Introduction With a one-year prevalence rate of 13.1% for adults aged 18-54 (Narrow, Rae, Robins, and Regier, 2002), anxiety disorders are the most widespread.

Slides:



Advertisements
Similar presentations
Acceptance and Commitment Therapy
Advertisements

Introduction to Acceptance and Commitment Therapy Patty Bach, Ph.D. Daniel J. Moran, Ph.D., BCBA.
Anxiety and Obsessive-Compulsive Related Disorders
Anxiety Disorders Assessment & Diagnosis SW 593. Introduction  Anxiety disorders are serious medical illnesses that affect approximately 19 million American.
Chapter 8 Anxiety, Obsessive-Compulsive, and Trauma and Stressor-Related Disorders.
An ACT of Compassion: Acceptance and Commitment Therapy as an Intervention for Chronic and Persistent Shame Shame is an important part of the clinical.
Fooling around with Definitions of Psychological Flexibility
Effectiveness and Mediating Mechanisms of Acceptance and Commitment and Cognitive Behavioral Therapies in the Treatment of Mixed Depression and Anxiety.
Anxiety Disorders Chapter 3.
Areas of Clinical Behavior Therapy Chapter 28. ESTs Empirically Supported Treatments –Therapies that have been shown to be effective through scientific.
Psychology 3.3 Managing stress. Psychology Learning outcomes Understand the following three studies on managing stress: Cognitive (Meichenbaum, D. (1972)
Adult Short Term Assessment and Treatment (ASTAT) & Group Therapy Services (GTS)
Living a Vital Life with Obsessions Jennifer Plumb MA, University Nevada Resno Benjamin Schoendorff MA,MSc, Claude Bernard University, Lyon 3 rd ACT World.
OCD Facts *All facts obtained through DynaMed Database or ocdeducationstation.org.
Theory and Practice of Counseling and Psychotherapy
TEMPLATE DESIGN © s.com Spirituality and Experiential Avoidance in Social Anxiety Benjamin Ramos, Elizabeth Mejia-Muñoz, Michael.
Mindfulness Based Stress Reduction in the Treatment of Anxiety Disorders Sarah Brothwell.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 19Anxiety Disorders.
A Best-Practice Approach for Clients with Obsessive-Compulsive Disorder By Emily Shields March 1,
Contextual Methods and the Future of CBT. The Opportunity of Upheaval.
Evaluation of Acceptance and Commitment Therapy delivered by Psychologists and Non- Psychologists in Community Adult Mental Health Dr. Thomas Richardson.
1 © 2012 McGraw-Hill Higher Education. All rights reserved.
Copyright © 2011 McGraw-Hill Australia Pty Ltd PPTs t/a Abnormal Psychology: Leading Researcher Perspectives 2e by Rieger et al. 2-1 Copyright © 2011 McGraw-Hill.
Mindfulness in Psychotherapy: Anxiety with Steve Shealy, PhD.
ECPY 621 – Class 3 CPT, Case Conceptualization, and Treatment Planning.
Anxiety Disorders WEB. Anxiety as a Normal and an Abnormal Response Some amount of anxiety is “normal” and is associated with optimal levels of functioning.
Psyc 440. Case conceptualization What is a case conceptualization? Any ideas?
Michael P. Twohig, Ph.D. Associate Professor of Psychology Utah State University.
ACT inpatient treatment concept for OCD patients K. Albrecht 1, K. Wetterkamp 1, M. Stecher-Sperlich 1, L. Bonk 1, T. Freyer 1 1 University Medical Center.
ANXIETY DISORDERS Anxiety vs. Fear  anxiety: (future oriented) negative affect, bodily tension, and apprehension about the future  fear: (reaction.
Mindfulness as Predictor of Treatment Outcome in Cognitive Behavioral and Acceptance and Commitment Therapies Ethan Moitra, Maria del Mar Cabiya, Evan.
 Overview for this evening Seminar!  Anxiety Disorders (PTSD) and Acute Stress  Treatment planning for PTSD  Therapy methods for PTSD and Acute Stress.
Anxiety Disorders.
Real Behavior Change in Primary Care: Improving Patient Outcomes Patricia J. Robinson PhD Mountainview Consulting Group, Inc. patriciarobinsonphd.com.
Improving University teachers’ skills and psychological health through ACT Francisco Montesinos, Spain.
