Clinical Round Table 8 - Affirming, Equitable and Sustainable Applications of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) is a flexible, evidence-based, cognitive-behavioral treatment program that targets shared mechanisms underlying common emotional disorders and related concerns. Although the UP’s transdiagnostic, principle-driven nature makes it broadly applicable, there remains a critical need to examine and discuss how it can be implemented in ways that are affirming, equitable, and sustainable for underserved and historically marginalized groups. Therefore, this clinical roundtable will bring together clinicians and researchers with expertise in adapting and using the UP with diverse groups, including (1) racial and ethnic minority individuals, (2) individuals who identify as lesbian, gay, bisexual, transgender, queer, or any other non-heterosexual sexual orientation or non-cisgender gender identity (LGBTQ), (3) neurodivergent individuals, and (4) perinatal populations. Our overarching goal for this clinical roundtable is to facilitate dialogue related to how the UP can be used to promote emotional well-being for diverse groups and treatment settings.

Panelists will discuss clinical adaptations that enhance cultural responsiveness and accessibility, affirm identity, and address structural and contextual stressors and barriers (e.g., minority stress, discrimination, systemic barriers to care) while maintaining fidelity to the UP. Examples of specific topics include (a) responding to race-based stress and trauma with validating and respectful approaches, (b) demonstrating how minority stress theory can be used to affirm and understand common experiences of members of the LGBTQ community, (c) outlining neuro-affirming, flexible approaches that account for sensory processing differences, communication and learning styles, emotional awareness, and cognitive rigidity, and (d) emphasizing the importance of treating perinatal emotional disorders efficiently within medical settings. Presenters also will discuss challenges they have faced, such as working within settings with limited resources, having limited time with clients, and other issues that commonly arise in real-world settings.