perfectionism and - Obsessive-Compulsive Foundation

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6/14/13 The Effect of Attention (Taylor & Asmundson, 2004) Behavioral Experiments: • Purposely focus on sensations in throat – notice presence of itchiness, scratchiness, or dryness may lead to coughing or throat clearing • Purposely focus upon one’s scalp – notice sensations of itchiness, tension or tingling • Purposely focus upon one’s eyes blinking – notice fluttering sensations in eyes Attention Modification for HC • Reduces level of body-focused scrutiny • Shifting focus of attention from internal to external can reduce detection of bodily sensations • Attention Training Technique (Papageorgiou & Wells, 1998; Wells, 1997) can improve attention flexibility Attention Training Instructions with script  http://tinyurl.com/agmlgka   ATT Monitoring Form  http://tinyurl.com/aqovxrt   -261- 1 1
6/14/13 Mindfulness & Acceptance Approach to Health Anxiety • Mindfulness - the practice of consciously bringing awareness to your here-and-now experience • Teaches the principle of allowing your thoughts and feelings to be what they are, letting them come and go without “buying in” to them or struggling with them Case Examples • Acceptance & Commitment Therapy (ACT) – encourages greater response flexibility to the experience of pain, uncertainty Health-Related OCD Case Example Patient: 36 year-old male HS teacher, married, no children Presenting Problem: Severe obsessive doubt and fears about having either MS or ALS as a result of hand tremors that occurred after grading many tests, along with some unrelated cramping in calves, tightness and muscle twitches in legs, and muscle cramping in hands. Also believed his left hand was significantly smaller than his right, and reported feelings of muscle pulsations in his hands when gripping objects. These were all found to be medically insignificant following several neurological workups. Health-Related OCD Case Example (cont.) Symptoms: • Frequent medical visits and phone calls to physicians • Questioning of family members to obtain reassurance • Constant visual comparing of hands to each other • Measuring of hands and calves to see if they have shrunk • Studying his body in mirror for signs of muscle loss • Repetitive scanning for and checking of pulsations and cramping sensations in legs and hands • Searching online for information about MS and ALS • Testing own muscle strength (gripping own hands, walking on tiptoe, etc) • Checking his own reflexes SUNDAY -262- 1 2
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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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6/14/13 Bill • His intrusive
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6/14/13 Response Prevenaon • D
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6/14/13 Study Comparing Individual
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6/14/13 Exclusionary Criteria Struc
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6/14/13 Contact Information The OCD
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6/14/13 Acceptance vs. Change Chan
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6/14/13 Positive Reacting Styles P
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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
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Page 252 and 253: Assessment and Treatment of Postpar
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Page 256 and 257: 6/14/13 iCompulsions (OCD) or Cyber
Page 258 and 259: 6/14/13 Similarities Between HC and
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Page 282 and 283: So You Expect Them to Leave Home So
Page 284 and 285: Daniel G. Pruitt, Jr., PCC, SCAC In
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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Page 296 and 297: TRANSITION SKILLS: • Tell them wh
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Page 308 and 309: WHEN REASSURANCE IS HARMFUL By Paul
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