The Clinician s Guide to Cognitive Behavioral Therapy for Childhood Obsessive Compulsive Disorder 1st Edition by Eric A. Storch, Joseph F. McGuire, Dean McKay – Ebook PDF Instant Download/Delivery: 978-0128114278, 0128114274
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Product details:
ISBN 10: 0128114274
ISBN 13: 978-0128114278
Author: Eric A. Storch, Joseph F. McGuire, Dean McKay
The Clinician’s Guide to Cognitive-Behavioral Therapy for Childhood Obsessive-Compulsive Disorder brings together a wealth of experts on pediatric and adolescent OCD, providing novel cognitive behavioral strategies and considerations that therapists can immediately put into practice. The book provides case studies and example metaphors on how to explain exposure models to children in a developmentally appropriate manner. The book also instructs clinicians on how to use symptom information and rating scales to develop an appropriate exposure hierarchy. The book is arranged into two major sections: assessment and treatment of childhood OCD and special considerations in treating childhood OCD.
Each chapter is structured to include relevant background and empirical support for the topic at hand, practical discussion of the nature and implementation of the core component (such as exposure and response prevention, cognitive therapy, psychoeducation and more), and a case illustration that highlights the use of a particular technique.
- Provides the strong theoretical foundation required to successfully implement treatment
- Highlights the use of particular intervention techniques through case studies
- Provides CBT strategies for anxiety, tic disorders, trichotillomania, ADHD and disruptive behaviors
- Includes strategies for treatment of patients who are initially non-responsive to CBT
- Encourages individualization of evidence-based and clinically-informed principles for each patient
- Reviews what to do if/when OCD remits and/or returns
- Provides details on differentiation OCD symptoms from anxiety and other psychopathology
Table of contents:
1. Introduction
Eric A. Storch, Joseph F. McGuire, and Dean McKay
References
2. Diagnosing Childhood OCD
Ella L. Oar, Carly Johnco, and Cynthia M. Turner
Developmental Considerations
Common OCD Symptom Presentations
Contamination (Contamination Obsessions and Cleaning Compulsions)
Symmetry (Symmetry Obsessions and Repeating, Ordering and Counting Compulsions)
Forbidden or Taboo Thoughts (Aggressive, Sexual, or Religious Obsessions and Related Compulsions)
Hoarding
Other Miscellaneous Symptoms
Differential Diagnosis and Comorbidity
Generalized Anxiety Disorder
Illness/Health-Related Anxiety and Emetophobia
Body Dysmorphic Disorder
Eating Disorders
Tic Disorders
Autism Spectrum Disorder
Other Issues in Diagnosis
Risk Assessment
Pediatric Acute-Onset Neuropsychiatric Syndrome
Conclusions
References
3. Psychoeducation for Children, Parents, and Family Members About Obsessive-Compulsive Disorder and Cognitive Behavior Therapy
Gudmundur Skarphedinsson and Bernhard Weidle
OCD Information
Basic Principles
Developmental Concerns
Normalize OCD
Anxiety Response
False Alarm
Externalizing OCD
Causes of OCD
Biological Model
Cognitive Behavioral Model
Genetic Model
Integrated Model: Neurobiological Behavior Model
CBT Rationale and Definitions
Treatment Rationale
Exposure and Response Prevention
Disgust
Metacognitive Perspective
CBT and Medications
Challenging/Complex Issues
Family Function/Family Accommodation
Poor Motivation
Poor Insight
Limited Cognitive Capacity
Comorbidity
Conclusions
References
4. Assessment of Children With OCD
Michelle Rozenman and R. Lindsey Bergman
Initial Considerations and Components of Assessment
Determining OCD Diagnosis, Cooccurring Psychopathology, and Differential Diagnosis
Initial OCD Symptom Prompts
OCD Diagnosis
Hoarding Disorder
Differential Diagnosis and Cooccurring Psychopathology
Diagnostic and Symptom Severity Assessment Tools
OCD Severity
Organization of the Clinical Interview-Diagnostic and OCD Severity Assessments
Challenges and Complex Issues in Assessment
Youth Age and Cognitive Development
Reconciling Youth and Parent Reports
Parental OCD or Other Mental Health Problems
Familial and Cultural Considerations
Youth and Parent OCD Symptom Questionnaires
OCD Symptoms and Severity
Associated Characteristics of OCD: Youth and Parent Reports Impairment
Insight and Cognition
Family Functioning and Accommodation
Concluding Remarks
References
Further Reading
5. Developing Exposure Hierarchies
Dean McKay
Developing Exposure Hierarchies
Getting Oriented: Assessing Symptoms Domains for Hierarchy Development
A Phenomenological Perspective on Hierarchies
The Nuts and Bolts
Developing the Hierarchy
Hierarchy Development for Complex Symptoms
All or Nothing Reports of Fear
Not Just Right Experiences/Incompleteness
Long Delay in Consequences
Distress Is Not Always Fear
Symptoms That Provoke Discomfort in Clinicians
Conclusions
References
6. Developing and Implementing Exposure Treatment in Youth Obsessive-Compulsive Symptoms
Dean McKay
After the Hierarchy: Getting Started on ERP
Illustrative Example 1: Over or Underestimation of Distress
Illustrative Example 2: Embedded Hierarchy Items
Illustrative Example 3: Unfounded Bravery
Does Exposure Need to be Scary?