Personality Disorders and Comorbid Substance Addiction:
Anxiety Disorders. Fundamental Features of Anxiety Disorders Fear and Threat Fear and Threat Effortful Avoidance Effortful Avoidance Compulsions or Rituals.
Chapter 5 Anxiety and the Anxiety Disorders. 2005© John Wiley & Sons, Inc. Defining Anxiety and Anxiety Disorders Case vignettes Anxiety: Unpleasant feeling.
Michael P. Twohig, Ph.D. Associate Professor of Psychology Utah State University Workshop at ACBS conference Minneapolis June 17, 2014.
Chapter 10: Depressive Disorders in Adolescents Megan Jeffreys V. Robin Weersing.
David C. Brillhart, Psy.D. Oregon State Hospital July 25, 2012.
DEVELOPMENTALLY APPROPRIATE INTERVENTIONS FOR CHILDREN AND ADOLESCENTS A LITERATURE REVIEW BY MATT BROSCH.
USING MOBILE DEVICES AS A MEANS FOR SELF TREATMENT OF DEPRESSION AND ANXIETY IN YOUNG PEOPLE BITDM HONOURS SCOTT CABOT SUPERVISOR BRETT WILKINSON.
CHAPTER 7 ANXIETY DISORDERS.
Multiple Sclerosis (MS) is a chronic degenerative disease of the central nervous system. MS often develops during the prime of life and is characterized.
Chapter 5 Anxiety Disorders. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 5 2 Fear: Fight-or-Flight Response.
Anxiety Disorders. The Experience of Anxiety  Worry  Fear  Apprehension  Intrusive thoughts  Physical symptoms  Tension  Experience comes more.
Cognitive Behaviour Therapy (CBT) Gerhard Ohrband - ULIM University, Moldova 1 st lecture Introduction.
Evaluation of the Implementation of a Modular Cognitive-Behavioral Treatment for Posttraumatic Stress, Depression, and Anxiety in U.S. Community Mental.
BY: ABDULAZIZ AL-HUMOUD FIFTH YEAR MEDICAL STUDENT. MCST Panic.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed DSM-IV Diagnostic Criteria for PTSD Exposure to.
Behavior Modification and Behavioral Therapy B.F. Skinner was one of the most influential researchers in behavior modification He is the founder of operant.
Panic Disorder E’lexus Jackson Period 4. Conduct Disorder Panic Disorder- an anxiety disorder marked by unpredictable minutes- long episode of intense.
2 nd Annual Mentoring and Coaching Research Conference 3-4 July 2012 – Sheffield Hallam University, United Kingdom John Groom Groom.
Cognitive Behavioural Therapy
Anxiety Disorders Anxiety Pattern of reactions to a perceived stress Females experience higher rate of anxiety disorders than males Anxiety disorders.
Anxiety and Obsessive- Compulsive Related Disorders Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.
PSY 436 Instructor: Emily Bullock Yowell, Ph.D.
Integrating 2nd and 3rd Wave CBT using Metaphors and Imagery
Frank L. Gardner PhD, Meredith Story MA and Justine Benedicks BA
Pharmacological and Behavioral
Anxiety Disorders in Children and Adolescents
Theory and Practice of Counseling and Psychotherapy
Module 22 Assessment & Anxiety Disorders
Everything is Relative: Relational Responding, Perspective-Taking, and Psychological Flexibility in the Parent Child Relationship Danielle N. Moyer Emily.
A transdiagnostic treatment targeting Intolerance of Uncertainty.
Acceptance & Commitment Therapy: Applications with ID/DD Clients
Behavior Therapies: Learning One’s Way to Better Behavior
Behavior Therapies: Learning One’s Way to Better Behavior
Self-Compassion as a Moderator of the Relationship Between Cognitive Fusion and Anxiety in College Students Shannon B. Underwood, Eric D. Tifft, Glenn.
