perfectionism and - Obsessive-Compulsive Foundation

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Regulatory Disorders Challenging Kids, Challenged Adults: When OCD has Dual-Diagnoses OCF Convention July 21, 2013 Sheryl K. Pruitt, M.Ed., ET/P Tourette Syndrome Obsessive Compulsive Disorder Other Anxiety Disorders Mood Disorders Autistic Spectrum Attention Deficit Hyperactivity Disorder Sensory Defensiveness Sleep Disorders Stuttering © Sheryl K. Pruitt, M.Ed., ET/P 2013 © Sheryl K. Pruitt, M.Ed., 1999 The Basal Ganglia Non-Regulatory Disorders Learning Disabilities Speech Disorders Processing Speed Executive Dysfunction Language Disability Visual-Motor Disability Memory Disorders © Sheryl K. Pruitt, M.Ed., 1999 -223-
Obsessive-Compulsive Disorder (OCD) • Intrusive, repetitive unwanted thoughts (obsessions), and/or • Repetitive or ritualized behaviors (compulsions) • Some compulsions may not be observable (such as counting) Handwriting Issues in OCD • Retracing letters, numbers, and punctuation marks • Frequent erasures and re-working to make it “perfect” • Filling in Scantron circles perfectly interferes with completing task © 2011 Challenging Kids, Inc. © Teaching the Tiger, 1995 . Tips and Strategies for OCD “I can’t go to school because I can’t keep people from touching my stuff!” • Reduce handwriting. • Do not give more than student can finish in allotted time. • Remove triggers for compulsive behavior if possible, e.g., use of a word processor instead of handwriting. © 2011 Challenging Kids, Inc. Non-OCD Anxiety Disorders Anxiety may cause a “fight or flight” response and lead to school avoidance or refusal. Image courtesy of Silicon Valley Brain Spect Imaging, Inc. • Separation Anxiety • Generalized Anxiety • Specific Phobias • Panic • Post-Traumatic Stress • Social Anxiety • Selective Mutism © 2011 Challenging Kids, Inc. -224- SUNDAY
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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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6/14/13 Frame ERP to Mismatch
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6/14/13 Implica:ons for Psychoed
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Page 224 and 225: Challenging Kids Challenged Adults
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Page 238 and 239: Tips for Handwriting • Reduce cop
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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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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