perfectionism and - Obsessive-Compulsive Foundation

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6/14/13 Example #2: “Dave” • 34 yr old married man • Lives with wife, no children • Obsessions: contamina@on from dead animals (rabies) • Compulsions: washing, cleaning, reassurance-‐seeking • Avoidance behavior • Partner accommoda@on – Answering ques@ons and helping with washing/cleaning • Partner not able to resist Dave’s reassurance-‐seeking requests • Couple distress • Unsuccessful treatment outcome OCD on an Individual Level • Situa@ons, thoughts, body sensa@ons that trigger obsessions and fear • Compulsive rituals and avoidance – Behaviors/mental acts to lower anxiety – Func@on as immediate escape and avoidance – Prevents natural ex@nc@on of irra@onal fear in the longer-‐term OCD on an Interpersonal Level • Person organizes the environment to – Minimize obsessions and anxiety – Maximize perceived safety • Significant others oJen become part of avoidance and compulsive rituals – Minimizes conflict and anxiety – Provides support Accommoda@on to OCD: “Symptom-‐System Fit” Symptom Avoidance Ritual / Safety Behavior Contamina@on Sources of contamina@on Reassurance, cleaning/washing (e.g., showering before sex) Responsibility Assume liability Checking, reassurance Symmetry Order-‐related tasks Arranging Unacceptable Thoughts Obsessional triggers (e.g., photos of grandchildren) Reassurance -57- 2
6/14/13 OCD as a “Third Wheel” in the Rela@onship • Avoidance and safety behaviors begin to dictate the couple’s life together • Partner expresses love, care, and concern through accommoda@on • Frequent conflicts couple distress worsening of OCD symptoms What leads to Accommoda@on • Loved ones can be very persuasive when they are scared • Accommoda@on develops as a way of showing care and concern for a suffering partner • Life has to keep moving-‐-‐ accommoda@on helps things stay on track • Accommoda@on helps avoid/reduce conflict FRIDAY What can Couples do about Accommoda@on 1. Iden@fy accommoda@on and its effects 2. Consider the pros and cons of accommoda@ng 3. Learn how to communicate effec@vely about OCD 4. Make decisions about stopping accommoda@on 5. Reward each other for following the plan Iden@fy Accommoda@on and its Effects • Recognize accommoda@on behaviors • How is OCD accommodated in the family • How much @me is spent • How much does it get in the way of family life – What can we not do because of OCD – What’s the family atmosphere with OCD in it – What extra responsibili@es do people have to take on because of OCD -58- 3
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IMAGINE THAT!: A SCRIPTING WORK- SH
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Themes and Variations - Theoretical
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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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