By Eric A. Storch, Adam B. Lewin

This guide examines evidence-based remedy of obsessive-compulsive and comparable issues for a vast medical viewers. targeting either youngsters and adults with those stipulations, it discusses quite a few manifestations of OCD (e.g., infection, perfectionism), similar stipulations (e.g., hoarding, trichotillomania, and Tourette syndrome), and situations with complicating elements. Chapters describe case specifics, provide review guidance, and illustrate evidence-based psychotherapy. Case examples depict real-life complexities of presentation, significantly by way of comorbid stipulations and hard-to-treat subpopulations.

Topical parts addressed within the Handbook include:

  • Phenomenology, overview, and remedy of a number of sorts of OCD in adults and children.
  • Treating “not fantastic reviews” in teenagers with OCD.
  • Treating obsessive compulsive disease in very younger children.
  • Treatment of OCD comorbid with different problems like melancholy and Autism Spectrum Disorder.
  • Treatment of OCD while offering with complicating elements like constrained perception, severe relations lodging, and negative motivation.

The Clinical instruction manual of Obsessive-Compulsive and similar problems is a vital source for clinicians and execs in addition to researchers, and graduate scholars in medical psychology, psychiatry, social paintings, counseling courses, pediatrics, public overall healthiness, and similar disciplines.

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Extra info for Clinical Handbook of Obsessive-Compulsive and Related Disorders: A Case-Based Approach to Treating Pediatric and Adult Populations

Example text

Since Kyle was initially reluctant about discussing sexual symptoms, initial hierarchies focused on the overestimation of harm and contamination. The concept of subjective units of distress (SUDS) was introduced to gauge Kyle’s assessment of the difficulty of an exposure task or how much anxiety he thought he would experience during an exposure. Kyle was asked to rate the difficulty of each proposed harm or contamination-related exposure on a 100-point SUDS scale. Some example of harm-related exposures, from least anxiety provoking to most included: (1) holding a battery for 5 min without immediately washing hands (SUDS = 20), (2) not checking light switches after leaving house (SUDS = 50), and (3) holding a needle close to skin (SUDS = 90).

2009), lack of training (Hipol and Deacon 2013), and their own anxiety or disgust sensitivity (Deacon et al. 2013; Olatunji et al. 2009). Unfortunately, all of these factors amplify interference in the treatment of sexual obsessions or compulsions as therapists must be willing to discuss sexually explicit content and conduct exposures that are challenging to design and implement due to their sexual nature. Taken together, it is not surprising that sexual (as well as religious) obsessions and compulsions have worse response to behavioral treatment than other domains such as harm, contamination, and symmetry (Mataix-Cols et al.

Olatunji et al. 2013). The implementation of this treatment can be difficult when treating sexual obsessions and compulsions, as therapists’ own anxiety or negative beliefs about CBT (Deacon et al. 2013; Farrell et al. 2013) could cause them to avoid certain sexual content, conduct exposures inappropriately, or even avoid exposures altogether. In fact, despite being the first-line treatment for OCD (see Jordan et al. , Hipol and Deacon 2013). Community clinicians likely avoid CBT for OCD because of unjustified ethical concerns (Olatunji et al.

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