What is process-based therapy?

Disengaging and using safety crutches

Acceptance and Commitment Therapy (ACT) is a form of Cognitive Behavior Therapy (CBT). 

Cognitive Behavior Therapy traditionally has been focused on delivering specific treatment protocols for specific struggles; for instance, if you were dealing with fears of public speaking as we see in social anxiety, then there was a treatment protocol for you to get better or sometimes five different treatment protocols that you could choose from, based on the clinician you worked with If you were dealing with panic attacks, there was a specific treatment protocol for it. 

However, since 2000 Cognitive Behavior Therapy has moved from having a single protocol for a specific disorder – social anxiety, panic, etc- to have a unified protocol for multiple struggles because, in the case of anxiety, for example, it’s 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. Today I have a chance to speak with Dr. David Barlow, the developer of the Unified Protocol.

Key Takeaways

In this conversation, you will hear 

  • The basics of a Unified protocol in cognitive Behavior Therapy
  • What is avoidance and how it works
  • What’s negative affect and how it works
  • What’s neuroticism and how it works
  • Why is important to understand emotions
  • What are temperamental personality factors

You will also hear me asking Dr. Barlow for permission to be sassy and ask controversial questions.

  • What’s a process in behavior therapy?
  • Is process-based therapy different from the unified protocol?
  • What is a transdiagnostic process: is an intervention different than a process? Is a transdiagnostic process a way in which people cope with internal experiences?

Tune in, you don’t want to miss how cognitive behaviorists are thinking of therapy these days and how this informs your experience in therapy or coaching when dealing with fear-based struggles.

About Dr. David Barlow

Dr. Barlow received his Ph.D. from the University of Vermont and has published over 650 articles and chapters and over 90 books and clinical manuals, mostly in the areas of anxiety and related emotional disorders and clinical research methodology. He is formerly a Professor of Psychiatry at the University of Mississippi Medical Center and a Professor of Psychiatry and Psychology at Brown University.

Dr. Barlow was also a Distinguished Professor in the Department of Psychology at the University at Albany, State University of New York, and Director of the Phobia and Anxiety Disorders Clinic at the University at Albany, SUNY.

process-based therapy

Show notes with time-stamps

00:00 Introduction to ACT and the Evolution of CBT
02:35 A Deep Dive with Dr. David Barlow: The Unified Protocol
05:29 Exploring the Unified Protocol’s Foundations
11:43 Understanding Emotions and Their Impact
19:48 The Unified Protocol: Addressing Emotional Disorders
29:09 Concluding Thoughts on Emotion-Focused Therapy
 

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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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