perfectionism and - Obsessive-Compulsive Foundation

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6/14/13 COGNITIVE THERAPY CONT. IDENTIFYING CORE BELIEFS Ask: “Does anyone else really care as much as you think they do” Need to confront belief that happiness/ success/life satisfaction is linked to appearance Important Goal: Ultimately, feeling good has to be more important than looking good “I have to look perfect” (for some) “Life has meaning if I look good” “I’m unlovable <strong>and</strong> worthless if I don’t look better” IDENTIFYING CORE BELIEFS CONT. COMMON COGNITIVE DISTORTIONS “If I feel I don’t look good, then it must be true” “If I don’t look good people will treat me poorly” “No one will ever want to marry me unless I look better” All or Nothing Thinking “No one will ever want to be with me if I look like this” Mind Reading “The person I passed earlier was thinking my nose looks disgusting!” Thinking with your Feelings “Since I feel ugly that’s how I must look” Discounting the Positive “Does it really matter that people think I’m a caring person if I look so bad” -119- 7
6/14/13 COMMON COGNITIVE DISTORTIONS CONT. BEHAVIOR THERAPY Catastrophizing “My skin looks so horrible that I’ll never get passed the first interview” Mirror checking needs to be addressed: “6pm rule,” “arms-length” policy Unfair Comparisons “Why can’t I have skin like the models in magazines” Personalization “The person in the store earlier turned away from me because he was so disgusted by how I look” BEHAVIOR THERAPY CONT. Hair: Instead of avoiding fallen hairs, look for them; wear hair in ways you believe to be less attractive Muscle Dysmorphia: Resist working out 1 day; Omit part of the exercise routine ERP HIERARCHY #1 BDD ISSUE: HAIR SATURDAY Acne: Go out either with less make-up or none at all Weight: Wear tighter clothes which you feel may not conceal your size Teeth: Speak to others without putting h<strong>and</strong> in front of mouth Upon waking, resist mirror checking for 15 minutes Shower without first checking hair in mirror Use smaller amounts of shampoo Exit shower without checking scalp in mirror Comb/brush hair while still wet -120- 8
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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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6/14/13 Talking about Accommoda@o
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6/14/13 Making Decisions about A
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6/14/13 Dealing with Arguments
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Ask an Attorney - What Are My Right
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What is a major life activity Basic
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Page 76 and 77: THE SPENCER LAW FIRM 2727 Camino de
Page 78 and 79: Importantly, the ADA requires cover
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Page 84 and 85: insurance, sick leave, education be
Page 86 and 87: Protection and Advocacy The Protect
Page 88 and 89: Can’t - vs. -Won’t • If you s
Page 90 and 91: Rewards Fear Stimulus CBT Model of
Page 92 and 93: My Child-Brother-Sister Has OCD But
Page 94 and 95: I’m Afraid I’m Really Gonna Do
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 110 and 111: Manipulating Language to Improve Pa
Page 112 and 113: 6/24/13 SHIFT LANGUAGE TO PROMOTE H
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
Page 120 and 121: 6/14/13 WHAT DOESN’T APPEAR TO WO
Page 124 and 125: 6/14/13 ERP HIERARCHY #1 BDD ISSUE:
Page 126 and 127: 6/14/13 IN CLOSING EDUCATION TREA
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
Page 144 and 145: 6/24/13 • Depression • Self-
Page 146 and 147: 6/24/13 Mo8va8on and Ambivalence
Page 148 and 149: 6/24/13 Skills Training: Objec8ve
Page 150 and 151: 6/24/13 Behavioral Experiment: C
Page 152 and 153: 6/24/13 Treatment Responders (%)
Page 154 and 155: Perfecting Perfectionism Perfecting
Page 156 and 157: Types of Perfectionism Being th
Page 158 and 159: Healthy Perfectionism In general
Page 160 and 161: The cost of perfectionism • T
Page 162 and 163: Let’s Focus on Two Problemati
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Page 166 and 167: Addressing Relapse in CBT for OCD 6
Page 168 and 169: 6/14/13 Lisa’s Exposure Hierar
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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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