Expectancy Violations
Reinforced Extinction
Affect Labeling
Exposure in Multiple Contexts
Between Session Reinforcement
Anatomy of a Session
Setting the Agenda
Beginning Exposure
Ongoing Exposure During the Session
Running Dialog During ERP
Ending the Session
Concluding Remarks
References
7. Modifying Cognitions in the Treatment of OCD in Young People
Tim I. Williams
Introduction
Changing Cognitions
Controllability of Thoughts
The Persistent Pink Giraffe
Total Control-The Robot Brain
Belief That They Are Going Mad
Thought-Action Fusion
Thoughts Leading to Action
Thoughts Causing Events to Happen
Inflated Responsibility
Perfectionism
Overestimation of Threat
Intolerance of Uncertainty
Inappropriate Criteria
Metacognition
Memory Problems
Biased Attention or Hypervigilance
Diminished Access to Internal States
Outline of Approach
The Nature of Experiments
Differentiating Experiments and Exposure and Response Prevention
Non-OCD Cognitive Issues Establishing and Maintaining Motivation
Alligator and Salt to Weaken Motivation for Going on With OCD
Meaning of Thoughts
Nature of Anxiety
Conclusions
References
Further Reading
8. Involving Family Members of Children With OCD in CBT
Allison Vreeland and Tara S. Peris
Family Factors and Child and Adolescent OCD
Predictors of Treatment Outcome
Involving the Family in Treatment
Psychoeducation and Introducing Treatment
Initial Responding to OCD
Developing a Long-Term Plan for Accommodation
Emotion Regulation
Disengaging From Difficult OCD Episodes
Self-Soothing Skills
Family Problem Solving
Scaffolding Techniques to Guide Disengagement From
Accommodation
Broader Family Dynamics
Identify Family Problems
Practice Steps for Family Problem Solving
Involving Parents in Exposures
Modeling and Managing Emotions
Concluding Treatment
Relapse Prevention
Conclusion
References
9. Medication Management of Childhood OCD
Tord Ivarsson, Gudmundur Skarphedinsson, and
Bernhard Weidle
Introduction and a Short History of Psychopharmacology in Pediatric OCD
SRI Effects/ Pharmacodynamics
Evidence Base for SSRI as First Treatment
Combination Treatment
SSRI Treatment in Practice
Psychoeducation in Drug Treatment
Handling Side Effects
How to Evaluate Drug Efficacy
Termination of SRI Treatment
Follow-up Following Termination
Evidence Base for SSRI in CBT Nonresponse
Switching to Another SSRI or Clomipramine
Atypical Antipsychotics (Neuroleptics)
New and Promising Psychopharmacological Interventions
for Pediatric OCD
D-Cycloserine and CBT
N-Acetylcysteine
Benzodiazepines
Other Possible Medications
Challenging/Complex Issues
Challenges of Drug Treatment: Compliance
Psychopharmacological Treatment of OCD Comorbidities: Indications, Pharmacodynamic and Kinetic Interaction With OCD Drugs
ADHD
Tic Disorders/Tourette’s Syndrome
Autism Spectrum Disorders Disruptive Behavior Disorders
Conclusions
References
10. Relapse Prevention Strategies for Young People With OCD (After CBT)
Georgina Krebs and Angela Lewis
Introduction
Relapse in OCD Introducing the Concept of Relapse Prevention in CBT The Relapse Prevention Plan Anticipating Potential Triggers Identifying the Warning Signs Generating an Action Plan Tackling Residual Symptoms and Overcoming Core Fears Overlearning Motivation to Tackle Residual Symptoms Looking to the Future: Filling the OCD Gap The Continuing Role of the Therapist and Family What Happens If a Relapse Does Occur? Complex Issues in Relapse Prevention Conclusions References
11. Addressing Common Myths and Mistaken Beliefs in the Treatment of Youth With OCD
Shannon M. Blakey, Benjamin E. Thomas, and Nicholas R. Farrell
Belief 1: ERP Poses Unacceptably High Risk of Harm Nature and Validity of This Belief Addressing This Belief in Clinical Practice
Belief 2: ERP Creates Distress That Is Intolerable Nature and Validity of This Belief Addressing This Belief in Clinical Practice
Belief 3: The Use of ERP Precludes an Effective Therapeutic Alliance Nature and Validity of This Belief Addressing This Belief in Clinical Practice
Belief 4: Parents Should do Everything Possible to Ease Their Child’s OCD-Related Anxiety
Nature and Validity of This Belief Addressing This Belief in Clinical Practice
Belief 5: ERP Only Addresses the Symptoms of OCD Without Treating the “Root Cause”
Nature and Validity of This Belief
Addressing This Belief in Clinical Practice
Belief 6: OCD is a Biological Disease That Cannot be Treated
Effectively With Psychotherapy
Nature and Validity of This Belief
Addressing This Belief in Clinical Practice
Summary
References
12. OCD in School Settings
Michael L. Sulkowski, Cary Jordan, Stacy Rice, and
Rachel E. Mathews
How to Overcome Treatment Barriers
Extant Barriers
Overcoming Barriers Through School-Based Service Delivery
How Does School-Based Service Delivery Work?
