Using Family-Based Exposure With Response Prevention to Treat Obsessive-Compulsive Disorder in Young Children: A Case Study

2016 ◽  
Vol 72 (11) ◽  
pp. 1152-1161
Author(s):  
Jenny Herren ◽  
Jennifer Freeman ◽  
Abbe Garcia
Keyword(s):  
Young Children ◽  
Obsessive Compulsive Disorder ◽  
Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Family Based

Exposure and Response Prevention for Obsessive-Compulsive Disorder: A Case Study of a Veteran With Violent Intrusive Thoughts

2019 ◽  
Vol 33 (1) ◽  
pp. 71-81
Author(s):  
Veronica Siffert ◽  
Colette Riahi ◽  
Melinda A. Stanley ◽  
Terri L. Fletcher
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Negative Emotion ◽  
Response Prevention ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Supportive Psychotherapy ◽  
Compulsive Disorder ◽  
Patient Health ◽  
Poor Treatment

Exposure and Response Prevention (ERP) is the gold standard treatment for obsessive-compulsive disorder (OCD); however, few studies have evaluated the use of ERP with veterans. This case study describes ERP and medication treatment of a veteran who experienced violent sexual thoughts, countered by compulsions of focusing on the distressing thought to ensure a negative emotion or reversing the thought to a nonviolent thought or image. The veteran had previously received supportive psychotherapy and medication for depression, anxiety, and sleep difficulties, with poor treatment adherence. Upon reengagement in treatment, the therapist provided ERP in 34 sessions over 14 months, with 15 sessions via video telehealth to home. The patient used the OCD Workbook as a resource throughout treatment. The patient developed a hierarchy of target obsessions and rituals with associated subjective units of distress; completed exposures, beginning with lower-level items; and wrote imaginal scripts. He also received zolpidem for insomnia and venlafaxine for anxiety and depression. His scores on the nine-item Patient Health Questionnaire and Yale Brown Obsessive-Compulsive Scale decreased significantly.

scholarly journals Adapting an Exposure and Response Prevention Manual To Treat Youth Obsessive-Compulsive Disorder and Comorbid Anxiety Disorder: The Case of "Daniel"

2019 ◽  
Vol 15 (1) ◽  
pp. 1
Author(s):  
Alexander M.B. Tice
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Response Prevention ◽  
Exposure And Response Prevention ◽  
Case Study Method ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Positive Treatment ◽  
Evidenced Based ◽  
Manualized Protocol

Exposure and Response Prevention (E/RP) is an evidenced-based, short-term (12-20 sessions) treatment for Obsessive-Compulsive Disorder (OCD). This treatment has been shown to be effective in randomized control trials (RCTs), including pediatric samples (Franklin et al., 2011). Despite the strong evidence supporting the effectiveness of E/RP, the current E/RP literature remains wanting in terms of clinical process research to support novice clinicians in the adaptation of the principles, techniques, and interventions with such a complex and heterogeneous disorder, as well as with youth suffering from comorbid disorders. Thus, the present study aims to provide a detailed account of the course of a 25-session E/RP treatment and its outcomes with a 14-year-old called by the pseudonym "Daniel," to protect his identity. Guided by the Pragmatic Case Study Method (Fishman, 1999, 2005, 2013), as the therapist I examined this case in systematic qualitative detail and also gathered and analyzed data from standardized quantitative assessment measures. The study concludes with an analysis of the process used in meeting Daniel’s positive treatment goals as well as a discussion of the importance of adaptations made to the E/RP manualized protocol to address the entire range of Daniels’s symptoms.

Treating Sexual Orientation Obsessions

2019 ◽  
pp. 163-206
Author(s):  
Jenifer A. Viscusi ◽  
Monnica T. Williams
Keyword(s):  
Sexual Orientation ◽  
Obsessive Compulsive Disorder ◽  
Real Life ◽  
Response Prevention ◽  
Case Conceptualization ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

This chapter presents a case study of the treatment of sexual orientation obsessions in obsessive-compulsive disorder (also called SO-OCD or H-OCD for homosexual OCD). The case study includes information about the client background and case conceptualization of a male with upsetting sexual thoughts who was effectively treated using exposure and response prevention by the authors. Included are measures administered, Real-life examples of his exposure hierarchy, and sample imaginal exposures from the case that serve as realistic examples of what treatment may include. Additionally, this chapter includes additional detailed sample ideas of in vivo and imaginal exposures that can be used as part of treatment for SO-OCD for other clients.

Utilizing Exposure and Response Prevention to Address Poor Insight in Obsessive-Compulsive Disorder

2019 ◽  
Vol 33 (3) ◽  
pp. 213-227 ◽  
Author(s):  
Rachel R. Middleton ◽  
Dianne M. Hezel
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Response Prevention ◽  
Exposure And Response Prevention ◽  
Comorbid Depression ◽  
Obsessive Compulsive ◽  
Illness Onset ◽  
Compulsive Disorder ◽  
Compulsive Behaviors ◽  
Insight Into

Studies indicate that approximately 9%–30% of adults diagnosed with obsessive-compulsive disorder have poor insight into their symptoms. That is, they fail to recognize the excessiveness or irrationality of the obsessive thoughts or their compulsive behaviors. Poor insight in OCD is associated with more severe symptoms, earlier age of illness onset, longer illness duration, and higher rates of comorbid depression. Moreover, some studies have also reported that patients with poor insight are less likely than are those with good or fair insight to respond to first-line treatments such as exposure and response prevention (ERP). Despite the clinical relevance of poor insight, very little research has focused on how to enhance therapy with strategies specifically used to target it. In this report, we use a case study to demonstrate how different techniques can be emphasized or integrated with standard ERP to improve treatment outcomes for this subset of patients.

A preliminary study of cognitive-behavioral family-based treatment versus parent training for young children with obsessive-compulsive disorder

2017 ◽  
Vol 208 ◽  
pp. 265-271 ◽  
Author(s):  
Ana I. Rosa-Alcázar ◽  
Marina Iniesta-Sepúlveda ◽  
Eric A. Storch ◽  
Ángel Rosa-Alcázar ◽  
José L. Parada-Navas ◽  
...  
Keyword(s):  
Young Children ◽  
Parent Training ◽  
Obsessive Compulsive Disorder ◽  
Cognitive Behavioral ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Preliminary Study ◽  
Family Based Treatment ◽  
Family Based

scholarly journals Acceptance and Commitment Therapy in Obsessive–Compulsive Disorder: A Case Study

2021 ◽  
pp. 025371762199673
Author(s):  
Joel Philip ◽  
Vinu Cherian
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Third Wave ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Change Acceptance ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Recent years have witnessed an increased interest in the use of “third-wave” psychotherapies in treating psychiatric disorders. These newer therapies are fundamentally different from the existing techniques such as cognitive behavioral therapy in terms of their guiding principles and processes of change. Acceptance and commitment therapy (ACT) is the most prominent among these “third wave” psychotherapies. However, there have not been any reports from India, thus far, that have studied the use of ACT in treating obsessive–compulsive disorder (OCD). We describe a case of OCD that was successfully treated with eight sessions of ACT, with the results being maintained over a one-month follow-up period. Postintervention tests revealed a significant decrease in obsessive–compulsive symptoms and an associated increase in psychological flexibility. This case study highlights the possible utility of ACT as a therapeutic intervention in OCD, especially when combined with pharmacotherapy.

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