perfectionism and - Obsessive-Compulsive Foundation

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NEEDED TRANSITION SKILLS: • Time Management • Social Skills • Problem Solving Strategies • Gets Help When Needed • Respectful, Positive Attitude • Effort When Task Is Boring • Takes Responsibility TRANSITION SKILLS: Awareness of Disorder © Daniel G. Pruitt, CPCC, PCC, Sheryl K. Pruitt, M.Ed., ET/P 2000 © Daniel G. Pruitt, CPCC, PCC, Sheryl K. Pruitt, M.Ed., ET/P 2000 Regulatory Disorders Tourette Syndrome Obsessive Compulsive Disorder Other Anxiety Disorders Mood Disorders Autistic Spectrum Attention Deficit Hyperactivity Disorder Sensory Defensiveness Sleep Disorders Stuttering The Basal Ganglia © Sheryl K. Pruitt, M.Ed., 1999 -283-
Non-Regulatory Disorders Learning Disabilities Processing Speed Speech Disorders Language Disability When you say “I have ADHD” what do you mean: ADHD/Inattentive ADHD/Hyperactive ADHD/Combined Symptoms to Qualify 6 of 9 6 of 9 12 of 18 Total Combinations 130 130 31,162 Executive Dysfunction Memory Disorders Visual-Motor Disability © Sheryl K. Pruitt, M.Ed., 1999 Possible coexisting disorders: TA, OCD, ODD, LD, EDF, AxD [18!/(12!*6!)]*[9!/(6!*3!)] * [7!] Grand Total = A really Big Number Again I ask you, what do you mean Learn to be specific! EXECUTIVE FUNCTION Hallmarks of Executive Dysfunction Difficulties with: Executive functions are control processes. They involve inhibition and delay of responding. They can be divided into the realms of initiating, sustaining, inhibiting or stopping and shifting. Another important aspect of executive function is planning and organization, which requires “attention to the future.” - Martha Bridge Denckla • Goal Setting • Initiating • Prioritizing • Pacing • Planning • Sequencing • Organizing • Shifting Flexibly • Using Feedback • Inhibiting • Self-monitoring • Executing SUNDAY © 1999 L.W. Walter, S.K. Pruitt & L.E. Packer -284-
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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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6/14/13 What is P-N-P What is P-N-
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People and Places - Emotional Conta
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6/14/13 CASE EXAMPLE • 67 year
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6/14/13 THE ROLE OF BETRAYAL
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6/14/13 THE ROLE OF ACCEPTANCE
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Challenging Kids Challenged Adults
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Regulatory Disorders Challenging Ki
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Tips for Non-OCD Anxiety Disorders
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Sleep Problems Tips for Sleep Probl
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EXECUTIVE FUNCTION “He is such a
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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
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Page 248 and 249: Using Scaffolding Steps in Unplanne
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Page 282 and 283: So You Expect Them to Leave Home So
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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 298 and 299: TRANSITION SKILLS: This Isn’t It!
Page 300 and 301: Tigers, Too Tigers, Too: Supplement
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Page 308 and 309: WHEN REASSURANCE IS HARMFUL By Paul
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