Emotion Regulation Therapy for worry, rumination, and other self-referential processes (8 hours) - Mennin & Fresco
Despite extensive efficacy findings, a sizable subgroup of individuals remains refractory to CBT. In particular, patients with “distress disorders” (generalized anxiety disorder and/or major depressive disorder) evidence suboptimal treatment response coupled with reduced life functioning and satisfaction. These patients are often characterized by perseverative self-referential thoughts (i.e., worry, rumination, self-criticism) that are engaged in response to intense emotional threat and loss experiences and results in poor contextual learning. Using this hypothesized profile as a framework, Emotion Regulation Therapy (ERT) was developed as a theoretically-derived, evidence based, treatment integrating principles from traditional and contemporary CBT with basic and translational findings from affect science to offer a blueprint for improving intervention by focusing on the motivational responses and corresponding regulatory characteristics of individuals with chronic worry and rumination.
Open- and randomized controlled trials demonstrate considerable evidence for the efficacy of ERT. Recent peer reviewed studies have also begun to elucidate the behavioral, neural, and peripheral psychophysiological markers for the proposed underlying mechanisms. In this workshop, attendees will learn to help clients to 1) expand their understanding of anxiety and depression using a motivational and emotion regulation perspective; 2) cultivate mindful attention regulation of sensations, bodily responses, and conflicting emotions; 3) develop metacognitive regulation skills that promote a distanced and reframed meta-cognitive perspective; 4) apply these skills during emotion-based exposure to meaningful behavioral actions and associated internal conflicts to taking these actions; and 5) build a plan to maintain gains and take bolder action despite the ending of the therapeutic relationship.