48. What is process-based therapy?

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.


In this part 1 of our 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.


(*) Show notes and resources of this episode


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actionable skills to stop ineffective playing-it-safe


(*) Figure out your playing-it-safe profile in 5 minutes
and identify the key thinking strategies that keep you living in
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(*) Learn ACT skills for anxious achievers by taking Dr.
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