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Assessment and Communication for People with Disorders of Consciousness

Assessment and Communication for People with Disorders of Consciousness

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The Unified Protocol or Dialectical Behaviour Therapy? Considerations for Choosing Between Two Evidence-Based

Clair Cassiello-Robbins¹, Lorie A Ritschel^1,2, Kirk D Mochrie³

¹Triangle Area Psychology Clinic, Durham, North Carolina, USA.

Clinical Psychology & Psychotherapy

|September 5, 2024

Summary

This review compares dialectical behaviour therapy (DBT) and the unified protocol (UP) for emotional disorders, aiding clinicians in selecting the best transdiagnostic treatment for patients with emotion dysregulation.

Keywords:

cognitive behavioural therapy dialectical behaviour therapy evidence‐based treatment transdiagnostic

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Area of Science:

Clinical Psychology
Psychotherapy Research

Background:

Transdiagnostic treatments offer advancements in clinical psychology.
Emotion dysregulation is a common target for these treatments.
Choosing between treatments like DBT and UP presents challenges for clinicians and patients.

Purpose of the Study:

To review two prominent transdiagnostic treatments: dialectical behaviour therapy (DBT) and the unified protocol (UP).
To examine theoretical underpinnings, research support, and mechanisms of action for DBT and UP.
To discuss patient and therapist variables and decision-making guidelines for treatment selection, especially for complex cases.

Main Methods:

Literature review of theoretical frameworks and empirical support for DBT and UP.
Analysis of patient and therapist factors influencing treatment choice.
Discussion of clinical decision-making strategies for complex patients.

Main Results:

Both DBT and UP target emotion dysregulation through distinct theoretical lenses.
Research supports the efficacy of both treatments for various emotional disorders.
Patient and therapist variables, alongside clinical complexity, are crucial for optimal treatment matching.

Conclusions:

Further research is needed to refine patient-treatment matching for transdiagnostic therapies.
Optimizing treatment selection can enhance outcomes for individuals with emotion dysregulation.
Evidence-based guidelines are essential for guiding clinicians in choosing between DBT and UP.