ACT for Emotion Dysregulation with Patricia Zurita Ona, PsyD
Nov 26, 2024
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Patricia Zurita Ona, PsyD, a specialist in Acceptance and Commitment Therapy and founder of the East Bay Behavior Therapy Center, delves into emotion dysregulation. She discusses how emotional regulation is not simply black or white, but a continuum influenced by context. Dr. Z shares insights on chronic emotions stemming from childhood and the power of an inner voice. She emphasizes ACT techniques for managing anxiety and details a 16-week protocol tailored for those with Borderline Personality Disorder, aiming to enhance emotional healing and relationships.
Emotion regulation is a universal challenge experienced by many, not limited to those with borderline personality disorder or other specific diagnoses.
Acceptance and Commitment Therapy (ACT) emphasizes understanding emotion regulation through context sensitivity, fostering compassion and skillful emotional responses in individuals.
Deep dives
Understanding Emotion Regulation
Emotion regulation is defined as the intentional effort to manage uncomfortable emotions to avoid acting impulsively on them. Individuals constantly experience a multitude of emotions throughout their daily lives, affecting their actions and decisions. It is important to recognize that emotion regulation is not a binary concept but exists on a continuum, where responses can vary based on the intensity and nature of emotions encountered. For instance, rather than simply suppressing feelings, individuals may choose to engage with their emotions in ways that are contextually appropriate and beneficial for their situation.
Misconceptions About Emotion Regulation
Many misconceptions surround emotion regulation, particularly its association with borderline personality disorder (BPD). Contrary to the belief that only individuals with BPD struggle with emotion regulation, these challenges can manifest across various diagnoses such as anxiety, panic, and obsessive-compulsive disorder. It is crucial to approach emotional regulation as a universal struggle rather than a trait linked to a specific disorder, emphasizing that everyone experiences fluctuations in their emotional responses. Additionally, avoiding or suppressing emotions is not inherently negative; context plays a key role in determining whether such responses are beneficial or detrimental.
The Role of Acceptance and Commitment Therapy (ACT)
Acceptance and Commitment Therapy (ACT) offers valuable insights into improving emotion regulation by emphasizing context sensitivity in emotional responses. Within ACT's framework, understanding the connection between high levels of cognitive fusion and experiential avoidance helps identify unworkable behaviors that pull individuals away from their values and desired actions. Instead of focusing solely on diagnoses, ACT promotes a deeper understanding of the processes involved in emotion regulation, fostering compassion and awareness among clients. This approach destigmatizes emotional struggles, encouraging individuals to view their experiences through a lens of growth and flexibility.
Practical Strategies for Emotion Regulation
Building emotional granularity is a key skill that enables individuals to dissect their emotions into manageable components, enhancing their ability to respond thoughtfully rather than reactively. Various techniques, such as grounding and mindfulness practices, can be applied in everyday situations, helping clients anchor themselves during emotional upheaval. For example, simple actions like pressing feet against the ground or massaging areas of the body can aid in regaining composure and focus. Teaching these strategies during low-stress moments prepares individuals to navigate more intense feelings effectively, ultimately guiding them towards healthier emotional responses.
Patricia Zurita Ona, PsyD, author of Acceptance and Commitment Therapy for Borderline Personality Disorder, joins us to talk about ACT for emotion dysregulation. Zurita Ona, or “Dr. Z,” is a psychologist specializing in working with and creating compassionate, research-based, and actionable resources for overachievers and overthinkers to get them unstuck from worries, fears, anxieties, perfectionism, procrastination, obsessions, and ineffective “playing it safe” actions. She is founder of the East Bay Behavior Therapy Center—a boutique practice where she offers therapy and coaching services based on acceptance and commitment therapy (ACT) and contextual behavioral science. Zurita Ona has been nominated as a fellow of the Association of Contextual Behavioral Science for her contributions to the applications of ACT to specific fear-based struggles.
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