scholarly journals Cognitive Therapy versus Fluvoxamine as a Second-Step Treatment in Obsessive-Compulsive Disorder Nonresponsive to First-Step Behavior Therapy

2012 ◽  
Vol 81 (6) ◽  
pp. 366-374 ◽  
Author(s):  
Anton J.L.M. van Balkom ◽  
Paul M.G. Emmelkamp ◽  
Merijn Eikelenboom ◽  
Adriaan W. Hoogendoorn ◽  
Johannes H. Smit ◽  
...  
CNS Spectrums ◽  
1996 ◽  
Vol 1 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Fugen Neziroglu ◽  
Jonathan Hoffman ◽  
Jose A. Yaryura-Tobias ◽  
David Veale ◽  
Jean Cottraux

AbstractExposure and response prevention (ERP), a form of behavior therapy, is widely recognized as the most effective psychological treatment for obsessive-compulsive disorder (OCD). Cognitive therapy (meaning rational emotive behavior therapy [REBT], or the Salkovskis model for this article) has received increased attention as an effective method for OCD treatment. These methods have renewed hope for patients suffering with what had long been thought to be a treatment refractory condition. Yet many important issues require further discussion and investigation. At the Second International Conference on OCD, which was held in Guadeloupe, February 14–16, 1996, the following issues were highlighted:1. Which psychotherapies are effective in the treatment of OCD?2. What psychological strategies may be used to increase patient motivation during treatment?3. Are relapse prevention strategies necessary after improvement?4. How do economic factors affect the use of behavior therapy? How is OCD treatment uniform or varying from specialty providers to mental health generalists to primary care physicians? How do self-administered and therapist-administered ERP compare?5. How does the efficacy of ERP or cognitive therapy and pharmacotherapy (either alone or in combination) compare?6. Is ERP effective for complex forms of OCD?7. In OCD treatment, is medication compliance improved if ERP or cognitive therapy is also used, and vice versa? How does this affect relapse rates? In addition, can doses of medications be lowered with the addition of ERP or cognitive therapy?8. What is known about the brain function and biological changes associated with ERP and cognitive therapy?


2021 ◽  
Vol 12 (1) ◽  
pp. 58-65
Author(s):  
T. Danylova ◽  

Mindfulness is non-judgmental awareness that arises as a result of conscious focus on the current moment. It may be seen as one of the useful therapeutic tools that helps to alleviate symptoms of OCD. In recent decades, there has been a growing interest in studying the concept of mindfulness as a psychological construct and as a form of psychotherapeutic intervention for the prevention and treatment of mental disorders. The purpose of mindfulness-based cognitive therapy (MBCT) like cognitive behavioral therapy (CBT) is to assist patients in developing awareness of their thoughts and reactions. MBCT teaches that the best way to spot these triggers and overcome stress and anxiety is to be aware of and accept the current moment. Instead of trying too hard to realize negative thoughts, fears, and anxieties, MBCT teaches to accept any thought in a non-judgmental way and allow it to disappear as easily as to appear. Mindfulness is a proven skill of awareness and a way of responding in a non-judgmental manner to unwanted thoughts, feelings, and urges. Clearing the mind, mindfulness helps to kill off habitual connections between neurons and develop new ones, to reduce the level of obsessive thoughts and stereotypes, to overcome automatic thinking and eradicate existing patterns of behavior that ultimately leads to a qualitatively new level of living and development of human abilities and talents. Complementing cognitive behavioral therapy (CBT), the gold standard for the treatment of obsessive-compulsive disorder (OCD), mindfulness-based cognitive therapy (MBCT) enhances and improves the therapeutic effect and opens new horizons for further research. The paper aims to analyze the place and role of mindfulness in the treatment of obsessive-compulsive disorders.


2002 ◽  
Vol 63 (2) ◽  
pp. 138-145 ◽  
Author(s):  
John H. Greist ◽  
Isaac M. Marks ◽  
Lee Baer ◽  
Kenneth A. Kobak ◽  
Keith W. Wenzel ◽  
...  

CNS Spectrums ◽  
1999 ◽  
Vol 4 (S3) ◽  
pp. 35-40 ◽  
Author(s):  
Fritz Hohagen

AbstractObsessive-compulsive disorder (OCD) has long been considered a treatment-refractory mental condition. Neither pharmacologic nor psychodynamic therapy has been proven to treat OCD effectively. Yet the prognosis for OCD has changed dramatically in recent years with the introduction of behavior therapy and the use of selective serotonin reuptake inhibitors (SSRIs). Many studies have shown that behavior therapy, especially exposure with response prevention, and SSRIs reduce obsessive-compulsive symptoms significantly. Still, many unanswered questions—including the role of cognitive therapy in the treatment of OCD, exposure therapy vs multimodal behavioral therapy, individual versus group therapy, outcome predictors in adults, adolescents, and children, and the role of combination treatment using an SSRI and cognitive-behavioral therapy—remain. This article will explore these issues as well as suggest directions for further research into OCD.


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