Treatment of three anxiety disorder cases with acceptance and commitment therapy in a private practice

Journal of Cognitive Psychotherapy

Volumn 25, Issue 3, 2011, Pages 203-217

  Codd, R Trent ^a   Twohig, Michael P ^b   Crosby, Jesse M ^b   Enno, Angela ^b  

^a PA ^*  (United States)

^b UTAH STATE UNIVERSITY   (United States)

Author keywords

Acceptance and commitment therapy; Anxiety; Experiential avoidance; Psychological flexibility; Treatment

Indexed keywords

ACCEPTANCE AND COMMITMENT THERAPY; ADULT; AGORAPHOBIA; ANXIETY DISORDER; ARTICLE; AVOIDANCE BEHAVIOR; CASE REPORT; CLINICAL ASSESSMENT; CLINICAL PROTOCOL; COGNITIVE THERAPY; COMORBIDITY; FEMALE; GENERALIZED ANXIETY DISORDER; HUMAN; MALE; PANIC; POSTTRAUMATIC STRESS DISORDER; PRIVATE PRACTICE; SOCIAL PHOBIA; STANDARDIZATION; TIME SERIES ANALYSIS;

EID: 80051660584     PISSN: 08898391     EISSN: None     Source Type: Journal    
DOI: 10.1891/0889-8391.25.3.203     Document Type: Article

References (60)

