Psychological Flexibility as Shared Process of Change in Acceptance and Commitment Therapy and Exposure and Response Prevention for Obsessive-Compulsive Disorder: A Single Case Design Study

2020 ◽  
Author(s):  
Brian L. Thompson ◽  
Michael P. Twohig ◽  
Jason B. Luoma
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Single Case ◽  
Exposure And Response Prevention ◽  
Single Case Design ◽  
Obsessive Compulsive ◽  
Process Of Change ◽  
Compulsive Disorder ◽  
Acceptance And Commitment ◽  
Case Design

scholarly journals Acceptance and commitment therapy for a case of scrupulosity-related obsessive-compulsive disorder

2018 ◽  
Vol 82 (4) ◽  
pp. 407-423 ◽  
Author(s):  
Eric B. Lee ◽  
Clarissa W. Ong ◽  
Woolee An ◽  
Michael P. Twohig
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Treatment Process ◽  
Cognitive Behavior ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Modern Form

Acceptance and commitment therapy (ACT) is a modern form of cognitive behavior therapy (CBT) with growing support for treating obsessive-compulsive disorder (OCD). We present a case wherein a client presented with scrupulosity-related OCD. We briefly review scrupulosity, explain the theory behind ACT, and present a case, the treatment process, and desired outcomes. Exposure and response prevention (ERP) is described from an ACT perspective and discussed as an option for people with OCD who may be reluctant to engage in more traditional forms of ERP.

A Preliminary Examination of Acceptance and Commitment Therapy Versus Exposure and Response Prevention for Patients with Obsessive-Compulsive Disorder on an Optimal Dose of SSRIs: A Randomized Controlled Trial in Iran

2020 ◽  
pp. 014544552098297
Author(s):  
Mehdi Zemestani ◽  
Mojgan Salavati ◽  
Asrin Seyedolshohadayi ◽  
Julie M. Petersen ◽  
Clarissa W. Ong ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Controlled Trial ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Randomized Controlled ◽  
Acceptance And Commitment

This study compared the effects of adding acceptance and commitment therapy (ACT) or exposure and response prevention (ERP) to adults diagnosed with obsessive compulsive disorder (OCD) already on an optimal and stable dose of selective serotonin reuptake inhibitors (SSRIs). Forty adults on SSRIs who were diagnosed with OCD participated in a randomized controlled trial in Iran of 12 individual weekly sessions of either ACT+SSRI, ERP+SSRI, or continued SSRI only. The results showed significant reductions in OCD symptom severity in ACT+SSRI and ERP+SSRI conditions at posttreatment with significantly greater reductions in both conditions compared to SSRI-only at follow-up. Additionally, psychological inflexibility and use of thought control strategies significantly decreased in the ACT+SSRI condition at posttreatment and follow-up compared to the ERP+SSRI and SSRI conditions. Both conditions led to decreases in perceived importance of stop signals. Results provide cross-cultural support for the treatment of OCD using ACT and ERP as adjuncts to SSRI and modest process of change differences between ACT and ERP. Future directions and study limitations are discussed.

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.

scholarly journals Preliminary evidence of the effectiveness of acceptance and commitment therapy for death anxiety in Iranian clients diagnosed with obsessive-compulsive disorder

2020 ◽  
Vol 84 (Supplement A) ◽  
pp. 1-11
Author(s):  
Mohammad Hassan Davazdahemami ◽  
Abolfazl Bayrami ◽  
Julie M. Petersen ◽  
Michael P. Twohig ◽  
Maryam Bakhtiyari ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Death Anxiety ◽  
Visual Analysis ◽  
Preliminary Evidence ◽  
Adult Women ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment

The authors investigated the effectiveness of acceptance and commitment therapy (ACT) for the treatment of death anxiety and obsessive-compulsive disorder (OCD) with eight adult women in Iran. The ACT protocol was conducted in weekly solo sessions with each participant for 8 weeks (45 minutes each). The results were analyzed by visual analysis method and improvement percentage. ACT resulted in a 60%–80% decrease in death anxiety and a 51%–60% decrease in obsessive-compulsive symptoms, thereby indicating promise for ACT as a treatment for OCD and death anxiety.

