37.2 The Assessment and Cognitive-Behavioral Treatment of Obsessive-Compulsive Disorder in Youth With Autism Spectrum Disorder

Cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) has proven to be an effective treatment modality for children with obsessive-compulsive disorder (OCD). Less research exists demonstrating efficacy for this treatment modality among children with comorbid diagnoses of OCD and autism spectrum disorder (ASD), and virtually, nothing has been reported examining intensive interventions for the most severe cases. As such, this article discusses the treatment of an adolescent male with severe OCD comorbid with ASD, attention deficit hyperactivity disorder (ADHD), generalized anxiety disorder (GAD), and chronic tic disorder using a cognitive behavioral approach and ERP. We conclude with recommendations for continued clinical research to understand approaches to help nonresponders to standard therapeutic approaches with this challenging population.

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Cognitive-Behavioral Therapy for Obsessive–Compulsive Disorder with and without Autism Spectrum Disorder: Gray Matter Differences Associated with Poor Outcome

Frontiers in Psychiatry ◽

10.3389/fpsyt.2017.00143 ◽

2017 ◽

Vol 8 ◽

Cited By ~ 10

Author(s):

Aki Tsuchiyagaito ◽

Yoshiyuki Hirano ◽

Kenichi Asano ◽

Fumiyo Oshima ◽

Sawako Nagaoka ◽

...

Keyword(s):

Autism Spectrum Disorder ◽

Cognitive Behavioral Therapy ◽

Obsessive Compulsive Disorder ◽

Gray Matter ◽

Behavioral Therapy ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Cognitive Behavioral ◽

Obsessive Compulsive ◽

Compulsive Disorder

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Modular Cognitive-Behavioral Therapy for an Early Adolescent With Autism Spectrum Disorder and Comorbid Obsessive Compulsive Disorder

Clinical Case Studies ◽

10.1177/1534650118782436 ◽

2018 ◽

Vol 17 (4) ◽

pp. 233-248 ◽

Cited By ~ 1

Author(s):

D. Luis Ordaz ◽

Adam B. Lewin ◽

Nicole M. McBride ◽

Eric A. Storch

Keyword(s):

Autism Spectrum Disorder ◽

Case Report ◽

Cognitive Behavioral Therapy ◽

Obsessive Compulsive Disorder ◽

Behavioral Therapy ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Cognitive Behavioral ◽

Obsessive Compulsive ◽

Compulsive Disorder

This case report outlines the use of a modular cognitive-behavioral therapy (CBT) protocol used to treat “Larry,” a 12-year-old male, with obsessive compulsive disorder (OCD) and autism spectrum disorder (ASD). Larry participated in 16 weekly 90-min CBT sessions, following a protocol developed for youth with ASD and anxiety/OCD. Upon completion of the treatment, Larry was remitted of his OCD diagnosis (as defined by a subthreshold score of 3 on the Anxiety Disorders Interview Schedule for Diagnostic and Statistical Manual of Mental Disorders–4th ed. [ DSM-IV]–parent [ADIS]) and demonstrated marked improvements in his top presenting problems (washing hands immediately after touching something, checking tablet for smudges, and being around litter). This case report indicates useful adaptations to traditional CBT for OCD when working with youth with ASD.

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