Session 11: Planning for Termination/Relapse Prevention

Session eleven reviews the progress that the child has made so far on their symptom list, and plans for the termination of the treatment program. The family is encouraged to address relapse prevention, and the potential for the reappearance of symptoms.

Session 10: Addressing More Difficult Symptoms/Family Problem Solving

The tenth session continues ERP with items higher on the child's hierarchy, and plans for coping following the terminaion of treatment. The family session addresses problematic OCD-related areas, and reviews the family's abilities to solve potential difficulties that may arise.

Session 1: Psychoeducation and Rationale

Chapter 1 outlines the first session of the treatment program, which involves rapport building, background information on OCD, including possible causes, rationale for treatment, the behavioral reward program, and processes for monitoring OCD symptoms.

Session 5: Dealing with Obsessions/Family Responses to OCD

Session five reviews the child's symptom hierarchy and progress that has been made so far. ERP practice continues, and information is provided about obsessions. The family's response to the child's OCD is also explored.

Session 4: Cognitive Restructuring/Blame Reduction

The fourth session of treatment discusses cognitive restructuring and blame reduction, including coping strategies, and exposure plus response prevention. Family involvement also continues with further psychoeducation and disengagement from the child's OCD behaviors.

Introductory Information for Therapists

This chapter presents background information on the treatment program, including diagnostic criteria for OCD, research into the treatment program, the role of medication, the cognitive-behavioural model of OCD, and the role of the family in the treatment program.

Session 12: Graduation

Session twelve is the final session of this treatment program. Relapse prevention is discussed, and the child's effort and hard work throughout the program is acknowleged.

Session 9: Addressing More Difficult Symptoms/Family Self-Care

Session nine addresses more difficult symptoms that the child experiences with ERP, and begins to discuss issues related to the termination of the treatment. The family session explores the impact OCD has on family well-being.

Session 6: Reviewing Progress/Child’s Responsibility for Treatment

Session six continues reviewing progress and performing exposures. The family session discusses behavioral management issues and continuing disengagement from the child's OCD behaviors.

Session 8: Continuing ERP/Differentiating OCD vs. non-OCD Behaviors

Session eight discusses ways of dealing with difficult exposures at the top of the child's symptom hierarchy, and explores ways of differentiating between OCD and non-OCD behaviors, and developing a program for dealing with non-OCD behaviors.