perfectionism and - Obsessive-Compulsive Foundation

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6/14/13! Common obsessions, continued$ • Disorder, asymmetry, perfectionism, “just right”# • Fear of losing or not having something: Throwing away something valuable by mistake# • Scrupulosity: Religious (blasphemy) and secular (that they have done or might do something wrong, like stealing or telling a falsehood)# • Superstitions: Unlucky numbers, colors, etc.# • Pathological doubting: That the alarm clock is set correctly, that they have OCD# Compulsions$ • Compulsions are voluntary behaviors performed to reduce or control the anxiety brought on by obsessions.# • Mental compulsions and avoidance (“preëmptive compulsions”) are common. # • The relief brought on by performing compulsions, including mental compulsions, is transient at best.! • Avoidance is terrific at reducing anxiety but is a terrible long-term strategy.# Common compulsions $ • Washing, cleaning; avoiding dirt, germs, etc.# • Checking: Locks, stoves, irons, babies, health (e.g., AIDS test), under the car, ad infinitum! • Other protective actions: Putting knives away! • Seeking reassurance, “researching”: Asking people (doesn’t have to be in the form of a question), getting on internet to research symptoms, dangers ! (continued)# Common compulsions, continued $ • Ordering, arranging, correcting# • Hoarding, compulsive acquiring: Things, trash, animals! • Counting, making decisions by counting# • Confessing, te'ing# • Mental reassurance/researching: Mentally reviewing events (“Did I hurt her feelings”)# -29- 2!
6/14/13! Who gets OCD $ • 2 - 3 % of population, all cultures.! • Genetic component: Odds roughly double if one parent has OCD.! • Equal male/female ratio.! • Usually begins in childhood or adolescence, but can appear in infants and older adults.# What causes OCD! • Genetic factors! • Rarely, traumatic events, accidents! • Sometimes, PANS (Pediatric Acute-onset Neuropsychiatric Syndrome), née PANDAS (Pediatric Auto-immune Neuropsychiatric Disorders Associated with Streptococcus)! • Hormonal influences! • NOT parental behavior (e.g., strict toilet training) or intrapsychic conflicts! FRIDAY OCD is a neurological $ glitch, like:! • Stuttering! • Déjà vu! • Phantom limb pain! In OCD, there is an overactive brain circuit that involves $ three parts of the brain:! • Frontal cortex: “executive”! • Striatum: “executive secretary”! • Thalamus: “mail room”! -30- 3!
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Page 4 and 5: IMAGINE THAT!: A SCRIPTING WORK- SH
Page 6 and 7: Themes and Variations - Theoretical
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Page 42 and 43: ERP Exposed OCD Cycle Obsessions Re
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Page 68 and 69: Ask an Attorney - What Are My Right
Page 70 and 71: What is a major life activity Basic
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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
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Task Description & Reminder of spec
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Using Scaffolding Steps in Unplanne
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6/14/13 Examples of Behavioral
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Assessment and Treatment of Postpar
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Cognitive-Behavioral Strategies in
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6/14/13 iCompulsions (OCD) or Cyber
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6/14/13 Similarities Between HC and
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6/14/13 C = Increased Fear and Doub
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6/14/13 Sample Exposures For Health
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6/14/13 The Effect of Attention (Ta
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6/14/13 Health-Related OCD Case Exa
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6/14/13 Treatment • Stop all comp
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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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