Process-based therapy for anxiety with Joseph Ciarrochi, Ph.D.

Disengaging and using safety crutches

60% of people dealing with depression are likely to be dealing with anxiety. If you’re anxious, you are also likely to be depressed.

In the case of fear-based struggles, it is much more common to struggle with different types of fears than a single one. So if you’re dealing with attacks, it’s also possible that you’re dealing with chronic worry, or if you’re dealing with chronic worry, it’s also possible that you’re struggling with fears of public speaking.

Traditional CBT focuses on treating a disorder such as social anxiety or depression. The problem with focusing on a single disorder is that the root cause of those struggles is not addressed.

A core characteristic of ACT is to focus on teaching you psychological skills to increase your well-being, mental health, and the quality of your life. Instead of focusing on a diagnosis, ACT tackles the drivers of that particular diagnosis; therefore, ACT by nature is what is called a process-based model.

Key Takeaways

In this conversation Joseph Ciarrochi, Ph.D. and I discuss:

  • The different psychological processes that are part of any struggle we deal with.
  • The relationship between psychological processes and evolution.
  • The importance of variation, selection, retention and context as drivers of changes
  • The challenges of letting go of “all those stories about who we are.”
  • The importance of paying attention to our physiological responses when getting stuck
  • Six dimensions of any psychological struggle: (a) Motivation, (b) overt behavior, (c) sense of self, (d) attention, (e) attention, (f) cognition.

About Joseph Ciarrochi, Ph.D.

Professor Joseph Ciarrochi is among the top one percent most cited scientists in the world for his revolutionary work on the development and promotion of well-being. He focuses on psychological flexibility, or what he terms “flexible strength,” a cluster of skills that can be used to promote personal growth and build vitality and valued action. Examples of skills related to flexible strength are emotional intelligence, social intelligence, mindfulness, psychological flexibility, non-attachment, grit, equanimity, willpower and emotion regulation skill.

Professor Ciarrochi has given presentations and workshops all over the world on how best to promote well-being and peak performance. He is a research professor, and all talks are based on the best available science. He works with a wide variety of groups, including people in organizational settings, adolescents, teachers, leaders, and members of the public.

process-based therapy

Resources

Show notes with time-stamps

00:00 Overcoming Fear-Based Struggles
01:00 Understanding Depression and Anxiety: The Role of Acceptance and Commitment Therapy
02:52 Diving Deep with Dr. Joseph Ciarrochi: Psychological Flexibility and Wellbeing
05:30 Exploring Process-Based Therapy: Breaking Down Therapeutic Barriers
09:14 The Evolutionary Meta Model: A New Language for Therapy
15:02 Defining Processes in Therapy: Dynamic, Theory-Based, and Progressive
23:26 Understanding Biological Flexibility and Hope
25:25 Navigating Uncertainty and Cognitive Processes
27:34 Addressing Perfectionism and Its Impacts
36:33 Diving Deep into Self-Identity and Its Challenges
 

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About Dr. Z.

I’m originally from Bolivia, South America, and am a psychologist by training. I’m formally trained in empirically supported treatments, and when I say “formally,” I mean that since 2004 I have received intensive training in them, particularly in Acceptance and Commitment Therapy (ACT) and Cognitive Behavior Therapy (CBT). 

Over the past 18 years, I have created resources for and worked with overthinkers and overachievers dealing with all types of anxiety-related struggles: perfectionism, procrastination, productivity anxiety, uncertainty intolerance, indecision, impostor phenomenon, overthinking, phobias, rumination, panic, worry and obsessive-compulsive disorder. I absolutely love my job!

In 2019, I was nominated as a fellow by the Association for Contextual Behavioral Science because of my contributions related to the applications of ACT for anxiety-based struggles. I’m the author of seven books and the co-author of three (see the section on previously written books).

I’m the founder and director of the East Bay Behavior Therapy Center, a boutique private center in the San Francisco Bay Area that offers therapy and coaching for anyone experiencing anxiety-based struggles.

In 2023, I gave a TEDx talk, “Stop playing-it-safe and start living” that has more than 264K downloads.

While I’m a psychologist by training and science-based by passion, my style is jargon-free, accessible, caring, and lighthearted; teaching ACT skills doesn’t have to be boring or inaccessible, so I do my best to make every skill I teach—in any format—as engaging as possible. 

I believe that learning to navigate anxiety-based reactions is one of the key skills of the 21st century, and I’m passionate about it.

I'm passionate about disseminating ACT skills for anxiety-based struggles.

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