Session 1: Getting Started in Family Treatment
This chapter provides an overview of the first family therapy session. It describes how to introduce families to the PFIT program and to develop a collaborative environment for establishing treatment goals. It describes psychoeducation about the role of the family in child OCD treatment, including family responses and expectations that may undermine success. It places particular emphasis on helping families to understand patterns of symptom accommodation that may be a barrier to treatment success, and it describes broader family dynamics that may interfere with efforts to change accommodation. The chapter also outlines steps for assessing current family functioning, including strengths and weakness, and for evaluating the family’s current strategies for managing OCD. Initial skills training begins with exercises designed to promote positivity in the home environment.