Cognitive Behaviour Therapy for the Management of Obsessive-Compulsive Disorder

2001 ◽  
Vol 18 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Kate Sofronoff
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Best Practice ◽  
Psychological Treatment ◽  
Response Prevention ◽  
Exposure And Response Prevention ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behaviour ◽  
Treatment Measures

AbstractCurrent research reflects conflict regarding best practice in the treatment of obsessive-compulsive disorder (OCD). The present study reports on the psychological treatment of a 54-year-old woman diagnosed with OCD, and follows the implementation of pharmacological treatment. The study utilises both exposure and response prevention (ERP) and cognitive therapy (CT), although there was no attempt to compare these approaches in an experimental design. Measures of avoiding and neutralising behaviours were taken on three occasions across treatment. Measures were also taken of intrusive thoughts, appraisal of responsibility, and effective challenging, both across treatment and at follow-up. The results indicate that gains were made in addition to those reported following the implementation of medication. The results also suggest that the addition of CT to exposure and response prevention facilitates the extinction of neutralising behaviours.

Case Series on Applications of EMDR to OCD

2021 ◽  
Vol 8 (3) ◽  
pp. 306-318
Author(s):  
Name Unavailable
Keyword(s):  
Eye Movement ◽  
Obsessive Compulsive Disorder ◽  
Cognitive Behaviour Therapy ◽  
Case Series ◽  
Response Prevention ◽  
Exposure And Response Prevention ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behaviour

This paper is an attempt to draw a parallel between the exposure and response prevention (ERP) procedures in CBT (cognitive behaviour therapy) and the desensitisation procedures in EMDR (eye movement desensitisation processing). This paper also suggests an alternative targeting sequence that follows from the standard EMDR protocol to draw upon the strengths and application of ERP procedures in the treatment of OCD (obsessive compulsive disorder).

scholarly journals The Efficacy of Exposure and Response Prevention for Geriatric Obsessive Compulsive Disorder: A Clinical Case Illustration

2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Mairwen K. Jones ◽  
Bethany M. Wootton ◽  
Lisa D. Vaccaro
Keyword(s):  
Older Adults ◽  
Obsessive Compulsive Disorder ◽  
Clinical Case ◽  
Psychological Treatment ◽  
Response Prevention ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Clinical Case Study ◽  
History Of

Obsessive compulsive disorder (OCD) is one of the most frequently occurring psychiatric conditions in older adults. While exposure and response prevention (ERP) is considered the most effective psychological treatment for children and adults with OCD, research investigating its effectiveness for older adults is scarce. This clinical case study investigates the effectiveness of ERP in an 80-year-old man with a 65-year history of OCD. The client received 14 individual, 50-minute ERP treatment sessions. Clinician-based Y-BOCS scores reduced by 65% from 20 (moderate) at pretreatment to 7 (subclinical) at 7-month posttreatment followup. OCI-R total scores reduced by 45% from 38 at baseline to 21 at 7-month follow-up. Despite his long history of the disorder, ERP was effective and well tolerated. The application of ERP for older adults with OCD, including age-specific modifications that may be required for this treatment approach, is discussed.

Cognitive therapy in the treatment of obsessive—compulsive disorder

1999 ◽  
Vol 5 (1) ◽  
pp. 61-70 ◽  
Author(s):  
David Veale
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Depressed Mood ◽  
Response Prevention ◽  
Drop Out ◽  
Dropping Out ◽  
Exposure And Response Prevention ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Behaviour therapy, namely exposure and response prevention, has for many years been the treatment of choice for most patients with obsessive—compulsive disorder (OCD). However, at least 25% of patients with OCD refuse exposure and response prevention or drop-out early. Of those who do comply, about 75% make reasonable gains and maintain them in the long-term. This means that 50% of patients who are offered treatment by exposure and response prevention either refuse, drop-out or show little improvement. Many patients find exposure distressing and this is probably the main reason for dropping-out early. Treatment failures tend to be associated with a depressed mood, over-valued ideation, slowness, mental compulsions and severe degrees of avoidance.

Cognitive Therapy for Obsessive Compulsive Disorder

2000 ◽  
Vol 14 (3) ◽  
pp. 245-259 ◽  
Author(s):  
Sabine Wilhelm
Keyword(s):  
Cognitive Therapy ◽  
Obsessive Compulsive Disorder ◽  
Psychological Treatment ◽  
Response Prevention ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Treatment Techniques ◽  
Current Psychological ◽  
Therapy Studies

Cognitive therapy for Obsessive-Compulsive Disorder (OCD) may be at least as effective and less stressful as the current psychological treatment of choice, exposure and response prevention (ERP). Cognitive therapy studies will be reviewed and a case example used to illustrate specific cognitive treatment techniques.

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