perfectionism and - Obsessive-Compulsive Foundation

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6/14/13 Positive Reacting Styles Positive Reacting Styles The Mirrorer- sees that the Sufferer is doing/or has done an OCD behavior. Comments like “I can see you are struggling, anything I can do to coach you” The Echo- listens and hears the Sufferer comment on a bad experience or difficult day. Reflective statements like “I hear you and I am listening. Sounds tough, I am here!” The Supporter- reminds the Sufferer that they will always be there and they are willing to help. Makes comments like “You know no matter what we face, I love and support you!” 13 14 Positive Reacting Styles Stages the Support Person May Experience The Team Player- looks at this struggle as something to be faced by more than the Sufferer alone. Is willing to share the burden and helps to lighten the load. Is cohesive and pulls together. The Victory Emphasizer- thinks of the positive. Emphasizes strengths, not weaknesses. Recounts victories when the Sufferer needs to hear them. Sees the Sufferer as courageous and strong. 1. Denial- I don’t want to hear about it, don’t want to understand it, tries to overlook it, pretends it will resolve itself. 2. Accept it as the Sufferer’s Problem- I see it as YOUR problem. YOU need to do something about it. 15 16 -209- 4
6/14/13 Stages the Support Person May Experience 3. Anger- I may make some effort to help (as I understand help). When that doesn’t work to eradicate the problem, I become frustrated and angry. 4. Marital Discord- I have many conflicts in my feelings resulting in hostility and arguments. 5. Withdrawal- I will seek to pull away as a defense, both physically and emotionally. Our goal is to develop the 6 th step 6. Collaboration- It’s our problem, we can tackle this together. As a team, we can do far more than as individuals. Therapeutic goals move much faster and with much better outcomes. 17 18 Balance is the Key to Support Resolving the Conflict Means Finding the Balance Acceptance The answer is in the balance Benevolent Demands for Change 19 Acceptance Balance Resolves the conflict for the supporter Is what the Sufferer needs Benevolent Demands for Change 20 SUNDAY -210- 5
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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 • 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
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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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Page 166 and 167: Addressing Relapse in CBT for OCD 6
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Page 224 and 225: Challenging Kids Challenged Adults
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Page 228 and 229: Tips for Non-OCD Anxiety Disorders
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Page 234 and 235: Write It or Regret It! CL UE Tips f
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Page 240 and 241: Curiosity vs Judgment! © Sheryl K.
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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
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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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