perfectionism and - Obsessive-Compulsive Foundation

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6/14/13 Response Prevenaon • During exposure: resisted all rituals. Periodically, read his coping script. • Coping script emphasized living with uncertainty, moavated him to resist rituals. • Outside of exposure: Follow new rules for “normal” religious behavior within Bapast faith tradiaon: -‐ Daily, brief prayer -‐ Scripture reading once a day – 10 minutes -‐ “Reassurance Time” 5 minute daily, phased out Outcome • Resumed a@endance at church and family gatherings • Thoughts did not disappear, but less reacave • Able to follow normal religious pracace, with a few “slips” – especially when new thought emerged • More difficulty on weekends – less structure -199- 8
We’re All in This Together - the Power of Group Therapy for OCD 6/14/13 We’re All in this Together The Power of Group Therapy for OCD Scott M. Granet, LCSW The OCD-BDD Clinic of Northern California The Power of Group Therapy: Jennifer’s Story The IOCDF 20 th Annual Conference Atlanta, GA July 21, 2013 Study Comparing Individual Vs. Group Treatment for OCD Study Comparing Individual Vs. Group Treatment for OCD Cont. Individual versus group cognitive behavioral treatment for obsessive–compulsive disorder: Follow up (Spain) Psychoeducation, ERP, cognitive techniques, and relapse prevention utilized 38 subjects meeting DSM-IV-TR criteria for OCD Completed 20 sessions of IT and GT; CBT based All were given medication; CBT began 12 weeks after start of medication Jaurrieta, N. PhD, et al. (2008). Individual versus group cognitive behavioral treatment for obsessive–compulsive disorder: Follow up. Psychiatry and Clinical Neurosciences, 62, 697-704 No significant difference in improvements in IT vs. GT groups Maintained progress at follow-ups of 1, 3, 6 and 12 months. SUNDAY -200- 1
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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 5 -13-
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6/14/13 -15- 7
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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
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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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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
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
Page 170 and 171: 6/14/13 Is Performance During E
Page 172 and 173: 6/14/13 Frame ERP to Mismatch
Page 174 and 175: 6/14/13 Implica:ons for Psychoed
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Page 196 and 197: 6/14/13 Jenny Jenny • Referred
Page 198 and 199: 6/14/13 Appraisals of intrusions
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Page 204 and 205: 6/14/13 Study Comparing Individual
Page 206 and 207: 6/14/13 Exclusionary Criteria Struc
Page 208 and 209: 6/14/13 Contact Information The OCD
Page 210 and 211: 6/14/13 Acceptance vs. Change Chan
Page 212 and 213: 6/14/13 Positive Reacting Styles P
Page 214 and 215: 6/14/13 What is P-N-P What is P-N-
Page 216 and 217: People and Places - Emotional Conta
Page 218 and 219: 6/14/13 CASE EXAMPLE • 67 year
Page 220 and 221: 6/14/13 THE ROLE OF BETRAYAL
Page 222 and 223: 6/14/13 THE ROLE OF ACCEPTANCE
Page 224 and 225: Challenging Kids Challenged Adults
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Page 228 and 229: Tips for Non-OCD Anxiety Disorders
Page 230 and 231: Sleep Problems Tips for Sleep Probl
Page 232 and 233: EXECUTIVE FUNCTION “He is such a
Page 234 and 235: Write It or Regret It! CL UE Tips f
Page 236 and 237: Slow Processing Speed (Sluggish Cog
Page 238 and 239: Tips for Handwriting • Reduce cop
Page 240 and 241: Curiosity vs Judgment! © Sheryl K.
Page 242 and 243: Prepare the child for the path….
Page 244 and 245: How Can the Whole Family Fight OCD
Page 246 and 247: Task Description & Reminder of spec
Page 248 and 249: Using Scaffolding Steps in Unplanne
Page 250 and 251: 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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