scholarly journals Moderators and processes of change in traditional exposure and response prevention (ERP) versus acceptance and commitment therapy-informed ERP for obsessive-compulsive disorder

2020 ◽  
Vol 24 ◽  
pp. 100499 ◽  
Author(s):  
Clarissa W. Ong ◽  
Shannon M. Blakey ◽  
Brooke M. Smith ◽  
Kate L. Morrison ◽  
Ellen J. Bluett ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Response Prevention ◽  
Processes Of Change ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment

scholarly journals Acceptance and commitment therapy for a case of scrupulosity-related obsessive-compulsive disorder

2018 ◽  
Vol 82 (4) ◽  
pp. 407-423 ◽  
Author(s):  
Eric B. Lee ◽  
Clarissa W. Ong ◽  
Woolee An ◽  
Michael P. Twohig
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Treatment Process ◽  
Cognitive Behavior ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Modern Form

Acceptance and commitment therapy (ACT) is a modern form of cognitive behavior therapy (CBT) with growing support for treating obsessive-compulsive disorder (OCD). We present a case wherein a client presented with scrupulosity-related OCD. We briefly review scrupulosity, explain the theory behind ACT, and present a case, the treatment process, and desired outcomes. Exposure and response prevention (ERP) is described from an ACT perspective and discussed as an option for people with OCD who may be reluctant to engage in more traditional forms of ERP.

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.

scholarly journals Preliminary evidence of the effectiveness of acceptance and commitment therapy for death anxiety in Iranian clients diagnosed with obsessive-compulsive disorder

2020 ◽  
Vol 84 (Supplement A) ◽  
pp. 1-11
Author(s):  
Mohammad Hassan Davazdahemami ◽  
Abolfazl Bayrami ◽  
Julie M. Petersen ◽  
Michael P. Twohig ◽  
Maryam Bakhtiyari ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Death Anxiety ◽  
Visual Analysis ◽  
Preliminary Evidence ◽  
Adult Women ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment

The authors investigated the effectiveness of acceptance and commitment therapy (ACT) for the treatment of death anxiety and obsessive-compulsive disorder (OCD) with eight adult women in Iran. The ACT protocol was conducted in weekly solo sessions with each participant for 8 weeks (45 minutes each). The results were analyzed by visual analysis method and improvement percentage. ACT resulted in a 60%–80% decrease in death anxiety and a 51%–60% decrease in obsessive-compulsive symptoms, thereby indicating promise for ACT as a treatment for OCD and death anxiety.

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.

A Preliminary Investigation of Acceptance and Commitment Therapy for Adolescent Obsessive-Compulsive Disorder

2013 ◽  
Vol 27 (2) ◽  
pp. 175-190 ◽  
Author(s):  
Andrew B. Armstrong ◽  
Kate L. Morrison ◽  
Michael P. Twohig
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Acceptance And Commitment Therapy ◽  
Preliminary Investigation ◽  
Obsessive Compulsive ◽  
Self Monitoring ◽  
Compulsive Disorder ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Treatment Procedures

There is growing support for the use of acceptance and commitment therapy (ACT) as a treatment for adults with obsessive-compulsive disorder (OCD), but no research has been published on the use of ACT for adolescent OCD. This preliminary study investigated ACT for youth with OCD using a multiple baseline across participants design. Three adolescents, ages 12 or 13 years, were treated with 8–10 sessions of ACT (without in-session exposure exercises). The primary dependent variable was daily self-monitoring of compulsions. Results showed a 40% mean reduction in self-reported compulsions from pretreatment to posttreatment, with results maintained at 3-month follow-up, for a reduction of 43.8%. Pretreatment to posttreament reductions in Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS) ratings of OCD severity were 50.0%, 12.5%, and 22.0%; pretreatment to follow-up reductions were 54.0%, 12.5%, and 61.0%. Treatment procedures were rated by participants and parents as highly acceptable. Implications and future directions are discussed.

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