Couple-Based Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder

2021 ◽  
pp. 370-383
Author(s):  
Jennifer L. Buchholz ◽  
Jonathan S. Abramowitz ◽  
Samantha N. Hellberg ◽  
Heidi J. Ojalehto
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Symptom Severity ◽  
Behavioral Therapy ◽  
Response Prevention ◽  
Obsessive Compulsive ◽  
Global Functioning ◽  
Interpersonal Dynamics ◽  
Case Examples ◽  
Compulsive Disorder

For a number of reasons, it may be critical to involve a romantic partner or spouse in exposure and response prevention (ERP) for obsessive-compulsive disorder (OCD). Indeed, relationship stress focal to OCD is associated with greater symptom severity, a more severe course, and poor global functioning. Research also indicates that involving partners or spouses to serve as coaches for their OCD-affected partners during ERP improves the efficacy of this treatment. This chapter describes the nature and treatment of OCD, focusing on interpersonal dynamics, and outlines a couple-based ERP program for individuals with OCD who are in long-term relationships. Case examples are included to illustrate the techniques used in this program.

Objective and subjective improvement after a new form of cognitive and behavioral therapy for obsessive compulsive disorder patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 975-975
Author(s):  
M. Morgieve ◽  
A.-H. Clair ◽  
A. Saulton ◽  
K. N’Diaye ◽  
A. Pelissolo ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Symptom Severity ◽  
Behavioral Therapy ◽  
Matching Task ◽  
Subjective Improvement ◽  
Obsessive Compulsive ◽  
Global Functioning ◽  
Compulsive Disorder ◽  
Pedagogic Tool ◽  
Cognitive And Behavioral Therapy

IntroductionCognitive and Behavioral Therapy (CBT) is one of the two treatments recognized as most efficient to improve Obsessive Compulsive Disorder (OCD) symptoms.ObjectivesThe major aim of this study is to facilitate CBT for OCD checkers. To this purpose, we developed a new psycho-pedagogic tool to be used during CBT sessions and assessed its objective efficacy and the patients’ perception of their therapy.MethodologyExperimental CBT sessions included a “checking task”, composed of a “matching task” followed by a “checking phase” during which subjects were given the opportunity to check or to confirm their prior answer. This tool was appended to a classical CBT (as described in the literature).30 OCD patients with checking compulsions each followed 15 individual CBT sessions with a psychologist. They were randomized in two groups: a “reference CBT” (CBT classically described in literature) and an “experimental CBT” (reference CBT + checking task) group. Symptom severity was assessed by the Y-BOCS and CGI at three main stages of the therapies: before, at half-therapy, at the end of therapy and 6 months later. Assessment was performed blindly by an expert psychologist to avoid any bias, and the patients’ impressions were collected at the same time.ResultsAt the end of therapies, symptom severity decreased significantly (24.08 to 12.5) and participants had a better global functioning, especially in their social and familial lives.ConclusionsBoth CBT offer an important clinical improvement of OCD symptoms. Patients and psychologists expressed their satisfaction at having participated to the study.

Combining Pharmacotherapy and Exposure Plus Ritual Prevention for Obsessive Compulsive Disorder: Research Findings and Clinical Applications

2005 ◽  
Vol 19 (4) ◽  
pp. 317-330 ◽  
Author(s):  
Martin E. Franklin ◽  
H. Blair Simpson
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Combined Treatment ◽  
Comorbid Depression ◽  
Obsessive Compulsive ◽  
Case Examples ◽  
Compulsive Disorder ◽  
Negative Findings ◽  
Research Findings ◽  
Made In

The efficacy of cognitive-behavioral therapy (CBT) involving exposure and ritual prevention (EX/RP) for obsessive compulsive disorder (OCD) has been well documented, as has the efficacy of pharmacotherapy using serotonin reuptake inhibitors (SRIs). Response to these monotherapies is neither universal nor complete, however, and in the past 20 years significant progress has been made in examining the efficacy of combined EX/RP plus SRI treatment. Results of randomized controlled trials that have employed adequate methodology suggest that combined treatment may afford some advantages over the monotherapies, although the effect is generally not robust and there are some negative findings. Combined treatment may be especially useful in certain clinical circumstances, however, and case examples are provided describing the use of combined treatment for one patient who presented with comorbid depression and for another who refused EX/RP because he perceived it as too threatening.

