perfectionism and - Obsessive-Compulsive Foundation

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6/24/13 SHIFT LANGUAGE TO PROMOTE HEALTHY COGNITIONS Continually send messages to patient that challenges are necessary to learn and adapt better in life. You can have each child choose to do something differently or try a new approach to a problem area or struggle. Reframe defeating OCD as a life skill. When new compulsions arise, help patients see this as a challenge, NOT a relapse or failure in treatment. SHIFT LANGUAGE TO PROMOTE HEALTHY COGNITIONS Shift “Good job!” to “Good effort!” Shift “You are brave!” to “You work hard!” Shift “You are a (kind, good, nice, smart) kid” to “Your hard work really shows in your improvements.” Shift “You need to try better.” to “What can you do differently” Continually push for improvement, in order to grow the mind. Shift “Perfect!” to “What can you take on as your next challenge” RE-FRAMING FAILURE VIGNETTE: SUCCESS IN THERAPY Reframe failure as a challenge that you can work together to overcome. Overcoming challenges are a necessary part to help the brain grow and adapt to defeat anxiety. Respond to success in ways that allow patients to understand how they influenced outcome. Identify what was done well (hard work, problem-solving in the moment, being flexible with plans, etc.). Determine how those tools can be applied to hypothetical situations in future. -109- 3
6/24/13 VIGNETTE: RESISTANCE TO COMPLETING THERAPY HOMEWORK Alfred Bandura’s self-efficacy theory: Help patients identify something they have accomplished. Help patients identify what skills were necessary to accomplish the task. EMPHASIZE THAT BRAIN IS MALLEABLE Therapist praise and SELF-PRAISE can impact how one thinks, acts, and feels. Use of metaphors can foster the patient’s understanding of how s/he can impact change. Point out how those skills can be used for current goal/task. UTILIZATION OF METAPHORS Sledding Metaphor Horse and Plow Metaphor Brain as a muscle metaphor METAPHORS THAT EXPLAIN SETBACKS IN TREATMENT Envision setbacks that a hero or role model may have encountered a setback. Take previous metaphors and account for unexpected circumstances. SATURDAY Neurons that fire together wire together! Exercise Metaphor Exercise Metaphor: Sports injury allows you to build other muscles which could be an advantage in the end. -110- 4
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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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6/14/13 Example #2: “Dave”
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Page 68 and 69: Ask an Attorney - What Are My Right
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Page 76 and 77: THE SPENCER LAW FIRM 2727 Camino de
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Page 90 and 91: Rewards Fear Stimulus CBT Model of
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Page 96 and 97: Roger is a 52 year old widowed dent
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Page 106 and 107: 6/14/13 Defining the Problem- Raci
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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
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Page 134 and 135: 6/14/13 COLLABORATING WITH SCHOOLS
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Page 142 and 143: 6/24/13 Biological vulnerability
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Page 154 and 155: Perfecting Perfectionism Perfecting
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Page 158 and 159: Healthy Perfectionism In general
Page 160 and 161: 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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