perfectionism and - Obsessive-Compulsive Foundation

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6/14/13 ERP HIERARCHY #1 BDD ISSUE: HAIR CONT. ERP HIERARCHY #2 BDD ISSUE: USE OF MAKE-UP Look at comb/brush with hair in it Look at floor of bathtub after showering In shower, look at hands after shampooing While at home, take make-up off for a period of 1 hour prior to bed While at home, take make-up off after work, and leave off until next morning. After towel drying hair, look for hair on towel Take hair from comb/brush and place in sink, look at it, and leave it there for several hours Pick up mail without wearing any makeup At night, drive around neighborhood without any make-up Same as above, but in daylight hours ERP HIERARCHY #2 BDD ISSUE: USE OF MAKE-UP Do not wear make-up at home in the presence of family members Go out to the mall without make-up Go to dinner with family without make-up Go to dinner with friends without make-up RELAPSE PREVENTION CBT exercises need to continue after formal therapy ends Continue with medication for agreed upon time Anticipate likely stressors Practice healthy stress management Periodic “booster” sessions -121- 9
6/14/13 GROUP THERAPY GROUP THERAPY CONT. Support from others with similar problems Helps to combat shame and isolation Provides encouragement to do behavior therapy Opportunities for modeling Group ERP exercises Limit telling of “horror stories” FAMILIES: THEY SUFFER TOO Educate yourself about BDD Limit discussions about the body part(s) More affordable than individual treatment Can be effective within managed care restrictions Can be difficult to manage many people with diverse problems, and different levels of functioning Requires clients who are motivated to do homework assignments Providing group structure important SUPPORTS The International OCD Foundation www.ocfoundation.org SATURDAY Avoid giving reassurance: if it worked it wouldn’t be asked for so much Avoid enabling, i.e., buying unnecessary cosmetic products, paying for plastic surgery Don’t forget to take care of yourself; therapy The Obsessive-Compulsive Foundation of the San Francisco Bay Area www.ocfoundation.org/affiliates/bay-area/ BDDAlliance.org -122- 10
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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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What is Reasonable Accommodation Mo
Page 74 and 75: Family and M edical L A eave ct IOC
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
Page 98 and 99: Fear of loss of impulse control: B:
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
Page 108 and 109: 6/14/13 Time for ERP Separation A
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 122 and 123: 6/14/13 COGNITIVE THERAPY CONT. IDE
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
Page 164 and 165: • Are we there yet • The r
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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Page 172 and 173: 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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