Contents

Chapter 1: Emotion Efficacy Therapy

Why Emotion Efficacy Therapy?

Emotion Efficacy Therapy: Foundational Elements

Transdiagnostic Treatment to Treat Low Emotion Efficacy

Transemotional Learning as the Key to Change

Exposure-Based Skills Practice to Improve Learning, Retention, and Recall

Emotion Efficacy Therapy Protocol

Emotion Awareness

Mindful Acceptance

Values-Based Action (VBA)

Mindful Coping

Exposure-Based Skills Practice

How Is Emotion Efficacy Therapy Unique?

How to Use This Book

Summary

Chapter 2: Emotion Awareness

Orienting Clients to Treatment

Emotion Efficacy

Increasing Emotion Awareness

What Are Emotions Made Of?

Session Structure

Skills Practice Record

Summary

Chapter 3: Mindful Acceptance

Psychoeducation on Mindful Acceptance

Using Exposure in EET

Moment of Choice

Summary

Chapter 4: Emotion Surfing

How Emotion Avoidance Keeps Emotion at High Intensity

How Rumination Keeps Emotion at High Intensity

How Emotion-Driven Behavior Intensifies Emotion

The Art of Emotion Surfing

Choosing the Exposure Image

Summary

Chapter 5: Values-Based Action, Part 1

Assessing Client Values

Assessing Values By Domain

Accessing Values During Distress

Barriers to Values

Values-Based Action

Summary

Chapter 6: Values-Based Action, Part 2

Monsters on the Bus

Setting Up the Monsters on the Bus Exercise

Imaginal Exposure Using Values-Based Action

Conducting Imaginal Exposure with VBA

Summary

Chapter 7: Relaxation and Self-Soothing

Mindful Coping

Advantages of Mindful Coping

Introducing Mindful Coping to Clients

O+A+C + Mindful Coping

Mindful Coping with Relaxation

Mindful Coping with Self-Soothing

Using Mindful Coping Outside Session

Summary

Chapter 8: Coping Thoughts and Radical Acceptance

Coping Thoughts

Mindful Coping with Coping Thoughts

Radical Acceptance

Summary

Chapter 9: Distraction and Time-Out

Distraction

Mindful Coping with Distraction

Time-Out

Mindful Coping with Time-Out

Summary

Chapter 10: Pulling It All Together

Consolidating Learning

EET 8-Week Protocol Schedule

Potential Treatment Challenges and Opportunities

Difficulty with Specific Skills

Increased Awareness and Demoralization

Tailoring Treatment for Clients, aka “The Stretch”

Inducing Emotion Activation

Assessment

EET and Beyond

Summary

Appendix A: Outcome Measures for Assessment

Appendix B: Research and Results

Hypotheses and Results

Appendix C: EET Eight-Session Protocol

EET Session 1: O+A

1. Welcome and administration of pretreatment measures

2. Introduction of leader and group members

3. Overview of EET treatment and structure

4. Psychoeducation on emotions and emotion awareness

5. Emotion watching exercise

6. Introduction to skills practice and the Skills Practice Record

7. Session 1 skills assignment

EET Session 2: O + A

1. Skills practice review

2. Psychoeducation on mindful acceptance

3. Mindful acceptance practice

4. Introduction to emotion avoidance

5. Psychoeducation on emotion surfing

6. Psychoeducation on exposure and practice

7. Session 2 skills assignment

EET Session 3: O + A + Choose VBA

1. Mindful acceptance practice and feedback

2. Skills practice review

3. Psychoeducation on the moment of choice

4. Introduction to values-based action

5. Whiteboard exercise with values and emotional barriers

6. VBA using imaginal exposure and feedback

7. Session 3 skills assignment

EET Session 4: O + A + Choose VBA

1. Mindful acceptance practice and feedback

2. Skills practice review

3. Monsters on the Bus exercise

4. VBA using imaginal exposure and feedback

5. Session 4 skills assignment

EET Session 5: O + A + Choose Mindful Coping

1. Mindful acceptance practice and feedback

2. Skills practice review

3. Psychoeducation on mindful coping

4. Introduction to relaxation and self-soothing

5. Relaxation skills practice with emotion exposure and feedback

6. Self-soothing skills practice with emotion exposure and feedback

7. Session 5 skills assignment

EET Session 6: O + A + Choose Mindful Coping

1. Mindful acceptance practice and feedback

2. Skills practice review

3. Psychoeducation on coping thoughts

4. Coping thoughts practice with emotion exposure and feedback

5. Psychoeducation on radical acceptance

6. Radical acceptance practice with emotion exposure and feedback

7. Session 6 skills assignment

EET Session 7: O + A + Choose Mindful Coping

1. Mindful acceptance practice and feedback

2. Skills practice review

3. Psychoeducation on distraction and time-out

4. Distraction with imaginal or emotion exposure and feedback

5. Introduction to Personalized Emotion Efficacy Plan

6. Session 7 skills assignment

EET Session 8

1. Mindful acceptance practice and feedback

2. Skills practice review

3. Review of Personalized Emotion Efficacy Plans, feedback, and troubleshooting

4. Imaginal or emotion exposure with EET skill and feedback

5. Rate emotion efficacy

6. Closing remarks and appreciations

7. Administer any posttreatment questionnaires

EET References

Index