Unified Protocol (UP CBT)

A Flexible, Evidence-Based Approach for Anxiety, Depression, and Emotional Dysregulation

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) is an evidence-based approach designed to target the underlying emotional patterns that contribute to a wide range of mental health concerns. Rather than focusing narrowly on a single diagnosis, UP addresses shared experiences like chronic worry, perfectionism, emotional avoidance, and difficulty managing intense feelings. The Unified Protocol is well-suited for clients navigating complex emotional concerns, shifting symptoms, or long-standing dysregulation.

Originally developed by Dr. David Barlow and colleagues, UP combines elements of Cognitive Behavioral Therapy (CBT), mindfulness, and emotion science. It is especially helpful for individuals experiencing anxiety, depression, OCD, panic disorder, or co-occurring challenges.

With UP, you’ll learn to:

• Understand and respond more flexibly to emotional experiences

• Shift patterns of avoidance, suppression, or emotional reactivity

• Identify and challenge thought patterns that contribute to distress

• Practice new behaviors that support confidence and emotional resilience

• Build transdiagnostic tools that apply across many areas of life—not just one symptom or label

The Unified Protocol (UP) is an evidence-based CBT approach designed to treat a range of emotional disorders by targeting common underlying patterns like avoidance and emotion dysregulation. Dr. Lauren Helm uses UP to support clients facing anxiety, OCD, chronic stress, and co-occurring concerns.