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.

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.

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