COGNITIVE-BEHAVIOURAL TREATMENT OF A 14-YEAR-OLD TEENAGER WITH OBSESSIVE-COMPULSIVE DISORDER

2001 ◽  
Vol 29 (1) ◽  
pp. 71-84 ◽  
Author(s):  
Mark H. Freestone
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Single Case ◽  
Behavioural Intervention ◽  
Single Case Design ◽  
Unified Framework ◽  
Obsessive Compulsive ◽  
Behavioural Treatment ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Almost All

This study describes the treatment of severe obsessive-compulsive disorder in a 14-year-old male with an experimental single case design. Onset of OCD was at age 12. He had been hospitalized for 6 months the year before consulting. Almost all life spheres were affected by OCD. An initial behavioural intervention, which targeted tooth brushing, was used as a springboard to understand OCD and the process of change was framed within a cognitive account of OCD. The approach was then applied to a number of different targets within a unified framework. There was a 46% reduction in Y-BOCS score at post-treatment and 67% reduction through to 11-month follow-up. Points discussed include the involvement of other professionals, the changing role of the family as treatment progressed and as the patient started to seek more autonomy, and the choice of the initial target.

Obsessive-compulsive Disorder in Children and Adolescents

1995 ◽  
Vol 12 (1) ◽  
pp. 51-58 ◽  
Author(s):  
Neville J. King ◽  
Thomas H. Ollendick ◽  
Iain M. Montgomery
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Mental Health Professionals ◽  
Antidepressant Medication ◽  
Behavioural Intervention ◽  
Obsessive Compulsive ◽  
Behavioural Treatment ◽  
Compulsive Disorder ◽  
Relationship Of ◽  
The Relationship

This selective review shows that childhood obsessive-compulsive disorder (OCD) is a serious condition that requires early identification and treatment. Initially, we examine the relationship of childhood rituals to OCD, and discuss recent findings on the epidemiology of childhood OCD. The DSM-IV criteria for OCD are presented, along with recent findings on psychopathology. Clinical management of childhood OCD is a challenging and difficult task for mental health professionals. We briefly describe and evaluate advances in behavioural treatment — mainly in vivo exposure and response prevention. The adjunctive use of antidepressant medication is also examined. Whilst these clinical innovations are promising, further controlled evaluations are necessary before the efficacy of behavioural intervention can be confidently asserted.

Morbid Jealousy as a Variant of Obsessive-Compulsive Disorder

1997 ◽  
Vol 31 (1) ◽  
pp. 133-138 ◽  
Author(s):  
Gordon Parker ◽  
Elaine Barrett
Keyword(s):  
Recent Work ◽  
Obsessive Compulsive Disorder ◽  
Case Vignette ◽  
Behavioural Intervention ◽  
Depression And Anxiety ◽  
Obsessive Compulsive ◽  
Representative Case ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention

Objective:To present a representative case vignette and review several previous reports, and to then suggest that a percentage of those with morbid jealousy may have a variant of obsessive—compulsive disorder (OCD). Clinical picture:A patient presented volunteering a diagnosis of depression and anxiety following recent work and marital stresses, before describing recent jealousy and harassment of his wife over an earlier relationship. Obsessional thinking patterns and compulsive behaviours are described, and it is proposed that the picture supports a diagnosis of obsessive—compulsive disorder. Treatment and outcome:The patient was treated as if he had an obsessive-compulsive disorder, and reported dissipation of his concerns after cognitive—behavioural intervention. Conclusions:The proposition is an important one as a diagnosis of morbid jealousy often invites therapeutic pessimism, and as managements effective for OCD (both drug and behavioural) may well be helpful.

CHANGES IN SYMPTOMS OF OCD AND APPRAISAL OF RESPONSIBILITY DURING COGNITIVE BEHAVIOURAL TREATMENT: A PILOT STUDY

2002 ◽  
Vol 30 (1) ◽  
pp. 69-78 ◽  
Author(s):  
Tim I. Williams ◽  
Paul M. Salkovskis ◽  
Elizabeth A. Forrester ◽  
Mark A. Allsopp
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Cognitive Change ◽  
Consecutive Series ◽  
Age Group ◽  
Obsessive Compulsive ◽  
Cognitive Approach ◽  
Behavioural Treatment ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Anxiety Depression

A consecutive series of six adolescents referred for obsessive compulsive disorder were treated using a cognitive behavioural approach that included procedures intended to: (1) reach a shared understanding of the psychological nature of the problem; (ii) normalize intrusive thoughts; (iii) help the patient to reappraise notions of responsibility; and (iv) help the patient re-evaluate the basis of their fears. The effects of treatment were measured using standardized questionnaires designed to elicit beliefs about responsibility, and symptoms of anxiety, depression, and obsessive compulsive disorder. During the course of treatment, appraisals of responsibility changed at the same time as changes in symptom levels. The results suggest a more cognitive approach to treatment can be helpful for this age group, and that cognitive change is associated with clinical improvement.

scholarly journals Treatment of Obsessive Compulsive Disorder and Excessive Reassurance Seeking in an Older Adult: A Single Case Quasi-Experimental Design

2017 ◽  
Vol 45 (6) ◽  
pp. 616-628 ◽  
Author(s):  
Brynjar Halldorsson ◽  
Paul M. Salkovskis
Keyword(s):  
Experimental Design ◽  
Obsessive Compulsive Disorder ◽  
Older Adult ◽  
Single Case ◽  
Obsessive Compulsive ◽  
Reassurance Seeking ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Excessive Reassurance Seeking ◽  
Quasi Experimental

Background: Cognitive behavioural interventions for excessive reassurance seeking (ERS) typically focus on encouraging individuals to refrain from seeking any reassurance and in some cases banning caregivers (e.g. family members) from providing it. However, this blanket consideration that reassurance is a bad thing that should simply be stopped may not always be appropriate or helpful. Cognitive behavioural treatment (CBT) targeting ERS by helping the sufferer to shift from seeking reassurance to seeking support may be a promising treatment intervention. Aims: This study aims to examine the targeted treatment of ERS in an older adult who has been suffering from severe obsessive compulsive disorder (OCD) for seven decades. Method: Using a single case quasi-experimental design (ABCD), the frequency of reassurance seeking, urges to seek reassurance, OCD beliefs and anxiety were measured daily for almost a year in addition to standard symptom measures. Results: At the end of treatment, visual inspection showed that reassurance seeking was no longer considered excessive and OCD severity fell from the severe to non-clinical range across the treatment sessions. All treatment gains were maintained at follow-up. Conclusions: This study illustrates how CBT can be successfully applied to treat long-standing OCD and ERS in an older adult. Engendering support as an alternative to reassurance seeking in CBT may be a particularly promising intervention for ERS.

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