Treating Pedophile Obsessions

2019 ◽  
pp. 207-262
Author(s):  
Chad T. Wetterneck ◽  
Erin C. Nghe
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Response Prevention ◽  
Case Conceptualization ◽  
Exposure And Response Prevention ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Complicating Factors

This chapter contains a case study of the treatment of pedophilic obsessions in OCD (also called P-OCD). The case study includes the background and case conceptualization of an adult client who was effectively treated using exposure and response prevention with values-based exposures using acceptance and commitment therapy. Examples of values-based exposure hierarchies are provided from the case and serve as realistic examples of what treatment may include. The authors discuss treatment and outcome session by session and include complicating factors and treatment implications. In addition, this chapter includes detailed example ideas of in vivo and imaginal exposures that can be used as part of treatment for P-OCD for clients.

Treating Sexual Orientation Obsessions

2019 ◽  
pp. 163-206
Author(s):  
Jenifer A. Viscusi ◽  
Monnica T. Williams
Keyword(s):  
Sexual Orientation ◽  
Obsessive Compulsive Disorder ◽  
Real Life ◽  
Response Prevention ◽  
Case Conceptualization ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

This chapter presents a case study of the treatment of sexual orientation obsessions in obsessive-compulsive disorder (also called SO-OCD or H-OCD for homosexual OCD). The case study includes information about the client background and case conceptualization of a male with upsetting sexual thoughts who was effectively treated using exposure and response prevention by the authors. Included are measures administered, Real-life examples of his exposure hierarchy, and sample imaginal exposures from the case that serve as realistic examples of what treatment may include. Additionally, this chapter includes additional detailed sample ideas of in vivo and imaginal exposures that can be used as part of treatment for SO-OCD for other clients.

scholarly journals Acceptance and Commitment Therapy in Obsessive–Compulsive Disorder: A Case Study

2021 ◽  
pp. 025371762199673
Author(s):  
Joel Philip ◽  
Vinu Cherian
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Third Wave ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Change Acceptance ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Recent years have witnessed an increased interest in the use of “third-wave” psychotherapies in treating psychiatric disorders. These newer therapies are fundamentally different from the existing techniques such as cognitive behavioral therapy in terms of their guiding principles and processes of change. Acceptance and commitment therapy (ACT) is the most prominent among these “third wave” psychotherapies. However, there have not been any reports from India, thus far, that have studied the use of ACT in treating obsessive–compulsive disorder (OCD). We describe a case of OCD that was successfully treated with eight sessions of ACT, with the results being maintained over a one-month follow-up period. Postintervention tests revealed a significant decrease in obsessive–compulsive symptoms and an associated increase in psychological flexibility. This case study highlights the possible utility of ACT as a therapeutic intervention in OCD, especially when combined with pharmacotherapy.

Acceptance and Commitment Therapy: Part of the "Third Wave" in the Behavioral Tradition

2012 ◽  
Vol 34 (3) ◽  
pp. 205-212 ◽  
Author(s):  
Joseph Springer
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Mental Health Treatment ◽  
Theoretical Foundation ◽  
Private Events ◽  
Third Wave ◽  
Basic Principles ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Behavioral Tradition

As described by Hayes, Strosahl, and Wilson (1999), Acceptance and Commitment Therapy (ACT) is one of several methods for integrating mindfulness concepts into mental health treatment. Unlike many counseling approaches, ACT does not assume that the goal of treatment is to better control thoughts, feelings, or other private events. Individuals are taught to notice phenomena and take a nonjudgmental stance toward them rather than trying to control, avoid, or otherwise minimize them. Although relatively new, ACT has increasing support for its effectiveness in addressing a variety of problems (Pull, 2009). This article addresses the theoretical foundation and basic principles of ACT, reviews the research, presents a case study to illustrate how it can be applied, and discusses the counseling implications.

Using an Acceptance and Commitment Therapy Approach When Exposure and Cognitive Therapy Become Rituals in the Treatment of Obsessive-Compulsive Disorder

2019 ◽  
Vol 33 (3) ◽  
pp. 256-268 ◽  
Author(s):  
Jennifer L. Buchholz ◽  
Jonathan Abramowitz
Keyword(s):  
Cognitive Therapy ◽  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Substantial Improvement ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Long Term Treatment

Exposure and response prevention (ERP) for obsessive-compulsive disorder (OCD) is often highly effective, yet some patients experience relapses following a seemingly successful course of treatment. In this article we describe the conceptual basis of ERP, and then present a client who relapsed after seemingly achieving substantial improvement following 11 sessions of ERP. Likely reasons for the relapse and strategies for enhancing ERP to achieve better long-term treatment outcomes are discussed from the perspective of acceptance and commitment therapy (ACT). These strategies mainly apply to the implementation of situational (in vivo) and imaginal exposure therapy, but also include suggestions for optimizing the use of cognitive therapy for OCD.

ACT in Steps

2020 ◽  
Author(s):  
Michael P. Twohig ◽  
Michael E. Levin ◽  
Clarissa W. Ong
Keyword(s):  
Graduate Students ◽  
Treatment Planning ◽  
Acceptance And Commitment Therapy ◽  
Psychological Disorder ◽  
Years Of Experience ◽  
Case Conceptualization ◽  
Inner Experiences ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Starting Point

This book is a guide for new therapists on the use of acceptance and commitment therapy (ACT) for any psychological disorder that involves some level of struggle with inner experiences; it is not targeted to any particular diagnosis. The book is suitable for graduate students who are seeing their first client, for clinicians with years of experience who have never done ACT or are just learning about ACT, and for anyone who is interested in applying ACT across a range of presentations. The book also includes exercises and worksheets that will continue to be useful for sessions after the therapist is competent in ACT. The chapters walk therapists through a recommended sequence of ACT sessions, including creative hopelessness, control as the problem, acceptance, defusion, mindfulness, values, and committed action. They also contain accompanying materials for clients. The book provides information on assessment, case conceptualization, treatment planning, and intervention that therapists can use as a starting point for practicing ACT. The book is intended to serve as a more structured framework from which therapists can learn and experiment with ACT concepts as they begin to get more experience with the therapy.

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