perfectionism and - Obsessive-Compulsive Foundation

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TRANSITION SKILLS: • Tell them what happened • How it impacted them • How it impacted others • What to do next time instead Problem Solving Strategies © Sheryl K. Pruitt, M.Ed., 1996 © Daniel G. Pruitt, CPCC, PCC, Sheryl K. Pruitt, M.Ed., ET/P, 2000 Two-Step Process Planning involves anticipating the outcome of your strategy before selecting it. . Plan Your Work and Work Your Plan P.L.A.N. + Problem defined! Lay out options! Act on one! Now evaluate! © Sheryl K. Pruitt, M.Ed., ET/P, 1999 © Tigers, Too, 2009 -293-
TRANSITION SKILLS: Getting Help When Needed IDENTIFY SCAFFOLDING • Reality check • Scaffolding list • Identify pitfalls © Daniel G. Pruitt, CPCC, PCC, Sheryl K. Pruitt, M.Ed., ET/P, 2000 © Sheryl K. Pruitt, M.Ed., Daniel G. Pruitt, 2002 Parents Doctors Friends Living Encyclopedia Pharmacists Teachers/Tutors Therapists “…Coaching for the neurologically impaired focuses… on helping people with TS, OCD, ADHD, EDF and WM… to identify and modify problematic personal behaviors and to develop more effective self-management skills.” SUNDAY © Sheryl K. Pruitt, M.Ed., 1999 Adapted by Daniel Pruitt from Thomas E. Brown, Ph.D. in Attention-Deficit Disorders and Comorbidities in Children, Adolescents, and Adults, 2000 -294-
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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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Slow Processing Speed (Sluggish Cog
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Tips for Handwriting • Reduce cop
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Curiosity vs Judgment! © Sheryl K.
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Prepare the child for the path….
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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 256 and 257: 6/14/13 iCompulsions (OCD) or Cyber
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Page 262 and 263: 6/14/13 Sample Exposures For Health
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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
Page 290 and 291: Taking Medications Exercise! •Und
Page 292 and 293: Washer and Dryer TRANSITION SKILLS:
Page 294 and 295: TRANSITION SKILLS: Ready ! Money Ma
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
Page 310 and 311: APOSTOLIC CHRISTIAN Counseling and
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