perfectionism and - Obsessive-Compulsive Foundation

More documents

Recommendations

Info

Get rapport (and get it again) Get placebo Collaborative curiosity Persuade them to adopt paradoxical frame of reference Collaborative paradoxical strategies Frame-up the action Behavioral experiments 33 Pull them away, step-by-step, from their frame of reference (FofR) • dismantle their logical system • box it all up into one entity ― “It’s irrelevant” ― “It’s white noise” ― “That’s the disorder talking” Get them to disconnect, to detach, to put distance between them & old FofR 34 It’s NOT that. It’s THIS! “Keep coming this way; keep coming this way” Continually check that they are still with you ― “What do you think” ― “Does that make sense to you” Build a compelling new logical system ― Don’t just explain it; install it! ― Install it NOW, at the beginning of treatment ― Install it deeply enough that it holds over time But do all this with finesse 35 -55-
Partner Accommodation of OCD Symptoms 6/14/13 Partner Accommoda@on of OCD Symptoms Why it’s a problem and what you can do about it Outline • What is accommoda@on • Accommoda@on & OCD • What to do about accommoda@on FRIDAY Jonathan S. Abramowitz Ryan J. Jacoby University of North Carolina at Chapel Hill What is Accommoda@on • Par@cipa@ng in rituals • Assis@ng with avoidance • Providing reassurance • Doing tasks for the person with OCD • Cleaning up aJer rituals (e.g., spilled water) Example #1: “Ashley” • 28 yr old woman • Married, with no children • Obsessions about needing to know and remember things (e.g., what spent money on) • Compulsive checking (e.g., web history) and asking for reassurance • Avoidance (e.g., using cash) • Rela@onship distress (e.g., partner would lose pa@ence) • Partner accommoda@on – Helping with checking, avoidance, and providing reassurance • Partner on board with treatment and stopped accommoda@on • Successful outcome -56- 1
Page 1:
-1-
Page 4 and 5:
IMAGINE THAT!: A SCRIPTING WORK- SH
Page 6 and 7:
Themes and Variations - Theoretical
Page 8 and 9: -5- 3
Page 10 and 11: -7- 5
Page 12 and 13: Themes and Variations - Theoretical
Page 14 and 15: 6/14/13 -11- 3
Page 16 and 17: 6/14/13 5 -13-
Page 18 and 19: 6/14/13 -15- 7
Page 20 and 21: 6/14/13 • Subjects (N = 20) with
Page 22 and 23: The Social Experiment 6/14/13 The
Page 24 and 25: 6/14/13 How Do We Treat Social
Page 26 and 27: 6/14/13 Exposure therapy is: A
Page 28 and 29: 6/14/13 Detailed Inves5ga5on of
Page 30 and 31: 6/14/13 Why Imaginal Exposure
Page 32 and 33: 6/14/13! Common obsessions, continu
Page 34 and 35: 6/14/13! 1# This circuit is called
Page 36 and 37: 6/14/13! -33- 6!
Page 38 and 39: 6/14/13! People with OCD experience
Page 40 and 41: 6/14/13! 1a. Behavior Therapy! •
Page 42 and 43: ERP Exposed OCD Cycle Obsessions Re
Page 44 and 45: OCD Definition: OCD Cycle COMPULSIO
Page 46 and 47: Somatic Obsessions Miscellaneous Ob
Page 48 and 49: Exposure and Response Prevention -
Page 50 and 51: Strategic Model of Cognitive Treatm
Page 52 and 53: Segment 3 Every step of the way, ch
Page 54 and 55: You also have to tolerate anxiety
Page 56 and 57: Segment 9 Segment 10 Habituation re
Page 60 and 61: 6/14/13 Example #2: “Dave”
Page 62 and 63: 6/14/13 Talking about Accommoda@o
Page 64 and 65: 6/14/13 Making Decisions about A
Page 66 and 67: 6/14/13 Dealing with Arguments
Page 68 and 69: Ask an Attorney - What Are My Right
Page 70 and 71: What is a major life activity Basic
Page 72 and 73: What is Reasonable Accommodation Mo
Page 74 and 75: Family and M edical L A eave ct IOC
Page 76 and 77: THE SPENCER LAW FIRM 2727 Camino de
Page 78 and 79: Importantly, the ADA requires cover
Page 80 and 81: Some possible reasonable accommodat
Page 82 and 83: THE SPENCER LAW FIRM 2727 Camino de
Page 84 and 85: insurance, sick leave, education be
Page 86 and 87: Protection and Advocacy The Protect
Page 88 and 89: Can’t - vs. -Won’t • If you s
Page 90 and 91: Rewards Fear Stimulus CBT Model of
Page 92 and 93: My Child-Brother-Sister Has OCD But
Page 94 and 95: I’m Afraid I’m Really Gonna Do
Page 96 and 97: Roger is a 52 year old widowed dent
Page 98 and 99: Fear of loss of impulse control: B:
Page 100 and 101: Fear of loss of impulse control ERP
