perfectionism and - Obsessive-Compulsive Foundation

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6/14/13 THE ROLE OF ACCEPTANCE AND COMMITMENT THERAPY • Increase willingness to experience negave thoughts • Develop a dialogue with unpleasant thoughts that undermines the control that they have over behavior. • Rather, allowing life’s valued areas to determine behavioral direcon THE THIRD WAVE • Goals of these treatments focus on – living a meaningful existence – living according to one’s values – focusing on the present moment – tolerance of emoons. CORE PROCESSES OF ACT • ACT teaches the individual that thoughts and emoons are not necessarily causes of behavioral outcomes • Unpleasant internal experiences are not harmful as they are • Alternaves in lenng go of the struggle with unpleasant internal experiences. • Learn more flexible ways of responding to these events. COGNITIVE DEFUSION • In ACT, the therapist a^empts to help the individual change they way they view, react to, and interact with thoughts and feelings. • Most of the me, an individual with OCD has repeatedly responded to intrusive thoughts in maladapve ways, ACT teaches that one can respond differently without changing the form or content of the intrusive thought. -219- 7
6/14/13 MINDFULNESS • Hayes et al (2006) describe this as, “on-‐going non-‐judgmental contact with psychological and environmental events as they occur.” • Mindfulness exercises are used to introduce this skill and aide the person in praccing acceptance of thoughts and feelings. • Values VALUES CLARIFICATION – “chosen qualies of purposeful acon that can never be obtained as an object but can be instanated moment by moment” (Hayes et al, 2006) – values will serve as guides by which to live by and will lead the individual to core process number six; commi4ed ac5on. COMMITTED ACTION ACT AND OCD • ACT asks the individual to create more flexible and more abundant pa^erns of behavior in the service of chosen values. • The goal is to live according to one’s values rather than live in the service of reducing anxiety leading to a more meaningful existence. • Many symptoms and defining features of OCD appear to lend themselves to the use of ACT, specifically those aspects associated with emoonal contaminaon. • Thought-‐acon fusion • Low distress tolerance • Perfeconism SUNDAY -220- 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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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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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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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 240 and 241: Curiosity vs Judgment! © Sheryl K.
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Page 244 and 245: How Can the Whole Family Fight OCD
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Page 248 and 249: Using Scaffolding Steps in Unplanne
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Page 256 and 257: 6/14/13 iCompulsions (OCD) or Cyber
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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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