scholarly journals Cognitive behaviour therapy for a specific phobia of vomiting

2009 ◽  
Vol 2 (4) ◽  
pp. 272-288 ◽  
Author(s):  
David Veale
Keyword(s):  
Cognitive Behaviour Therapy ◽  
Current Knowledge ◽  
Specific Phobia ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behaviour ◽  
Specific Phobias ◽  
Behavioural Experiments

AbstractThis article summarizes the current knowledge and treatment for a specific phobia of vomiting (SPOV). It is relatively uncommon compared to other specific phobias but may have been misdiagnosed in catchment-area surveys. The differential diagnosis of SPOV includes obsessive–compulsive disorder, hypochondriacal disorder and anorexia nervosa. I discuss the following: a model that is linked to past aversive experiences of vomiting; conducting a clinical assessment; making a formulation; psycho-education, engagement and therapy. The strategies employed depend on the formulation but are likely to include: exposure in vivo to cues of vomiting, exposure in imagination and role-plays of vomiting, imagery re-scripting, behavioural experiments; and dropping of safety-seeking behaviours.

Cognitive-behaviour therapy for obsessive-compulsive disorder

2017 ◽  
pp. 67-143 ◽  
Author(s):  
Victoria Bream ◽  
Fiona Challacombe ◽  
Asmita Palmer ◽  
Paul Salkovskis
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Cognitive Behaviour Therapy ◽  
Shared Understanding ◽  
Therapy Process ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behaviour ◽  
Behavioural Experiments ◽  
Key Aspects

This chapter guides the reader through the process of eliciting a shared understanding of obsessive-compulsive disorder (OCD), working collaboratively with the client—a cornerstone of the cognitive-behaviour therapy (CBT) approach. Step-by-step guidance includes examples of therapy dialogue for key aspects of this process. The emphasis in CBT is typically focussed on the here-and-now; this chapter emphasizes how to elicit a maintenance formulation that focusses on how the problem operates in day-to-day life. There is guidance on how much developmental information to include and how much emphasis to place on this. The chapter breaks down different stages of the therapy process, beginning with how to develop a credible alternative explanation to the person’s existing beliefs about their OCD—building up a ‘theory A/B’. This forms the basis for the remainder of the treatment, which essentially involves the client engaging in a process of putting the two theories to the test, often using behavioural experiments. A range of metaphors is described.

scholarly journals An Evaluation of a New Autism-Adapted Cognitive Behaviour Therapy Manual for Adolescents with Obsessive–Compulsive Disorder

2020 ◽  
Author(s):  
Amita Jassi ◽  
Lorena Fernández de la Cruz ◽  
Ailsa Russell ◽  
Georgina Krebs
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Cognitive Behaviour Therapy ◽  
Autism Spectrum ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Global Functioning ◽  
Compulsive Disorder ◽  
Cognitive Behaviour ◽  
Treatment Gains

Abstract Obsessive–compulsive disorder (OCD) and autism spectrum disorder (ASD) frequently co-occur. Standard cognitive behaviour therapy (CBT) for OCD outcomes are poorer in young people with ASD, compared to those without. The aim of this naturalistic study was to evaluate the effectiveness of a novel adolescent autism-adapted CBT manual for OCD in a specialist clinical setting. Additionally, we examined whether treatment gains were maintained at 3-month follow-up. Thirty-four adolescents underwent CBT; at the end of treatment, 51.51% were treatment responders and 21.21% were in remission. At 3-month follow-up, 52.94% were responders and 35.29% remitters. Significant improvements were also observed on a range of secondary measures, including family accommodation and global functioning. This study indicates this adapted package of CBT is associated with significant improvements in OCD outcomes, with superior outcomes to those reported in previous studies. Further investigation of the generalizability of these results, as well as dissemination to different settings, is warranted.

Cognitive Behaviour Therapy for People with Asperger Syndrome

2005 ◽  
Vol 34 (3) ◽  
pp. 293-303 ◽  
Author(s):  
Stephen Anderson ◽  
Jane Morris
Keyword(s):  
Substance Abuse ◽  
Eating Disorders ◽  
Asperger Syndrome ◽  
Cognitive Behaviour Therapy ◽  
Bipolar Affective Disorder ◽  
Relevant Literature ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behaviour

People with Asperger syndrome (AS) appear to have higher than expected rates of co-morbid psychiatric disorder. The main co-morbid diagnoses are anxiety disorders and depression, but eating disorders, obsessive compulsive disorder, substance abuse and bipolar affective disorder have all been reported. Cognitive Behaviour Therapy (CBT) is used effectively to treat these conditions, so could it be used in people who also have Asperger syndrome? This paper reviews important components and characteristics of cognitive behaviour therapy in relation to its use with people who have Asperger syndrome with reference to the relevant literature and to feedback from people with AS. The use of CBT in people with Asperger syndrome appears promising, but further work is needed to evaluate its effectiveness and to examine which particular aspects of therapy are helpful.

Cognitive behaviour therapy and medication in the treatment of obsessive-compulsive disorder

2006 ◽  
Vol 113 (5) ◽  
pp. 408-419 ◽  
Author(s):  
K. P. O'Connor ◽  
F. Aardema ◽  
S. Robillard ◽  
S. Guay ◽  
M.-C. Pelissier ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Cognitive Behaviour Therapy ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behaviour

Cognitive Behaviour Therapy for Obsessive-compulsive Disorder

2017 ◽  
Author(s):  
Victoria Bream ◽  
Fiona Challacombe ◽  
Asmita Palmer ◽  
Paul Salkovskis
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Family Involvement ◽  
Cognitive Behaviour Therapy ◽  
Behavioural Therapy ◽  
Illustrative Case ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour

Obsessive-compulsive disorder (OCD) can be a very disabling and distressing problem. Cognitive behavioural therapy (CBT) has been shown to be very effective in helping people to overcome OCD. OCD is a highly heterogeneous disorder, often complicated by contextual factors, and therapists are often left wondering how to apply their knowledge of treatment to the particular problems as they face them in clinical practice. This book guides the reader through understanding the background to and principles of using CBT for OCD in a clear practical ‘how to’ style. It also elucidates the particular challenges and solutions in applying CBT for OCD using illustrative case material and guidance on formulation-driven intervention. The book also addresses commonly occurring complexities in the treatment of OCD; for example, working with comorbidity, perfectionism, shame, and family involvement in symptoms. Throughout the book, tips are provided on receiving and giving supervision to troubleshoot commonly encountered problems. This book provides a guide to improved practice for clinicians at all levels of experience.

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