Presentation transcript:

Introduction With a one-year prevalence rate of 13.1% for adults aged (Narrow, Rae, Robins, and Regier, 2002), anxiety disorders are the most widespread cause of distress among individuals seeking treatment from mental health services in the United States (Orsillo, Roemer, Block-Lerner, LeJeune, & Herbert, 2005). Significant shortcomings remain in current therapeutic interventions. A significant number of clients fail to respond to current treatments or continue to remain functionally impaired Many clients find exposure therapy intolerable and prematurely end treatment (Orsillo et al., 2005). In response to these drawbacks, the novel treatment acceptance and commitment therapy (ACT; Hayes, Strosahl, & Wilson, 1999) was developed in an attempt to reformulate the conceptualization and treatment of anxiety disorders. ACT takes advantage of the power of exposure therapies while simultaneously addressing issues of comorbidity, fear, and avoidance related to them, as well as adding emphasis on clients’ overall quality of life. Although the research base is small, a review of the current literature supports the notion that the ACT model of anxiety may be appropriate for how these disorders are conceptualized and subsequently treated. What is ACT? ACT is a third-wave behavior therapy rooted in the philosophical tradition of functional contextualism. ACT is predicated on the notion that psychological suffering is caused by cognitive entanglement, psychological rigidity, and “experiential avoidance.” Six core processes of ACT are used to increase psychological flexibility. cognitive defusion: strategies to reduce the reification of thoughts, sensations, and emotions acceptance: allowing experiences to be as they are without resistance contact with the present moment: being open, interested, and receptive to the here and now self as context: developing a concrete sense of self as observer values: defining what is most important in one’s life committed action: taking actions that are guided by one’s values. ACT for Anxiety Disorders: A Review Katie L. Sharp Conclusion Although the research base is small, preliminary data support the notion that the ACT model of anxiety may appropriately conceptualize the underlying mechanisms and treatment of anxiety disorders. References Arch, J., Eifert, G. H., Davies, C., Vilardaga, J. P., Rose, R. D., & Craske, M. G. (in press). Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. Journal of Consulting and Clinical Psychology. Block, J. A. (2002). Acceptance or change of private experiences: A comparative analysis in college students with public speaking anxiety. Dissertation Abstracts International: Section B: The Sciences & Engineering, 63(9-B), Block, J. A., & Wulfert, E. (2000). Acceptance and change: Treating socially anxious college students with ACT or CBGT. Behavior Analyst Today, 1, Carrascoso, F. J. (2000). Acceptance and Commitment Therapy (ACT) in panic disorder with agoraphobia: A case study. Psychology in Spain, 4, Dalrymple, K. L., & Herbert, J. D. (2007). Acceptance and commitment therapy for generalized social anxiety disorder: A pilot study. Behavior Modification, 31, Eifert, G. H., Forsyth, J. P., Arch, J., Espejo, E., Keller, M., & Langer, D. (2009). Acceptance and commitment therapy for anxiety disorders: Three case studies exemplifying a unified treatment protocol. Cognitive and Behavioral Practice 16, Eifert, G. H., & Heffner, M. (2003). The effects of acceptance versus control contexts on avoidance of panic-related symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 34, Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007). A Randomized Controlled Effectiveness Trial of Acceptance and Commitment Therapy and Cognitive Therapy for Anxiety and Depression. Behavioral Modification, 31, Hayes S. C., Hayes, L. J., Reese, H. W., & Sarbin, T. R. (Eds). (1993). Varieties of scientific contextualism. Reno, NV: Context Press. Moron, R. (2005). Aplicación de la terapia de aceptación y compromiso a un caso de crisis de angustia con agorafobia: un estudio de caso. Análisis y Modificación de Conducta, 31(138), Narrow, W. E., Rae, D. S., Robins, L. N., & Regier, D. A. (2002). Revised prevalence based estimates of mental disorders in the United States: Using a clinical significance criterion to reconcile 2 surveys’ estimates. Archives of General Psychiatry, 59, Orsillo, S. M., & Batten, S. V. (2005). Acceptance and commitment therapy in the treatment of posttraumatic stress disorder. Behavioral Modification, 29, Orsillo, S. M., Roemer, L., & Barlow, D. H., (2001). Integrating