perfectionism and - Obsessive-Compulsive Foundation

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6/14/13 Dealing with Arguments • Ra@onal debates over risk and uncertainty – Don’t engage in debates or arguments • This is essen@ally doing a ritual – Summarize the discussion – The partner could be correct, but rather than taking it for granted, put it to the test – Recognize that his or her decision is difficult and that fear plays a large role Defusing Arguments over OCD • “Remember that we agreed on this decision. I hope you’ll hold up your end of the bargain.” • “You’re right. Something bad could happen, and I can’t convince you that it won’t. But if we never took any risks, we’d never have a normal life together. This is about helping you live with normal risks.” • “It looks like you’re having a lot of trouble right now. I understand that it’s very hard for you.” • Share thoughts and feelings (as described earlier) Helpful vs. Hurjul Partner Behaviors • Characteris@cs of a helpful partner – Considerate, sensi@ve, op@mis@c – Warm and thoughjul, nonjudgmental – Willing to challenge or confront OCD in a construc=ve way • Characteris@cs of an unhelpful partner – Pessimis@c, sarcas@c – Highly cri@cal, antagonis@c – Smothering, overbearing, overly involved What if my Partner Doesn’t want to Change • Share thoughts and feelings together • Seek assistance from an OCD expert individually • Consider couples therapy – For OCD – General rela@onship distress -63- 8
6/14/13 Role of the Partner in Couples Therapy for OCD • Learn about the vicious cycle of OCD and how treatment works • Be present at the treatment sessions, but gradually withdraw from involvement in treatment • Posi@ve reinforcement of healthy (non-‐OCD) behavior • Gentle but firm reminders not to avoid or use safety behaviors • Emo@onal support during exposure and response preven@on FRIDAY -64- 9
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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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Page 38 and 39: 6/14/13! People with OCD experience
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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
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Page 60 and 61: 6/14/13 Example #2: “Dave”
Page 62 and 63: 6/14/13 Talking about Accommoda@o
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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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Page 76 and 77: THE SPENCER LAW FIRM 2727 Camino de
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Page 92 and 93: My Child-Brother-Sister Has OCD But
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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
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Page 106 and 107: 6/14/13 Defining the Problem- Raci
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Page 110 and 111: Manipulating Language to Improve Pa
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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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