This book is a must read for any therapist who wants to work with emotionally dysregulated clients in a time-effective fashion...It is so well organized that any clinicians could use it off the shelf to deliver a highly effective emotion regulation treatment!
— Kirk Strosahl, PhD, cofounder of Acceptance and Committment Therapy (ACT)

“In this excellent text, McKay and West present EET, a well-crafted treatment protocol that combines techniques from effective, emotion-focused, and transdiagnostic treatments. This well-written eight-week program gives concrete guidelines for the therapist to help their clients enhance their emotional awareness, utilize mindful acceptance and coping strategies to regulate emotions, and choose adaptive and value-based actions. Using concrete examples, monitoring forms, and summary points, this valuable book will provide clinicians with a powerful and much-needed clinical tool. It will help countless clients suffering from emotional distress. It is a must-read.”

“This highly practical and timely treatment flows naturally from the transdiagnostic literature, and offers therapists a clear, step-by-step guide to helping clients improve their awareness of and ability to cope with strong emotions—an important aspect of successful therapy outcomes. Every page is clear, concise, and to-the-point, allowing clinicians to quickly grasp the treatment rationale and master the protocol. The illustrative dialogues and accompanying worksheets reflect the authors’ expertise in translating techniques into practice with actual clients, which is supported by the robust initial outcome data. A ‘must’ for therapists, supervisors, and trainees attempting to treat multiple problems simultaneously using a transdiagnostic approach.”
—Rochelle I. Frank, PhD, assistant clinical professor of psychology at the University of California, Berkeley

“This is a refreshingly straightforward and practical resource for clinicians seeking to integrate components from acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and cognitive behavioral therapy (CBT) to target specific transdiagnostic mechanisms underlying problems with emotion regulation. Instructive handouts and sample therapist-client dialogues bring treatment components to life. Clinicians now have a resource that strategically guides them when helping clients increase awareness and acceptance of emotions, choose value-based actions, and practice distress tolerance skills, all within an exposure-based model. This is the book that clinicians have been waiting for!”
—Joan Davidson, PhD, codirector of the San Francisco Bay Area Center for Cognitive Therapy; assistant clinical professor in the clinical science program at the University of California, Berkeley; coauthor of The Transdiagnostic Road Map to Case Formulation and Treatment Planning; and author of Daring to Challenge OCD


 

 

One of the greatest superpowers we can offer clients is a powerful relationship with their emotions. How people relate to their emotions in the day to day-- especially in life-defining moments-- determines the choices they make, the habits they create and the lives they build. Individuals with high emotion efficacy have the confidence and the ability to experience and respond to difficult emotions in a contextually-adaptive, values-consistent manner. 

Research suggests, however, that over 75% of clients who seek therapy suffer from chronic and intense emotion reactivity.  The impact of low emotion efficacy is wide and far reaching.  Low emotion efficacy significantly impacts quality of life across multiple domains, including interpersonal, work, school and legal.  Expanding emotion efficacy allows people to create lives that are increasingly conscious, authentic, and powerful. 

Emotion Efficacy Therapy (EET) is a brief 8-week therapy protocol to help individuals become more masterful with their emotions.  EET integrates components of Acceptance & Commitment Therapy, (ACT), Dialectical Behavioral Therapy (DBT), and exposure therapy to empower clients to respond to stress and distress in ways that are effective, values-consistent and contextually adaptive.

McKay and West have developed a brief, practical, and penetrating therapy that helps clients become more skillful with their critically important emotions. On a foundation of scientific evidence, they offer a structured program rich with useful tools, handouts for clients, clinical examples, and guidance for specific issues. This is an extremely well-considered, conceptualized, and thorough book—useful for clinicians at any level. Highly recommended.
— Rick Hanson, PhD, Author of Buddha's Brain and Hardwiring Happiness

While pain is an inevitable part of life, the way we respond to it has great impact on how much we suffer, as well as how successful we are. Clients need help developing the psychological flexibility necessary to enact new and more adaptive, workable behaviors in the face of pain. 

How people relate to their emotions— day to day, and especially in life-defining moments— determines the choices they make, the habits they create and the lives they build.

In addition to providing mindfulness, acceptance and coping skills for clients, EET also uses exposure-based skills training in session that helps skills "stick" when clients become emotionally triggered outside of therapy. In addition, EET can be delivered in as little as 8 sessions in a group or individual format.

If you are interested in learning to use EET, you can purchase the clinicians' guide: Emotion Efficacy Therapy: A Brief Exposure-Based Treatment for Emotion Regulation Integrating ACT & DBT, which provides a step by step guide, along with therapist scripts, sample dialogues and client worksheets.  You can also find a one-day EET training  on our events page or sign up for upcoming online trainings. For an interview about EET with Dr. Aprilia West click here.

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“I learned a ton of super-helpful things from reading this book! Written by truly brilliant clinicians, it provides an easy-to-use set of concepts and tools. I love the progress monitoring scales, the transcripts of delivering the interventions, and especially the description of emotion exposure procedures. We often tell our patients to ‘sit with’ their painful emotions. I’ve frequently wondered what that meant and how to do that exactly. This book’s description of the skills of emotion surfing gives me the information I’ve been seeking. This book is a gift to me—and to my patients.”
—Jacqueline B. Persons, PhD, director of the Cognitive Behavior Therapy and Science Center in Oakland, CA; and clinical professor in the department of psychology at the University of California, Berkeley

“In this excellent text, McKay and West present EET, a well-crafted treatment protocol that combines techniques from effective, emotion-focused, and transdiagnostic treatments. This well-written eight-week program gives concrete guidelines for the therapist to help their clients enhance their emotional awareness, utilize mindful acceptance and coping strategies to regulate emotions, and choose adaptive and value-based actions. Using concrete examples, monitoring forms, and summary points, this valuable book will provide clinicians with a powerful and much-needed clinical tool. It will help countless clients suffering from emotional distress. It is a must-read.”
—Stefan G. Hofmann, PhD, professor of psychology at Boston University, and author of Emotion in Therapy

“Based on sound, evidence-based principles, this book presents a straightforward approach to helping individuals who struggle with intense emotions with few resources or skills to manage them. I highly recommend this book.”
—Michael A. Tompkins, PhD, licensed psychologist; codirector of the San Francisco Bay Area Center for Cognitive Therapy; assistant clinical professor at the University of California, Berkeley; diplomate and founding fellow of the Academy of Cognitive Therapy; and author of Anxiety and Avoidance

“EET combines strategies from several proven approaches for dealing with distressing emotions.  The strategies laid out in this well-written, accessible, and practical guide will show clients how to experience a full range of emotions while reducing their pain and suffering. Each chapter is filled with illustrative case examples and practical worksheets that make it easy to deliver the program.”
—Martin M. Antony, PhD, ABPP, professor of psychology at Ryerson Universityin Toronto, ON, Canada; and coauthor of The Shyness and Social Anxiety Workbook and The Anti-Anxiety Workbook

“The brief, structured, highly practical emotion efficacy therapy (EET) approach is clearly described—step by step—and integrates mindfulness, acceptance, and emotion processing strategies drawn from different therapy models in a masterful way. Each facet of EET is demonstrated via therapist-client dialogues, which make the concept come alive clinically. There are tons of patient handouts, worksheets, and other useful clinical tools.
—Kirk Strosahl, PhD, cofounder of acceptance and commitment therapy (ACT), and coauthor of Inside This Moment