1. Abramowitz J S, Lackey G R, Wheaton M G. Obsessive-compulsive symptoms: The contribution of obsessional beliefs and experiential avoidance. Journal of Anxiety Disorders 2009, 23(2):160-166.
2. Arch J J, Craske M G. Mechanisms of mindfulness: Emotion regulation following a focused breathing induction. Behaviour Research and Therapy 2006, 44(12):1849-1858.
3. Barlow D H, Allen L B, Choate M L. Toward a unified treatment for emotional disorders. Behavior Therapy 2004, 35(2):205-230.
4. Barlow D H, Nock M K, Hersen M. Single case experimental designs: Strategies for studying behavior change 2008, 3rd ed, Needham Heights, MA, Allyn & Bacon.
5. Becker C B, Zayfert C, Anderson E. A survey of psychologists' attitudes towards and utilization of exposure therapy for PTSD. Behaviour Research and Therapy 2004, 42(3):277-292.
6. Blackledge J T, Hayes S C. Using acceptance and commitment training in the support of parents of children diagnosed with autism. Child & Family Behavior Therapy 2006, 28(1):1-18.
7. Block J A. Acceptance or change of private experiences: A comparative analysis in college students with public speaking anxiety. Dissertation Abstracts International: Section B: The Sciences & Engineering 2002, 63(9-B):4361.
8. Bond F W, Bunce D. The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology 2003, 88(6):1057-1067.
9. Bouton M E. Context, ambiguity, and unlearning: Sources of relapse after behavioral extinction. Biological Psychiatry 2002, 52(10):976-986.
10. Briggs E S, Price I R. The relationship between adverse childhood experience and obsessive-compulsive symptoms and beliefs: The role of anxiety, depression, and experiential avoidance. Journal of Anxiety Disorders 2009, 23(8):1037-1046.
11. Brown T A, DiNardo P A, Barlow D H. Anxiety Disorders Interview Schedule Adult Version (ADIS-IV): Client Interview Schedule 2006, New York, Oxford University Press.
12. Campbell-Sills L, Barlow D H, Brown T A, Hofmann S G. Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. Behaviour Research and Therapy 2006, 44(9):1251-1263.
13. DiGiuseppe R. The mission continues: The past, present, and future of behavior therapy. The Behavior Therapist 2006, 29:154-155.
14. Eifert G H, Forsyth J P. Acceptance and commitment therapy for anxiety disorders: A practitioner's treatment guide to using mindfulness, acceptance, and values-based behavior change strategies 2005, Oakland, CA, New Harbinger.
15. Eifert G H, Forsyth J P, Arch J J, Espejo E, Keller M, Langer D. Acceptance and commitment therapy for anxiety disorders: Three case studies exemplifying a unified treatment protocol. Cognitive and Behavioral Practice 2009, 16:368-385.
16. Eifert G H, Heffner M. The effects of acceptance versus control contexts on avoidance of panic-related symptoms. Journal of Behavior Therapy and Experimental Psychiatry 2003, 34(3-4):293-312.
17. Feldner M T, Zvolensky M J, Eifert G H, Spira A P. Emotional avoidance: An experimental tests of individual differences and response suppression during biological challenge. Behaviour Research and Therapy 2003, 41(4):403-411.
18. Forman E M, Herbert J D, Moitra E, Yeomans P D, Geller P A. A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior Modification 2007, 31(6):772-799.
19. Hayes S A, Orsillo S M, Roemer L. Changes in proposed mechanisms of action in an acceptance-based behavior therapy for generalized anxiety disorder. Behaviour Research and Therapy 2010, 48:238-245.
20. Hayes S C. Psychotherapists in clinical practice: Cognitive and behavioral perspectives 1987, 327-387. New York, Guilford Press.
21. Hayes S C, Bissett R, Roget N, Padilla M, Kohlenberg B S, Fisher G, et al. The impact of acceptance and commitment training and multicultural training on the stigmatizing attitudes and professional burnout of substance abuse counselors. Behavior Therapy 2004, 35:821-836.
22. Hayes S C, Luoma J B, Bond F W, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes, and outcomes. Behaviour Research and Therapy 2006, 44(1):1-25.
23. Hayes S C, Strosahl K D, Wilson K G. Acceptance and commitment therapy: An experiential approach to behavior change 1999, New York, Guilford Press.
24. Hayes S C, Strosahl K D, Wilson K G, Bissett R T, Pistorello J, Toarmino D, et al. Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record 2004, 54:553-578.
25. Heimberg R G, Horner K J, Juster H R, Safren S A, Brown E J, Schneier F R, et al. Psychometric properties of the Liebowitz Social Anxiety Scale. Psychological Medicine 1999, 29(1):199-212.
26. Hofmann S G, Heering S, Sawyer A T, Asnaani A. How to handle anxiety: The effects of reappraisal, acceptance, and suppression strategies on anxious arousal. Behaviour Research and Therapy 2009, 47(5):389-394.
27. Jourdain R L, Dulin P L. "Giving it space": A case study examining acceptance and commitment therapy for health anxiety in an older male previously exposed to nuclear testing. Clinical Case Studies 2009, 8(3):210-225.
28. Kelly M M, Forsyth J P. Associations between emotional avoidance, anxiety sensitivity, and reactions to an observational fear challenge procedure. Behaviour Research and Therapy 2009, 47(4):331-338.
29. Lappalainen R, Lehtonen T, Skarp E, Taubert E, Ojanen M, Hayes S C. The impact of CBT and ACT models using psychology trainee therapists: A preliminary controlled effectiveness trial. Behavior Modification 2007, 31(4):488-511.
30. Levitt J T, Brown T A, Orsillo S M, Barlow D H. The effects of acceptance versus suppression of emotion on subjective and psychophysiological response to carbon dioxide challenge in patients with panic disorder. Behavior Therapy 2004, 35:747-766.
31. Liebowitz M R. Social phobia. Modern Problems in Pharmacopsychiatry 1987, 22:141-173.
