Julian Montano, PhD

Clinical Supervisor at In Touch Philippines

Julian Ramos Montano, PhD, RGC, RPy
Services Provided:
• Counseling & Psychotherapy
• Clinical Supervision
• Psychological Assessment
• Counseling Education
• Expert Witnessing

Specialization:
Marital & Relational, Trauma, Depression, Anxiety, Multicultural,
Career, Mental Toughness and Conflict Management.

Educational Background:
• PhD Counseling Psychology – De La Salle University Manila
• MEd & MA Counseling Psychology – Columbia University
  Most Common
Emotional
Challenges
OUTLINE
 Psychological
Experience

 Management
 Anxiety
Depression
Emotional Challenges Timeline Suicide
Trauma
Presenting
Completed others
Problems:
Suicides
Anxiety
Presenting of Celebrities
started News on
Problems: led to an
to be more COVID19
More Increase of
reported started
Depression Suicide
more than coming in
than Anxiety Cases
Depression

Before Circa late January

2015 2018
2015 2020
Pre-COVID19
 Targeting
GCQ for all

Emotional Challenges Timeline Towards a

New Normal
Questions? Start of
What is this? Anxiety due to
How do we LOCKDOWN Extension GCQ
deal with this? Uncertainty
of ECQ
Adjustment time
LOTS OF Anxiety due to Depression
UNKNOWN
Uncertainty Suicide
Anxiety due to Anxiety due to Anxiety due to
Uncertainty Uncertainty Uncertainty Depression Boredom

March June
February April May
2020 2020
2020 2020 2020
Psychological
Experience
Dynamics of Anxiety
 Oh no, I’m dead! I will
Dynamics of Anxiety not be able to do this.
They will laugh at me.
I should have not
started it. Now
everything is gone.
Everything is lost.
 Oh no, I’m dead! I will
not be able to do this.
Dynamics of Anxiety They will laugh at me. I
should have not started
it. Now everything is
gone. Everything is
lost.
Uncertainty and Anticipation Model of Anxiety
Grupe & Nitschke , 2013

• Exaggerated estimate of threat:

• Resulting in overly pessimistic expectations.

• Hypervigilance of threat:
• Not only are almost any stimulus seen as a danger
but attention for threatening stimuli increases.
Uncertainty and Anticipation Model of Anxiety
Grupe & Nitschke , 2013

• Deficient appreciation of safety:

• You have difficulty recognizing safe environmental
cues.

• Behavioral and cognitive avoidance:

• To reduce the fear, a defense mechanism is
developed.
Uncertainty and Anticipation Model of Anxiety
Grupe & Nitschke , 2013

• Heightened reactivity to threat:

• The greater the uncertainty, the greater the

physiological response is to the threat.
Uncertainty and Anticipation Model of Anxiety
Grupe & Nitschke , 2013

Dynamic interactions among these five key

psychological processes allow for
anticipatory responses to uncertainty about
future threat.
UAMA diagram
Hypervigilance
of the threat

Deficient
Exaggerated Increased appreciation
threat threat of safety
estimate expectations

Heightened Behavioral &

reactivity to cognitive
uncertainty avoidance
Dynamics of Depression

Hopelessness

Helplessness
Continuum of Depression
Dynamics of Suicide
Boredom

F
O
C
U
S MEANING
Management
DIAPHRAGMATIC DEEP
BREATHING
PROGRESSIVE MUSCLE
RELAXATION EXERCISE
MENTAL FOCUSING:
Developing Mental Toughness
Other Powerful Tools

• Meditation
• Visualization
• Self-Talk
 VISIT US @
www.in-touch.org