Long-Term Follow-up of Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder: Symptom Severity and the Role of Exposure 8–10 Years After Inpatient Treatment

2020 ◽  
Vol 34 (3) ◽  
pp. 261-271 ◽  
Author(s):  
Anne Katrin Külz ◽  
Sarah Landmann ◽  
Magdalena Schmidt-Ott ◽  
Bartosz Zurowski ◽  
Andreas Wahl-Kordon ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Healthcare Services ◽  
Cognitive Behavioral ◽  
Long Term Effects ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Obsessive-compulsive disorder (OCD) can be effectively treated by cognitive behavioral therapy (CBT) with exposure and response prevention (ERP). Yet, little is known about the long-term effects of inpatient CBT up to one decade after treatment. Thirty patients who had been treated with 12 weeks of intensive inpatient CBT with ERP were examined 8–10 years after their stay in hospital with regard to obsessive-compulsive symptoms, secondary outcomes, and use of healthcare services. Significant (p < .001) improvements in OC symptoms with medium and large effects compared to baseline on the Yale-Brown-Obsessive-Compulsive Scale (Y-BOCS) and on the Obsessive-Compulsive Inventory (OCI-R) could still be observed, with 20% of the patients reaching remission status. Continuation of exposure exercises after the inpatient stay was the sole significant factor for improved scores at follow-up. The results suggest that OCD does not necessarily take a chronic course. However, maintenance of exposure training seems to be crucial for sustained improvement.

Empirically Supported Treatment for Obsessive-Compulsive Disorder

2021 ◽  
pp. 76-94
Author(s):  
Martin E. Franklin ◽  
Sarah G. Turk Karan
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Empirical Support ◽  
Response Prevention ◽  
Obsessive Compulsive ◽  
Empirically Supported Treatment ◽  
Therapist Experience ◽  
Compulsive Disorder ◽  
Empirically Supported

This chapter assesses which treatment should be chosen as the first-line intervention for obsessive-compulsive disorder (OCD). Cognitive Behavioral Therapy (CBT) involving Exposure Plus Response Prevention (ERP) is the treatment with the most empirical support, and its effects appear to be both robust and durable. The chapter then reviews the data on predictors and moderators of differential ERP outcomes. Contemporary ERP manuals emphasize the following core procedures: (1) psychoeducation; (2) hierarchy development; (3) in vivo and imaginal exposure; (4) response prevention; and (5) relapse prevention. The chapter looks at situations in which clinical circumstances dictate a deviation or modification of the protocol from the way these procedures are described in the manual or customarily implemented—being flexible while maintaining fidelity. Therapist experience appears to play a role in how comfortable clinicians are in being flexible, and how successful they are likely to be when they do so.

Cognitive therapy in the treatment of obsessive—compulsive disorder

1999 ◽  
Vol 5 (1) ◽  
pp. 61-70 ◽  
Author(s):  
David Veale
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Depressed Mood ◽  
Response Prevention ◽  
Drop Out ◽  
Dropping Out ◽  
Exposure And Response Prevention ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Behaviour therapy, namely exposure and response prevention, has for many years been the treatment of choice for most patients with obsessive—compulsive disorder (OCD). However, at least 25% of patients with OCD refuse exposure and response prevention or drop-out early. Of those who do comply, about 75% make reasonable gains and maintain them in the long-term. This means that 50% of patients who are offered treatment by exposure and response prevention either refuse, drop-out or show little improvement. Many patients find exposure distressing and this is probably the main reason for dropping-out early. Treatment failures tend to be associated with a depressed mood, over-valued ideation, slowness, mental compulsions and severe degrees of avoidance.

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