32. Marcks B A, Woods D W. A comparison of thought suppression to an acceptance-based technique in the management of personal intrusive thoughts: A controlled evaluation. Behaviour Research and Therapy 2005, 43(4):433-445.
33. Marcks B A, Woods D W. Role of thought-related beliefs and coping strategies in the escalation of intrusive thoughts: An analog to obsessive-compulsive disorder. Behaviour Research and Therapy 2007, 45(11):2640-2651.
34. Marx B P, Sloan D M. Peritraumatic dissociation and experiential avoidance as predictors of posttraumatic stress symptomatology. Behaviour Research and Therapy 2005, 43(5):569-583.
35. Masuda A, Twohig M P, Stormo A R, Feinstein A B, Chou Y Y, Wendell J W. The effects of cognitive defusion and thought distraction on emotional discomfort and believability of negative self-referential thoughts. Journal of Behavior Therapy and Experimental Psychiatry 2010, 41(1):11-17.
36. McEvoy P M, Nathan P, Norton P J. Efficacy of transdiagnostic treatments: A review of published outcome studies and future research directions. Journal of Cognitive Psychotherapy 2009, 23:20-33.
37. Meyer T J, Miller M L, Metzger R L, Borkovec T D. Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy 1990, 28(6):487-495.
38. Molina S, Borkovec T D, Davey G C L, Tallis F. Worrying: Perspectives on theory, assessment, and treatment 1994, 265-283. Oxford, Wiley.
39. Narrow W E, Rae D S, Robins L N, Regier D A. Revised prevalence estimates of mental disorders in the United States: Using a clinical significance criterion to reconcile 2 surveys' estimates. Archives of General Psychiatry 2002, 59(2):115-123.
40. Orsillo S M, Batten S V. Acceptance and commitment therapy in the treatment of posttraumatic stress disorder. Behavior Modification 2005, 29(1):95-129.
41. Páez-Blarrina M, Luciano C, Gutiérrez-Martínez O, Valdivia S, Rodríguez-Valverde M, Ortega J. Coping with pain in the motivational context of values: Comparison between an acceptance-based and a cognitive control-based protocol. Behavior Modification 2008, 32(3):403-422.
42. Powers M B, Zum Vörde Sive Vörding M B, Emmelkamp P M. Acceptance and commitment therapy: A meta-analytic review. Psychotherapy and Psychosomatics 2009, 78(2):73-80.
43. Roemer L, Orsillo S M. An open trial of an acceptance-based behavior therapy for generalized anxiety disorder. Behavior Therapy 2007, 38(1):72-85.
44. Roemer L, Orsillo S M, Salters-Pedneault K. Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: Evaluation in a randomized controlled trial. Journal of Consulting and Clinical Psychology 2008, 76(6):1083-1089.
45. Ruggiero K J, Del Ben K, Scotti J R, Rabalais A E. Psychometric properties of the PTSD Checklist-Civilian Version. Journal of Traumatic Stress 2003, 16(5):495-502.
46. Ruiz F J. A review of acceptance and commitment therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component, and outcome studies. International Journal of Psychology & Psychological Therapy 2010, 10(1):125-162.
47. Shear M K, Brown T A, Barlow D H, Money R, Sholomskas D E, Woods S W, et al. Multicenter collaborative Panic Disorder Severity Scale. American Journal of Psychiatry 1997, 154(11):1571-1575.
48. Steele D, Hayes S C. Stimulus equivalence and arbitrarily applicable relational responding. Journal of the Experimental Analysis of Behavior 1991, 56(3):519-555.
49. Stewart R E, Chambless D L. Cognitive-behavioral therapy for adult anxiety disorders in clinical practice: A meta-analysis of effectiveness studies. Journal of Consulting and Clinical Psychology 2009, 77(4):595-606.
50. Strosahl K D, Hayes S C, Bergan J, Romano P. Assessing the field effectiveness of acceptance and commitment therapy: An example of the manipulated training research method. Behavior Therapy 1998, 29:35-64.
51. Summerfeldt L J, Antony M M. Handbook of assessment and treatment planning for psychological disorders 2002, 3-37. New York, Guilford Press.
52. Tull M T, Roemer L. Emotion regulation difficulties associated with the experience of uncued panic attacks: Evidence of experiential avoidance, emotional nonacceptance, and decreased emotional clarity. Behavior Therapy 2007, 38(4):378-391.
53. Twohig M P. Acceptance and commitment therapy for treatment-resistant posttraumatic stress disorder: A case study. Cognitive and Behavioral Practice 2009, 16(3):243-252.
54. Twohig M P, Hayes S C, Masuda A. Increasing willingness to experience obsessions: Acceptance and commitment therapy as a treatment for obsessive-compulsive disorder. Behavior Therapy 2006a, 37(1):3-13.
55. Twohig M P, Hayes S C, Masuda A. A preliminary investigation of acceptance and commitment therapy as a treatment for chronic skin picking. Behaviour Research and Therapy 2006b, 44(10):1513-1522.
56. Twohig M P, Hayes S C, Plumb J C, Pruitt L D, Collins A B, Hazlett-Stevens H, et al. A randomized clinical trial of acceptance and commitment therapy versus progressive relaxation training for obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology 2010, 78(5):705-716.
57. Twohig M P, Woods D W. A preliminary investigation of acceptance and commitment therapy and habit reversal as a treatment for trichotillomania. Behavior Therapy 2004, 35(4):803-820.
58. Wilson K G, Hayes S C. Resurgence of derived stimulus relations. Journal of the Experimental Analysis of Behavior 1996, 66(3):267-281.
59. Woods D W, Wetterneck C T, Flessner C A. A controlled evaluation of acceptance and commitment therapy plus habit reversal for trichotillomania. Behaviour Research and Therapy 2006, 44(5):639-656.
60. Zettle R D. Acceptance and commitment therapy (ACT) vs. systematic desensitization in treatment of mathematics anxiety. The Psychological Record 2003, 53(2):197-215.