perfectionism and - Obsessive-Compulsive Foundation

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Manipulating Language to Improve Patient Connections and Treatment Compliance in the Pediatric OCD Population 6/24/13 MANIPULATING LANGUAGE TO IMPROVE PATIENT CONNECTIONS & TREATMENT COMPLIANCE IN THE PEDIATRIC OCD POPULATION Sarah A. Haider, Psy.D. Jenny C. Yip. Psy.D., ABPP Effective versus Ineffective Language: Cognitive Theories Research indicates that the language we use can shift our thought patterns Renewed Freedom Center for Rapid Anxiety Relief Los Angeles www.RenewedFreedomCenter.com CAROL DWECK: FIXED MINDSET VS. GROWTH MINDSET Fixed Mindset o Child assumes that you either have talent or you do not (e.g., “I am smart.” or “I am not creative.”). o Problem: Every failure becomes evidence that child is “stupid” and that nothing can be done to change that sentiment. Growth Mindset o Child assumes that intelligence, talent, etc. is not an either/or situation. o These characteristics are built by hard work LINK BETWEEN “FIXED MINDSET” AND ANXIETY & OCD: ATTRIBUTION THEORY An attribution is the explanation we give ourselves for why something happened. Our attributions shape our beliefs and our behaviors. Thus, if we change a patient’s attribution, we can change his or her belief set and behaviors. -107- 1
6/24/13 ATTRIBUTION THEORY INNATE VERSUS ACQUIRED SKILLS ATTRIBUTION THEORY INNATE VERSUS ACQUIRED SKILLS Innate (Mimics thought patterns for Anxiety and OCD) o Inherent o Black and White: It is this way- and I am powerless to change it. Acquired o These are teachable. o Spectrum: It is this way now- and I need to do something to change it. Research Littering Attribution Training vs. Persuasion Training vs. Reinforcement Training o Fixed Mindset o Growth Mindset IDENTIFY EXPLANATIONS FOR THE EVENT Therapists CAN influence a patient's attributions about an event! Promote the concept that skills are acquired. Praise for effort and persistence: Praise the behavior, NOT the feeling. Concept of shaping. “Even though you were afraid and washed, you handled the situation without washing immediately. You were able to delay and tolerate the discomfort for a while.” SHIFT LANGUAGE TO PROMOTE HEALTHY COGNITIONS Praise DOs, to promote a Growth Mindset Praise effort, persistence, hard work, determination, overcoming challenges, or thinking differently as a way to problem solve. Praise DON’Ts, which promote a Fixed Mindset Praising children in a way that indicates inherent talent. Statements that don’t tell children how to apply a technique next time. Blanket statements may seem insincere. SATURDAY -108- 2
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IMAGINE THAT!: A SCRIPTING WORK- SH
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Themes and Variations - Theoretical
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Themes and Variations - Theoretical
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6/14/13 • Subjects (N = 20) with
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The Social Experiment 6/14/13 The
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6/14/13 How Do We Treat Social
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6/14/13 Exposure therapy is: A
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6/14/13 Detailed Inves5ga5on of
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6/14/13 Why Imaginal Exposure
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6/14/13! Common obsessions, continu
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6/14/13! 1# This circuit is called
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6/14/13! -33- 6!
