scholarly journals Intensive Cognitive Behavioural Therapy for Obsessive Compulsive Disorder: Perspectives of Service Users

2020 ◽  
Author(s):  
Josie Frances Adeline Millar ◽  
Sophie-Anne Purnell ◽  
James Gregory ◽  
Paul M. Salkovskis
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Individual Preference ◽  
Behavioural Therapy ◽  
Future Research ◽  
Service Users ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Telephone Interviews ◽  
Cognitive Behavioural ◽  
Time Required

Background: The National Institute for Health and Care Excellence (NICE) recommend an intensive version of treatment for service users who have not responded to > 2 treatments for Obsessive Compulsive Disorder (OCD). The views of service users for whom this format of treatment is recommended are unknown. Method: Thirty semi-structured telephone interviews were conducted with participants with OCD. All participants had previously undertaken > 2 unsuccessful courses of CBT. Interviews were analysed using reflexive thematic analysis. Results: Participants reported that an intensive format may provide the time required to tackle important aspects of therapy that were not achieved or tackled during weekly CBT (e.g. in-session ERP). Individual preference is seen to play an important role and consequently an intensive format will not be well-suited to all who have experienced previous CBT failure. Four themes were identified: 1) Continuity and momentum, 2) Hmm, yes, but…: reservations about intensive CBT, 3) The fortune is in the follow-up, and 4) Understanding individual preference. Conclusion: Findings support the NICE recommendation. Participants with OCD who had experienced multiple CBT failures perceived intensive CBT to be broadly acceptable with potential therapeutic advantages. Reservations related to the possibility of relapse after therapy were expressed. Clinical implications and future research directions are discussed.

‘Life just kind of sparkles’: clients’ experiences of being in cognitive behavioural group therapy and its impact on reducing shame in obsessive compulsive disorder

2015 ◽  
Vol 8 ◽  
Author(s):  
Melanie Spragg ◽  
Sharon Cahill
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Group Process ◽  
Interpretative Phenomenological Analysis ◽  
Behavioural Therapy ◽  
Future Research ◽  
Group Setting ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Personal Accounts

AbstractThis study explored the personal accounts of service users relating to their experiences of being in group cognitive behavioural therapy (GCBT) for obsessive compulsive disorder (OCD). Eight participants were purposively selected from two groups whose therapy had finished. These participants were interviewed, the data transcribed verbatim and analysed using interpretative phenomenological analysis (IPA). Five superordinate themes were generated: ‘Engagement in the group process’, ‘Normalizing’, ‘Courage to fight’, ‘Being my own therapist’ and ‘Restricted vs. engagement with life’. The findings in this study have implications for theory in terms of the relevance of shame-based appraisals in conceptualizations of OCD. Suggestions for future groups include the importance of exploring the development of the problem in the group setting and highlight an important role for the group in terms of increasing motivation and preventing dropout. Directions for future research and implications for theory are explored.

scholarly journals When Cognitive Behavioural Therapy for Obsessive Compulsive Disorder Fails: Service User Perspectives

2020 ◽  
Author(s):  
Josie Frances Adeline Millar ◽  
Sarah Halligan ◽  
James Gregory ◽  
Paul M. Salkovskis
Keyword(s):  
Treatment Failure ◽  
Obsessive Compulsive Disorder ◽  
Cognitive Behavioural Therapy ◽  
Psychological Treatment ◽  
Qualitative Interviews ◽  
Behavioural Therapy ◽  
Service Users ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioural

Background: Cognitive Behavioural Therapy (CBT) is an effective psychological treatment for Obsessive Compulsive Disorder (OCD), but not all service users’ benefit from treatment. The factors involved in non-optimal response have been largely examined from the perspective of therapists. The current study explored the reasons for treatment failure from the perspective of service users. Method: Twelve participants were recruited, six with OCD and six with Panic Disorder (PD), with the latter being included as a comparison group. All participants had undertaken > 2 unsuccessful courses of CBT. The Treatment History Questionnaire (THQ) was used to determine the adequacy of participants’ previous treatment. Qualitative interviews were conducted, and reflexive thematic analysis was used to analyse interview data.Results: The THQ indicated that most participants had undertaken a technically adequate previous course of CBT, meaning that inadequate therapy was unlikely to be the sole reason for treatment failure in the study sample. The qualitative findings indicated three overarching themes capturing participants’ experiences of treatment and its failure: 1) Invalidating and Disempowering Experiences; 2) Factors Relevant to Formulation and Socialisation; and 3) Wider Barriers to Recovery. The first two themes were shared by both OCD and PD participants and the third was specific to OCD. Conclusion: The majority of factors underpinning therapy failure related to the therapeutic interaction and were pertinent to both participants with OCD and PD. In addition, OCD participants described a wider set of socio-contextual obstacles to their benefitting from treatment. Clinical implications are discussed.

scholarly journals Exploring aspects of the cognitive behavioural model of physical hoarding in relation to digital hoarding behaviours

2019 ◽  
Vol 5 ◽  
pp. 205520761988217
Author(s):  
Susan Thorpe ◽  
Alexander Bolster ◽  
Nick Neave
Keyword(s):  
Regression Analysis ◽  
Obsessive Compulsive Disorder ◽  
Online Survey ◽  
Future Research ◽  
Emotional Attachment ◽  
Positive Relationships ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Behavioural Model ◽  
Cognitive Behavioural

While the hoarding of physical objects has been extensively explored, there is little research relating to the hoarding of digital materials. The research that has been conducted suggests that digital hoarding (DH) behaviours appear to have some similarities with physical hoarding (PH) behaviours, and can be just as psychologically distressing. This study uses the framework of the cognitive behavioural model of PH to explore DH behaviours, including possible similarities regarding emotional attachment to digital possessions, and possible links with Obsessive Compulsive Disorder (OCD) and indecisiveness. For the study, 282 participants completed an online survey which measured levels of digital and physical hoarding, compulsive acquisition, OCD, indecisiveness and mood. Strong emotional attachments to particular types of digital possessions were evident: this was especially true for photographs and videos. Significant positive relationships were found between all the variables measured. However, a regression analysis revealed that only OCD and PH scores were significant predictors of DH. DH thus appears to share some of the features of PH. Implications, limitations and future research possibilities are discussed.

Obsessive-compulsive disorder

2015 ◽  
Author(s):  
Paul M. Salkovskis ◽  
Joan Kirk
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Experimental Studies ◽  
Behavioural Therapy ◽  
Cognitive Factors ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Behavioural Theory ◽  
Cognitive Behavioural ◽  
Negative Appraisals

Chapter 8 explores obsessive-compulsive disorder (OCD). It first outlines the nature of OCD, its prevalence, the development of current treatments, the behavioural theory of OCD and behaviour therapy in practice, deficit theories and cognitive factors, cognitive behavioural therapy (CBT) for OCD, experimental studies of normal intrusive thoughts, distorted thinking and negative appraisals, treatment implications of the cognitive behavioural theory, and strategies in the treatment of OCD.

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