perfectionism and - Obsessive-Compulsive Foundation

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6/14/13 Examples of Behavioral Rituals Examples of Cogni4ve Rituals • Cleansing, purifying • Reassurance-‐seeking • Confession • Acts of self-‐sacrifice/punishment • Reading or reciEng sacred passages • Praying • Imagining sacred images • Reviewing sacred phrases/passages in one’s head • Promises to God • Figuring out the sin Scrupulosity… • Affects people from a variety of faith tradiEons • Is shaped by the values and customs of the faith community & culture • Is treatable Treatment • Same front line approaches (e.g., medicaEon, CBT) as other forms of OCD • However, special issues & challenges involved… -247- 2
6/14/13 References for Consumers 1. Ciarrocchi (1995). The Doub;ng Disease: Help for scrupulosity and religious obsessions. Mahwah, NJ: Paulist Press. 2. Santa (2007). Understanding scrupulosity: Ques;ons, help, & encouragement. Liguori, MO: Liguori Books. 3. Osborn, I. (2008). Can Chris;anity Cure Obsessive-‐Compulsive Disorder: A Psychiatrist Explores the Role of Faith in Treatment. Ada, MI: Brazos Press. 4. Scrupulosity Fact Sheet, InternaEonal OCD FoundaEon, website: www.ocfoundaEon.org Contact InformaEon C. Alec Pollard, Ph.D. Center for OCD & Anxiety-‐Related Disorders, Saint Louis Behavioral Medicine InsEtute Address: 1129 Macklind Ave, St Louis, MO 63110 Phone: 314-‐534-‐0200, ext. 424 Email: info@slbmi.com Website: www.slbmi.com Jonathan Grayson, Ph.D. Anxiety & OCD Treatment Center of Philadelphia Address: 1845 Walnut St., 15 th Floor, Philadelphia, PA 19103 Phone: 215-‐735-‐7588 Email: jbg1717@gmail.com Website: www.ocdphiladelphia.com SUNDAY -248- 3
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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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6/14/13 Jenny Jenny • Referred
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6/14/13 Appraisals of intrusions
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Page 208 and 209: 6/14/13 Contact Information The OCD
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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
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 252 and 253: Assessment and Treatment of Postpar
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Page 282 and 283: So You Expect Them to Leave Home So
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Page 286 and 287: NEEDED TRANSITION SKILLS: • Time
Page 288 and 289: Memory Functioning CL UE Short-Term
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Page 292 and 293: Washer and Dryer TRANSITION SKILLS:
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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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