Using an Acceptance and Commitment Therapy Approach When Exposure and Cognitive Therapy Become Rituals in the Treatment of Obsessive-Compulsive Disorder

2019 ◽  
Vol 33 (3) ◽  
pp. 256-268 ◽  
Author(s):  
Jennifer L. Buchholz ◽  
Jonathan Abramowitz
Keyword(s):  
Cognitive Therapy ◽  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Substantial Improvement ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Long Term Treatment

Exposure and response prevention (ERP) for obsessive-compulsive disorder (OCD) is often highly effective, yet some patients experience relapses following a seemingly successful course of treatment. In this article we describe the conceptual basis of ERP, and then present a client who relapsed after seemingly achieving substantial improvement following 11 sessions of ERP. Likely reasons for the relapse and strategies for enhancing ERP to achieve better long-term treatment outcomes are discussed from the perspective of acceptance and commitment therapy (ACT). These strategies mainly apply to the implementation of situational (in vivo) and imaginal exposure therapy, but also include suggestions for optimizing the use of cognitive therapy for OCD.

Acceptance and Commitment Therapy-Specific Processes in the Psychotherapeutic Treatment of Obsessive Compulsive Disorder: A Single Case Study

2017 ◽  
Vol 16 (4) ◽  
pp. 313-327
Author(s):  
Claire Heather Boynton Wheeler
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Rating Scale ◽  
Single Case ◽  
Well Being ◽  
Single Case Study ◽  
Obsessive Compulsive ◽  
Clinical Change ◽  
Compulsive Disorder ◽  
Acceptance And Commitment

This single case study describes acceptance and commitment therapy (ACT) with exposure and response prevention (ERP) used with a client presenting with symptoms of obsessive compulsive disorder (OCD). Standardized and idiographic outcome measures, including OCD-specific measures (Brief Yale-Brown Obsessive Compulsive Scale; Obsessional Compulsive Inventory), general measures of well-being and risk (CORE Outcome Measure; Outcome Rating Scale), an idiographic measure (Easy Personal Questionnaire), and a Sessional Rating Scale, were used across baseline and treatment phases. Statistical measures of reliable and clinical change were calculated, and client perspective on change was sought through interview. Cause–effect analysis was used to evaluate the extent to which therapeutic change was due to ACT-specific processes. Results showed reliable positive change with a probability of p < .05 across measures, and clinical change in three of five of the measures in which it could be calculated. The client reported improvements in well-being and the extent to which she lives her life according to her values. ACT-specific processes as well as generic therapy processes influenced change. The client’s own strengths and personal contributions to therapy played a major role in her achievement of therapeutic goals. The use of ACT with ERP in treating OCD and collaborative use of outcome measures with careful evaluation are recommended to clinicians.

A Preliminary Investigation of Acceptance and Commitment Therapy for Adolescent Obsessive-Compulsive Disorder

2013 ◽  
Vol 27 (2) ◽  
pp. 175-190 ◽  
Author(s):  
Andrew B. Armstrong ◽  
Kate L. Morrison ◽  
Michael P. Twohig
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Preliminary Investigation ◽  
Obsessive Compulsive ◽  
Self Monitoring ◽  
Compulsive Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Treatment Procedures

There is growing support for the use of acceptance and commitment therapy (ACT) as a treatment for adults with obsessive-compulsive disorder (OCD), but no research has been published on the use of ACT for adolescent OCD. This preliminary study investigated ACT for youth with OCD using a multiple baseline across participants design. Three adolescents, ages 12 or 13 years, were treated with 8–10 sessions of ACT (without in-session exposure exercises). The primary dependent variable was daily self-monitoring of compulsions. Results showed a 40% mean reduction in self-reported compulsions from pretreatment to posttreatment, with results maintained at 3-month follow-up, for a reduction of 43.8%. Pretreatment to posttreament reductions in Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS) ratings of OCD severity were 50.0%, 12.5%, and 22.0%; pretreatment to follow-up reductions were 54.0%, 12.5%, and 61.0%. Treatment procedures were rated by participants and parents as highly acceptable. Implications and future directions are discussed.

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