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6/14/13! People with OCD experience
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6/14/13! 1a. Behavior Therapy! •
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ERP Exposed OCD Cycle Obsessions Re
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OCD Definition: OCD Cycle COMPULSIO
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Somatic Obsessions Miscellaneous Ob
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Exposure and Response Prevention -
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Strategic Model of Cognitive Treatm
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Segment 3 Every step of the way, ch
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You also have to tolerate anxiety
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Segment 9 Segment 10 Habituation re
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Get rapport (and get it again) Get
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Page 68 and 69: Ask an Attorney - What Are My Right
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Page 90 and 91: Rewards Fear Stimulus CBT Model of
Page 92 and 93: My Child-Brother-Sister Has OCD But
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Page 96 and 97: Roger is a 52 year old widowed dent
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Page 100 and 101: Fear of loss of impulse control ERP
Page 102 and 103: Sandra Practices walking with delay
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Page 106 and 107: 6/14/13 Defining the Problem- Raci
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Page 114 and 115: 6/24/13 LABEL ANXIETY AND OCD Agai
Page 116 and 117: The BDD Challenge 6/14/13 The BDD C
Page 118 and 119: 6/14/13 WHICH BODY PARTS ASSOCIATED
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Page 122 and 123: 6/14/13 COGNITIVE THERAPY CONT. IDE
Page 124 and 125: 6/14/13 ERP HIERARCHY #1 BDD ISSUE:
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Page 128 and 129: 6/14/13 FAMILY ACCOMMODATION & MAIN
Page 130 and 131: 6/14/13 HMO HMO = Health Maintenan
Page 132 and 133: 6/14/13 RECOGNIZE THE SIGNS OF OCD
Page 134 and 135: 6/14/13 COLLABORATING WITH SCHOOLS
Page 136 and 137: Conceptualizing and Treating Hoardi
Page 138 and 139: 6/24/13 DSM-‐5 criteria for
Page 140 and 141: 6/24/13 Family Burden • Growin
Page 142 and 143: 6/24/13 Biological vulnerability
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Page 154 and 155: Perfecting Perfectionism Perfecting
Page 156 and 157: Types of Perfectionism Being th
Page 158 and 159: Healthy Perfectionism In general
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The cost of perfectionism • T
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Let’s Focus on Two Problemati
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• Are we there yet • The r
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Addressing Relapse in CBT for OCD 6
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6/14/13 Lisa’s Exposure Hierar
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6/14/13 Is Performance During E
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6/14/13 Frame ERP to Mismatch
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6/14/13 Implica:ons for Psychoed
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6/14/13 Jenny Jenny • Referred
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6/14/13 Appraisals of intrusions
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6/14/13 Bill • His intrusive
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6/14/13 Response Prevenaon • D
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6/14/13 Study Comparing Individual
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6/14/13 Exclusionary Criteria Struc
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6/14/13 Contact Information The OCD
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6/14/13 Acceptance vs. Change Chan
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6/14/13 Positive Reacting Styles P
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6/14/13 What is P-N-P What is P-N-
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People and Places - Emotional Conta
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6/14/13 CASE EXAMPLE • 67 year
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6/14/13 THE ROLE OF BETRAYAL
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6/14/13 THE ROLE OF ACCEPTANCE
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Challenging Kids Challenged Adults
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Regulatory Disorders Challenging Ki
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Tips for Non-OCD Anxiety Disorders
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Sleep Problems Tips for Sleep Probl
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EXECUTIVE FUNCTION “He is such a
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Write It or Regret It! CL UE Tips f
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Slow Processing Speed (Sluggish Cog
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Tips for Handwriting • Reduce cop
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Curiosity vs Judgment! © Sheryl K.
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Prepare the child for the path….
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How Can the Whole Family Fight OCD
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Task Description & Reminder of spec
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Using Scaffolding Steps in Unplanne
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6/14/13 Examples of Behavioral
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Assessment and Treatment of Postpar
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Cognitive-Behavioral Strategies in
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6/14/13 iCompulsions (OCD) or Cyber
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6/14/13 Similarities Between HC and
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6/14/13 C = Increased Fear and Doub
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6/14/13 Sample Exposures For Health
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6/14/13 The Effect of Attention (Ta
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6/14/13 Health-Related OCD Case Exa
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6/14/13 Treatment • Stop all comp
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So You Expect Them to Leave Home So
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Daniel G. Pruitt, Jr., PCC, SCAC In
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NEEDED TRANSITION SKILLS: • Time
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Memory Functioning CL UE Short-Term
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Taking Medications Exercise! •Und
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Washer and Dryer TRANSITION SKILLS:
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TRANSITION SKILLS: Ready ! Money Ma
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TRANSITION SKILLS: • Tell them wh
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TRANSITION SKILLS: This Isn’t It!
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Tigers, Too Tigers, Too: Supplement
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WHEN REASSURANCE IS HARMFUL By Paul
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APOSTOLIC CHRISTIAN Counseling and
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