perfectionism and - Obsessive-Compulsive Foundation

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6/14/13 • Subjects (N = 20) with marked contamination concerns were treated with 30 min. of repeated in vivo exposure (cleaning a ‘dirty’ bed pan), during which time their fear <strong>and</strong> disgust levels were repeatedly measured. • Results indicated that repeated exposure led to a significant decline in fear but not disgust. The observed decline in fear remained significant after accounting for changes in disgust <strong>and</strong> vice versa. • There was also evidence that lower fear decline during repeated exposure was associated with higher disgust ratings after the exposure was completed. -17- 9
6/14/13 FRIDAY End Part 2 -18- 10
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Page 4 and 5: IMAGINE THAT!: A SCRIPTING WORK- SH
Page 6 and 7: Themes and Variations - Theoretical
Page 8 and 9: -5- 3
Page 10 and 11: -7- 5
Page 12 and 13: Themes and Variations - Theoretical
Page 14 and 15: 6/14/13 -11- 3
Page 16 and 17: 6/14/13 5 -13-
Page 18 and 19: 6/14/13 -15- 7
Page 22 and 23: The Social Experiment 6/14/13 The
Page 24 and 25: 6/14/13 How Do We Treat Social
Page 26 and 27: 6/14/13 Exposure therapy is: A
Page 28 and 29: 6/14/13 Detailed Inves5ga5on of
Page 30 and 31: 6/14/13 Why Imaginal Exposure
Page 32 and 33: 6/14/13! Common obsessions, continu
Page 34 and 35: 6/14/13! 1# This circuit is called
Page 36 and 37: 6/14/13! -33- 6!
Page 38 and 39: 6/14/13! People with OCD experience
Page 40 and 41: 6/14/13! 1a. Behavior Therapy! •
Page 42 and 43: ERP Exposed OCD Cycle Obsessions Re
Page 44 and 45: OCD Definition: OCD Cycle COMPULSIO
Page 46 and 47: Somatic Obsessions Miscellaneous Ob
Page 48 and 49: Exposure and Response Prevention -
Page 50 and 51: Strategic Model of Cognitive Treatm
Page 52 and 53: Segment 3 Every step of the way, ch
Page 54 and 55: You also have to tolerate anxiety
Page 56 and 57: Segment 9 Segment 10 Habituation re
Page 58 and 59: Get rapport (and get it again) Get
Page 60 and 61: 6/14/13 Example #2: “Dave”
Page 62 and 63: 6/14/13 Talking about Accommoda@o
Page 64 and 65: 6/14/13 Making Decisions about A
Page 66 and 67: 6/14/13 Dealing with Arguments
Page 68 and 69: 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
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Family and M edical L A eave ct IOC
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THE SPENCER LAW FIRM 2727 Camino de
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Importantly, the ADA requires cover
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Some possible reasonable accommodat
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THE SPENCER LAW FIRM 2727 Camino de
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insurance, sick leave, education be
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Protection and Advocacy The Protect
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Can’t - vs. -Won’t • If you s
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Rewards Fear Stimulus CBT Model of
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My Child-Brother-Sister Has OCD But
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I’m Afraid I’m Really Gonna Do
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Roger is a 52 year old widowed dent
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Fear of loss of impulse control: B:
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Fear of loss of impulse control ERP
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Sandra Practices walking with delay
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-101- 11
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6/14/13 Defining the Problem- Raci
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6/14/13 Time for ERP Separation A
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Manipulating Language to Improve Pa
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6/24/13 SHIFT LANGUAGE TO PROMOTE H
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6/24/13 LABEL ANXIETY AND OCD Agai
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The BDD Challenge 6/14/13 The BDD C
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6/14/13 WHICH BODY PARTS ASSOCIATED
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6/14/13 WHAT DOESN’T APPEAR TO WO
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6/14/13 COGNITIVE THERAPY CONT. IDE
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6/14/13 ERP HIERARCHY #1 BDD ISSUE:
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6/14/13 IN CLOSING EDUCATION TREA
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6/14/13 FAMILY ACCOMMODATION & MAIN
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6/14/13 HMO HMO = Health Maintenan
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6/14/13 RECOGNIZE THE SIGNS OF OCD
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6/14/13 COLLABORATING WITH SCHOOLS
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Conceptualizing and Treating Hoardi
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6/24/13 DSM-‐5 criteria for
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6/24/13 Family Burden • Growin
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6/24/13 Biological vulnerability
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6/24/13 • Depression • Self-
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6/24/13 Mo8va8on and Ambivalence
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6/24/13 Skills Training: Objec8ve
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6/24/13 Behavioral Experiment: C
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6/24/13 Treatment Responders (%)
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Perfecting Perfectionism Perfecting
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Types of Perfectionism Being th
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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 -177- 6
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6/14/13 -183- 1 2
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6/14/13 -187- 1 6
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6/14/13 -189- 1 8
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6/14/13 -191- 2 0
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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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