Page 102 and 103: Sandra Practices walking with delay
Page 104 and 105: -101- 11
Page 106 and 107: 6/14/13 Defining the Problem- Raci
Page 108 and 109:
6/14/13 Time for ERP Separation A
Page 110 and 111:
Manipulating Language to Improve Pa
Page 112 and 113:
6/24/13 SHIFT LANGUAGE TO PROMOTE H
Page 114 and 115:
6/24/13 LABEL ANXIETY AND OCD Agai
Page 116 and 117:
The BDD Challenge 6/14/13 The BDD C
Page 118 and 119:
6/14/13 WHICH BODY PARTS ASSOCIATED
Page 120 and 121:
6/14/13 WHAT DOESN’T APPEAR TO WO
Page 122 and 123:
6/14/13 COGNITIVE THERAPY CONT. IDE
Page 124 and 125:
6/14/13 ERP HIERARCHY #1 BDD ISSUE:
Page 126 and 127:
6/14/13 IN CLOSING EDUCATION TREA
Page 128 and 129:
6/14/13 FAMILY ACCOMMODATION & MAIN
Page 130 and 131:
6/14/13 HMO HMO = Health Maintenan
Page 132 and 133:
6/14/13 RECOGNIZE THE SIGNS OF OCD
Page 134 and 135:
6/14/13 COLLABORATING WITH SCHOOLS
Page 136 and 137:
Conceptualizing and Treating Hoardi
Page 138 and 139:
6/24/13 DSM-‐5 criteria for
Page 140 and 141:
6/24/13 Family Burden • Growin
Page 142 and 143:
6/24/13 Biological vulnerability
Page 144 and 145:
6/24/13 • Depression • Self-
Page 146 and 147:
6/24/13 Mo8va8on and Ambivalence
Page 148 and 149:
6/24/13 Skills Training: Objec8ve
Page 150 and 151:
6/24/13 Behavioral Experiment: C
Page 152 and 153:
6/24/13 Treatment Responders (%)
Page 154 and 155:
Perfecting Perfectionism Perfecting
Page 156 and 157:
Types of Perfectionism Being th
Page 158 and 159:
Healthy Perfectionism In general
Page 160 and 161:
The cost of perfectionism • T
Page 162 and 163:
Let’s Focus on Two Problemati
Page 164 and 165:
• Are we there yet • The r
Page 166 and 167:
Addressing Relapse in CBT for OCD 6
Page 168 and 169:
6/14/13 Lisa’s Exposure Hierar
Page 170 and 171:
6/14/13 Is Performance During E
Page 172 and 173:
6/14/13 Frame ERP to Mismatch
Page 174 and 175:
6/14/13 Implica:ons for Psychoed
Page 176 and 177:
6/14/13 -173- 2
Page 178 and 179:
6/14/13 -175- 4
Page 180 and 181:
6/14/13 -177- 6
Page 182 and 183:
6/14/13 -179- 8
Page 184 and 185:
6/14/13 -181- 1 0
Page 186 and 187:
6/14/13 -183- 1 2
Page 188 and 189:
6/14/13 -185- 1 4
Page 190 and 191:
6/14/13 -187- 1 6
Page 192 and 193:
6/14/13 -189- 1 8
Page 194 and 195:
6/14/13 -191- 2 0
Page 196 and 197:
6/14/13 Jenny Jenny • Referred
Page 198 and 199:
6/14/13 Appraisals of intrusions
Page 200 and 201:
6/14/13 Bill • His intrusive
Page 202 and 203:
6/14/13 Response Prevenaon • D
Page 204 and 205:
6/14/13 Study Comparing Individual
Page 206 and 207:
6/14/13 Exclusionary Criteria Struc
Page 208 and 209:
6/14/13 Contact Information The OCD
Page 210 and 211:
6/14/13 Acceptance vs. Change Chan
Page 212 and 213:
6/14/13 Positive Reacting Styles P
Page 214 and 215:
6/14/13 What is P-N-P What is P-N-
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
Page 226 and 227:
Regulatory Disorders Challenging Ki
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 250 and 251:
6/14/13 Examples of Behavioral
Page 252 and 253:
Assessment and Treatment of Postpar
Page 254 and 255:
Cognitive-Behavioral Strategies in
Page 256 and 257:
6/14/13 iCompulsions (OCD) or Cyber
Page 258 and 259:
6/14/13 Similarities Between HC and
Page 260 and 261:
6/14/13 C = Increased Fear and Doub
Page 262 and 263:
6/14/13 Sample Exposures For Health
Page 264 and 265:
6/14/13 The Effect of Attention (Ta
Page 266 and 267:
6/14/13 Health-Related OCD Case Exa
Page 268 and 269:
6/14/13 Treatment • Stop all comp
Page 270 and 271:
-267-
Page 272 and 273:
-269-
Page 274 and 275:
-271-
Page 276 and 277:
-273-
Page 278 and 279:
-275-
Page 280 and 281:
-277-
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 296 and 297:
TRANSITION SKILLS: • Tell them wh
Page 298 and 299:
TRANSITION SKILLS: This Isn’t It!
Page 300 and 301:
Tigers, Too Tigers, Too: Supplement
Page 302 and 303:
• • • • • • •
Page 304 and 305:
•
Page 306 and 307:
• • • • • •
Page 308 and 309:
WHEN REASSURANCE IS HARMFUL By Paul
Page 310 and 311:
APOSTOLIC CHRISTIAN Counseling and
Page 312 and 313:
-309-
Page 314 and 315:
-311-
Page 316 and 317:
-313-
Page 318:
-315-
show all

perfectionism and - Obsessive-Compulsive Foundation

Create successful ePaper yourself

Delete template?

Save as template?