The Individuals With Disabilities Education Improvement Act
How to Help With the IEP Process
Section 504 of the Rehabilitation Act
Multitiered Mental Health Service Delivery
How Can Clinicians Assist With School-Based Service Delivery?
How to Identify OCD Symptoms in School Settings
How to Collaborate With School Personnel?
Therapist Recommendations
References
Further Reading
13. Addressing Family Accommodation in Childhood Obsessive-Compulsive Disorder
Eli R. Lebowitz
What Is Family Accommodation?
Childhood Obsessive-Compulsive Disorder: A Systemic Perspective
Family Accommodation-A Brief History
What Does Family Accommodation Look Like?
Addressing Family Accommodation in Treatment
Assessment of Family Accommodation
Identifying a Target Accommodation
Maintaining Transparency and Setting the Stage
Formulating a Plan to Reduce Family Accommodation-Practical Considerations
Accommodation Plan
Implementation
Troubleshooting and Coping With Challenging Circumstances
Disruptive and Aggressive Child Behavior
Threats of Self Harm
Coping With Parental Conflict and Fostering Collaboration
Conclusion
References
14. Working With Challenging Young People and Families
Amita Jassi and Georgina Krebs
Difficult OCD Symptoms
Difficulty Disclosing Symptoms
Ethical Challenges in E/RP Tasks
Difficulty in Setting up E/RP Tasks
Symptoms Causing High Levels of Family Distress and Conflict
Lack of “Motivation”
Anxiety About Treatment
Limited Insight Into OCD Symptoms
Hopelessness About Treatment
Motivational Interviewing
Comorbidity
Atypical Developmental Profiles
Challenging Behavior Associated With OCD
Unhelpful Family Dynamics
Parental Mental Health Problems
Social Deprivation
Financial Problems/Practical Barriers to Accessing Therapy
Tackling OCD Symptoms in the Context of Real-Life Risk
Risk and OCD
Complex Issues
Conclusion
Conflicts of Interest
References
15. Working With Young Children With OCD
Jenny Herren and Joseph Berryhill
Assessment of OCD in Young Children
Cognitive Behavioral Therapy for Young Children With OCD
Psychoeducation
Functional Assessment of Symptoms
Building a Hierarchy
Exposure With Response Prevention (E/RP)
Preparing for E/RP
Implementing E/RP
Processing E/RP
Contingency Management of Behavior
Relapse Prevention
Troubleshooting E/RP With Young Children
What If I Am Not Getting Enough Information for The Hierarchy?
What If an Exposure Does Not Go as Planned?
What If A Child Refuses to Engage in E/RP?
How Do I Deal With Parental Distress?
Conclusion
References
16. Strategies to Manage Common Co-occurring Psychiatric Conditions
Yolanda E. Murphy, Elle Brennan, Sarah Francazio, and
Christopher A. Flessner
Attention-Deficit/Hyperactivity Disorder
Oppositional Defiant Disorder
Generalized Anxiety Disorder
Tic Disorders
Summary
References
17. Managing a Child With OCD Who Is Treatment Refractory
Michael H. Bloch
Introduction
Definition of Treatment-Refractory Obsessive-Compulsive Disorder
Evaluation of a Child for “Treatment-Refractory”
Obsessive-Compulsive Disorder
Treatment Options for Treatment-Refractory Pediatric OCD
Cognitive-Behavioral Therapy
Switching SSRI Medications
Raising SSRI Dosage
Clomipramine
Serotonin Norepinephrine Reuptake Inhibitors
Antipsychotic. Augmentation
Glutamate Modulating Agents
Ketamine
Memantine
N-Acetylcysteine
Riluzole
5-HT3 Receptor Antagonists
Mirtazapine
Neurosurgical Treatments for OCD
Intensive OCD Treatment Programs
Conclusion
References
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Tags: Eric Storch, Joseph McGuire, Dean McKay, The Clinician, Cognitive Behavioral, Therapy for Childhood


