Beyond the fundamentals

2017 ◽  
pp. 144-220
Author(s):  
Victoria Bream ◽  
Fiona Challacombe ◽  
Asmita Palmer ◽  
Paul Salkovskis
Keyword(s):  
Treatment Group ◽  
Obsessive Compulsive Disorder ◽  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Detailed Consideration ◽  
Compulsive Disorder ◽  
Mental Contamination ◽  
Post Traumatic ◽  
The Individual ◽  
Standard Treatment Group

This chapter provides guidance on some of the issues of complexity, using a number of examples, including case illustrations of mental contamination, post-traumatic stress disorder, and perfectionism. There is a detailed consideration of incorporating compassionate mind work on shame. As obsessive-compulsive disorder (OCD) has a great impact on others around the individual, we focus on working with the involvement of family members in symptoms. The chapter also covers adaptations of standard treatment (group and intensive treatment). We consider how to make best use of supervision, including a detailed discussion of OCD-specific competences and metacompetences, as part of continued development as a therapist. There is an outline for how we might prevent OCD in the future, including disseminating understanding of OCD.

scholarly journals B-41 SPECT Differences between Obsessive Compulsive Disorder and Post-Traumatic Stress Disorder (PTSD)

2019 ◽  
Vol 34 (6) ◽  
pp. 987-987
Author(s):  
D Lopez Palacios ◽  
A Lopez ◽  
B McDonald ◽  
C Golden ◽  
D Amen ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Photon Emission ◽  
Emission Computed Tomography ◽  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Post Traumatic

Abstract Objective To assess whether diagnosed Obsessive Compulsive Disorder (OCD) and Post Traumatic Stress Disorder (PTSD) interactively alter brain activity, as measured by a Single Photon Emission Computed Tomography (SPECT) imaging. Method The sample included adults diagnosed with OCD (n = 915) with a mean age of 34.65 and predominantly male (68.6%) and adults with PTSD (n = 1,481) which had a mean age of 41.33 and was predominantly female (57.2%). Significant differences were observed for gender . Multiple ANCOVAs were conducted to determine differences between cerebral blood flow (CBF)in 17 different brain regions. Results Results showed hyper-perfusion in the PTSD group as compared to the OCD group in the pariental L/R[F(1,2393) = 6.47,p < 0.01/F(1,2393) = 12.31,p < .01], motor sensory L/R[F(1,2393) = 19.33,p < .001/F(1,2393) = 17.32,p < .01] and temporal left [F(1,2393) = 12.49,p < .01]. Conclusion Significantly higher rCBF in the pariental and motor sensory for OCD individuals may be due to visual-constructive and controlled fluency which are usually associated with compulsion. Due to the hyperalert nature related with OCD rituals, these areas are more active when compared to PTSD. Hyperfusion was reported for PTSD in the left temporal lobe compared to OCD, this region is usually associated with registering potential threasts in the environment. This can be explained by the hypervigilant conduct seen in individuals with PTSD. Overall, it appears that individuals with OCD struggle with continual inability to inhibit repetitive thoughts and behaviors due to the over activation in the motor sensory and parietal region. Alternatively, the activation in PTSD individuals can be a result of a way to help them cope with threats in the environment.

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