Cognitive Processes and Obsessive Compulsive Disorder in Older Adults

2002 ◽  
pp. 315-335 ◽  
Author(s):  
John E. Calamari ◽  
Amy S. Janeck ◽  
Teresa M. Deer
Keyword(s):  
Older Adults ◽  
Obsessive Compulsive Disorder ◽  
Cognitive Processes ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Layer-specific reduced neuronal density in the orbitofrontal cortex of older adults with obsessive–compulsive disorder

2018 ◽  
Vol 224 (1) ◽  
pp. 191-203 ◽  
Author(s):  
Katia Cristina de Oliveira ◽  
Lea Tenenholz Grinberg ◽  
Marcelo Queiroz Hoexter ◽  
Helena Brentani ◽  
Claudia Kimie Suemoto ◽  
...  
Keyword(s):  
Older Adults ◽  
Obsessive Compulsive Disorder ◽  
Orbitofrontal Cortex ◽  
Obsessive Compulsive ◽  
Neuronal Density ◽  
Compulsive Disorder

scholarly journals The Efficacy of Exposure and Response Prevention for Geriatric Obsessive Compulsive Disorder: A Clinical Case Illustration

2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Mairwen K. Jones ◽  
Bethany M. Wootton ◽  
Lisa D. Vaccaro
Keyword(s):  
Older Adults ◽  
Obsessive Compulsive Disorder ◽  
Clinical Case ◽  
Psychological Treatment ◽  
Response Prevention ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Clinical Case Study ◽  
History Of

Obsessive compulsive disorder (OCD) is one of the most frequently occurring psychiatric conditions in older adults. While exposure and response prevention (ERP) is considered the most effective psychological treatment for children and adults with OCD, research investigating its effectiveness for older adults is scarce. This clinical case study investigates the effectiveness of ERP in an 80-year-old man with a 65-year history of OCD. The client received 14 individual, 50-minute ERP treatment sessions. Clinician-based Y-BOCS scores reduced by 65% from 20 (moderate) at pretreatment to 7 (subclinical) at 7-month posttreatment followup. OCI-R total scores reduced by 45% from 38 at baseline to 21 at 7-month follow-up. Despite his long history of the disorder, ERP was effective and well tolerated. The application of ERP for older adults with OCD, including age-specific modifications that may be required for this treatment approach, is discussed.

Obsessive-Compulsive Disorder in Older Adults

2020 ◽  
Vol 26 (3) ◽  
pp. 175-184
Author(s):  
ALI NAJAFIAN JAZI ◽  
ALI A. ASGHAR-ALI
Keyword(s):  
Older Adults ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

A Cognitive Approach to the Treatment of Primary Inferences in Obsessive-Compulsive Disorder

1999 ◽  
Vol 13 (4) ◽  
pp. 359-375 ◽  
Author(s):  
Kieron O’Connor ◽  
Sophie Robillard
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Cognitive Processes ◽  
Behavioral Therapy ◽  
Narrative Fiction ◽  
Obsessive Compulsive ◽  
Cognitive Approach ◽  
Compulsive Disorder ◽  
Condensed Form ◽  
A Chain ◽  
State Of Affairs

In this article, it is argued that obsessive-compulsive disorder (OCD) with overt compulsions, where there is overvalued ideation, is primarily a disorder of the imagination and hence, by implication, psychological therapy should principally address the client’s imagination, rather than other cognitive processes. According to this model, the OCD client imagines a state of affairs which is then taken ‘as if it were a reality and does so because of the persuasive influence of an imaginary narrative fiction. This narrative is replayed, often in condensed form, in the OCD context and leads the client into a chain of maladaptive inferences about a possible state of affairs. The client then acts in accordance with what might be present rather than what is actually present. An inference-based approach (IBA) which directly addresses and challenges the imaginary narrative of the client is outlined, with clinical illustrations. The IBA approach complements other cognitive-behavioral therapy (CBT) and can be used in conjunction with existing CBT methods which focus more on modifying the interpretations and secondary appraisals subsequent to primary inferences.

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