acceptance and mindfulness into existing cognitive behavioral treatment for GAD: A case study. Cognitive and Behavioral Practice, 10, Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: The Guilford Press. Huerta, F. R., Gomez, S. M., Molina, M. A. M., & Luciano, C. M. (1998). Generalized anxiety disorder: A case study. Analisis y Modifcacion de Conducta, 24, Levitt, J. T., Brown, T. A., Orsillo, S. M., & Barlow, D. H. (2004). The effects of acceptance versus suppression of emotion on subjective and psychophysiological response to carbon dioxide challenge in patients with panic disorder. Behavior Therapy, 35, Orsillo, S. M., & Batten, S. V. (2005). Acceptance and commitment therapy in the treatment of posttraumatic stress disorder. Behavioral Modification, 29, Ossman, W., Wilson, K. G., Storaasli, R. D., & McNeill, J. W. (2006). A preliminary investigation of the use of acceptance and commitment therapy in group treatment for social phobia. International Journal of Psychology and Psychological Therapy, 6, Twohig, M. P. (2009). Acceptance and Commitment Therapy for Treatment-Resistant Posttraumatic Stress Disorder: A Case Study. Cognitive and Behavioral Practice, 16(3), Twohig, M. P., Hayes, S. C., & Masuda, A. (2006). Increasing willingness to experience obsessions: acceptance and commitment therapy as a treatment for obsessive-compulsive disorder. Behavior Therapy, 37, Twohig, M. P., Hayes, S. C., Plumb, J. C., Pruitt, L. D., Collins, A. B., Hazlett-Stevens, H. & Woidneck, M. R. (2010) A randomized clinical trial of Acceptance and Commitment Therapy vs. Progressive Relaxation Training for obsessive compulsive disorder. Journal of Consulting and Clinical Psychology, 78, Twohig, M. P., & Woods, D. W. (2004). A preliminary investigation of acceptance and commitment therapy and habit reversal as a treatment for trichotillomania. Behavior Therapy, 35, Twohig, M. P., Hayes, S. C., Plumb, J. C., Pruitt, L. D., Collins, A. B., Hazlett-Stevens, H. & Woidneck, M. R. (2010) A randomized clinical trial of Acceptance and Commitment Therapy vs. Progressive Relaxation Training for obsessive compulsive disorder. Journal of Consulting and Clinical Psychology, 78, Zaldívar, F., & Hernández, M. (2001). Terapia de Aceptación y Compromiso: Aplicación a un trastorno de evitación experiencial con topografía agorafóbica. Análisis y Modificación de Conducta, 27(113), Zettle, R. D. (2003). Acceptance and commitment therapy (ACT) vs. systematic desensitization in treatment of mathematics anxiety. Psychological Record, 52, ACT with Anxiety Disorders: A Rationale Research suggests that anxiety disorders are developed and maintained by avoidant behavior patterns and fusion with maladaptive thoughts (Orsillo et al., 2005). ACT targets experiential avoidance—behaviors that are intended to alter the intensity or frequency of unwanted private experiences (e.g., unpleasant thoughts, feelings, and bodily sensations)—as well as behavioral avoidance of situations that tend to arouse unwanted private experiences (Hayes et al.,1999). ACT with Anxiety Disorders: Outcome Studies ACT has been used successfully in the treatment of: Generalized anxiety disorder (Orsillo, Roemer, and Barlow, 2001*; Huerta, Gomez, Molina, & Luciano, 1998*) Obsessive-compulsive disorder (Eifert, Forsyth, Arch, Espejo, Keller, and Langer, 2009; Twohig, Hayes, & Masuda, 2006; Twohig et al., 2010) Trichotillomania (Twohig & Woods, 2004) Chronic skin picking (Twohig, Hayes, & Masuda, 2004) Generalized social anxiety disorder (Block, 2002; Block & Wulfert, 2000; Ossman, Wilson, Storaasli, & McNeill, 2006*; Dalrymple & Herbert, 2007*; Eifert et al., 2009) Post-traumatic stress disorder (Orsillo & Batten, 2005; Twohig, 2009) Panic disorder (Carrascoso, 2000; Levitt, Brown, Orsillo, & Barlow, 2004*; Moron, 2005; Eifert & Heffner, 2003; Eifert et al., 2009; Zaldivar & Hernandez, 2000) Mixed anxiety disorders (Luciano & Guitierrez, 2001) Randomized Controlled Trials Forman, Herbert, Moitra, Yeomans, and Geller (2007) For participants reporting moderate to severe levels of anxiety or depression, ACT was as effective as the gold-standard cognitive-behavioral therapy (CBT) treatment. Arch, Eifert, Davies, Vilardaga, Rose, and Craske (in press) Both ACT and CBT produced favorable outcomes in the treatment of 128 individuals with one or more DSM-IV anxiety disorders. Zettle (2003) Both ACT and systematic desensitization significantly reduced math anxiety over a period of 6 weeks. *These studies did not use a pure ACT protocol, but rather a tailored version.