic group CBT and is designed to target anxiety and mood disorders (Norton & Hope, 2008; Wilamowska et al., 2010).”
From Experiences of a transdiagnostic group, the <scp>T</scp>ake <scp>C</scp>ontrol <scp>C</scp>ourse, for clients with common mental health problems: A qualitative study (2018) · cites this paper as Norton & Hope, 2008
Although the studies of Unified Protocol and transdiagnostic group CBT offered more sessions than the TCC, a number of participants were reported to request additional treatment following the groups.
“Similarly, although the aforedescribed studies of Unified Protocol and transdiagnostic group CBT offered more sessions than the TCC, a number of participants were reported to request additional treatment following the groups (Bullis et al., 2015; Norton & Hope, 2008).”
From Experiences of a transdiagnostic group, the <scp>T</scp>ake <scp>C</scp>ontrol <scp>C</scp>ourse, for clients with common mental health problems: A qualitative study (2018) · cites this paper as Norton & Hope, 2008
Two studies provide some qualitative data focusing on group Unified Protocol and transdiagnostic group CBT for anxiety disorders.
“However, there are two studies that provide some qualitative data (e.g., case studies and quotes from participants), which focus on group Unified Protocol (Bullis et al., 2015) and transdiagnostic group CBT for anxiety disorders (Norton & Hope, 2008).”
From Experiences of a transdiagnostic group, the <scp>T</scp>ake <scp>C</scp>ontrol <scp>C</scp>ourse, for clients with common mental health problems: A qualitative study (2018) · cites this paper as Norton & Hope, 2008
Both of these transdiagnostic group interventions are substantially longer than the TCC, using twelve 2-hour sessions.
“Both are substantially longer than the TCC (i.e., twelve 2‐hr sessions).”
From Experiences of a transdiagnostic group, the <scp>T</scp>ake <scp>C</scp>ontrol <scp>C</scp>ourse, for clients with common mental health problems: A qualitative study (2018) · cites this paper as Norton & Hope, 2008
Such themes or descriptions were not apparent in qualitative and case study data regarding group Unified Protocol and transdiagnostic anxiety CBT.
“Such themes or descriptions were not apparent in qualitative and case study data regarding group Unified Protocol and transdiagnostic anxiety CBT (Bullis et al., 2015; Norton & Hope, 2008).”
From Experiences of a transdiagnostic group, the <scp>T</scp>ake <scp>C</scp>ontrol <scp>C</scp>ourse, for clients with common mental health problems: A qualitative study (2018) · cites this paper as Norton & Hope, 2008
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References 33 · Cited by 20
- Authors
- Norton, P. J., & Hope, D. A.
- Affiliations
- University of Houston (US)
- University of Nebraska–Lincoln (US)
- Corresponding author
- Norton, Peter J.
- Venue
- Clinical Case Studies
- Publisher
- SAGE Publications
- Published
- 2008-06-17
- Volume
- 7
- Issue
- 6
- Pages
- 538-554
- ISSN
- 1534-6501 (ISSN-L)
- 1552-3802
- OpenAlex
- W2138009865
- Cited by
- 20
- References
- 33
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2020: 1 · 2018: 2 · 2017: 2 · 2015: 3 · 2014: 1 · 2012: 3
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Case Studies (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- transdiagnostic treatment, group cognitive behavioral therapy, anxiety disorders, treatment dissemination, treatment accessibility
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