Living with OCD

2017 ◽  
Author(s):  
Elizabeth McIngvale
Keyword(s):  
Effective Treatment ◽  
Obsessive Compulsive Disorder ◽  
Personal Narrative ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Living with obsessive-compulsive disorder raises lifelong challenges—not only the daily struggle with symptoms, but also challenges to educate oneself, one’s family, and one’s peers; the search for effective treatment; and the ongoing battle with stigma. This closing chapter provides a personal narrative of one individual’s experience.

Fear Over Facts: When Fellow Clinicians Become a Barrier to Dissemination of Exposure and Response Prevention for Obsessive-Compulsive Disorder—A Clinical Response to Licensing Board Investigation of Exposure and Response Prevention

2020 ◽  
Vol 34 (3) ◽  
pp. 179-184
Author(s):  
Laura M. Lokers
Keyword(s):  
Effective Treatment ◽  
Obsessive Compulsive Disorder ◽  
Gold Standard ◽  
Standard Treatment ◽  
Response Prevention ◽  
Accurate Assessment ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Level Student

In 2018, a graduate level student filed a complaint regarding the use of exposure-based therapy for persons with obsessive-compulsive disorder (OCD) experiencing violent obsessions. In the investigation, the licensing board expressed concern about safety of us of exposure and response prevention (ERP) with children and in public venues. The licensing board also struggled with accurate assessment of a clinician's efficacy in following the gold-standard treatment for OCD. Despite extensive research demonstrating ERP is a safe, effective treatment for OCD, stigma against exposure based treatments remain strong, even among clinicians. This commentary article discusses the specific licensing investigation and implications for change throughout the field of psychotherapy.

Intravenous Chlorimipramine Therapy in Obsessive-Compulsive Disorder*

1989 ◽  
Vol 34 (9) ◽  
pp. 853-859 ◽  
Author(s):  
Lorne Warneke
Keyword(s):  
Effective Treatment ◽  
Obsessive Compulsive Disorder ◽  
Electroconvulsive Therapy ◽  
Maximum Dose ◽  
Case Reports ◽  
Mechanisms Of Action ◽  
Viable Alternative ◽  
Infusion Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

A brief summary of the etiological factors and pharmacological approaches to therapy of obsessive-compulsive disorder is given. Evidence for the serotonergic hypothesis is reviewed. Three case reports of patients with severe OCD who had not responded to traditional chemotherapeutic approaches and electroconvulsive therapy are presented. All three responded to a series of 14 intravenous chlorimipramine infusions with a maximum dose of 350 mgms per infusion. The technique of infusion therapy and possible mechanisms of action are discussed. It is concluded that OCD is no longer accepted as a rare disorder and that effective treatment exists. For patients who do not respond to oral chlorimipramine, the treatment of choice, intravenous chlorimipramine is suggested as a viable alternative.

scholarly journals Cognitive–behavioural therapy for obsessive–compulsive disorder

2007 ◽  
Vol 13 (6) ◽  
pp. 438-446 ◽  
Author(s):  
David Veale
Keyword(s):  
Effective Treatment ◽  
Obsessive Compulsive Disorder ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Response Prevention ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
The Uk

In the UK, the National Institute for Health and Clinical Excellence's guidelines on obsessive–compulsive disorder (OCD) recommend cognitive–behavioural therapy, including exposure and response prevention, as an effective treatment for the disorder. This article introduces a cognitive–behavioural model of the maintenance of symptoms in OCD. It discusses the process of engagement and how to develop a formulation to guide the strategies for overcoming the disorder.

Decoupling of Obsessions and Compulsions During Cognitive Behavioral Therapy for Youths With Obsessive Compulsive Disorder

2021 ◽  
pp. 216770262110137
Author(s):  
Bunmi O. Olatunji ◽  
David Cole ◽  
Joseph F. McGuire ◽  
Sophie C. Schneider ◽  
Brent J. Small ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Cognitive Behavioral Therapy ◽  
Effective Treatment ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
The Relationship

Although exposure and response prevention (ERP) is an effective treatment for obsessive compulsive disorder (OCD), it is unclear whether the decoupling of obsessions and compulsions is associated with treatment response. Accordingly, the present study examined change in the association between obsessions and compulsions during ERP for OCD as well as the association between decoupling of obsessions and compulsions and treatment outcome. The sample consisted of 140 youths with OCD who received 10 sessions of cognitive behavioral therapy with an emphasis on ERP. The findings show that the correlation and covariance of obsessions and compulsions increased during treatment. However, for participants that did not show improvement, the association between obsessions and compulsions strengthened over the course of treatment. In contrast, the association between obsessions and compulsions weakened over the course of ERP for treatment responders. These findings highlight the importance of the relationship between obsessions and compulsions in the treatment of OCD.

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