Exposure and Response (Ritual) Prevention for Obsessive-Compulsive Disorder Therapist Guide

by Foa, Edna B.; Yadin, Elna; Lichner, Tracey K.

• ISBN13: 9780195335286
• ISBN10: 0195335287
• eBook ISBN(s): 9780199714995
• Edition: 2nd
• Format: Paperback
• Copyright: 2012-03-02
• Publisher: Oxford University Press

Summary

An estimated 2-3% of the population is affected by obsessive-compulsive disorder (OCD). This is a chronic condition that significantly affects daily functioning and quality of life. Many people with OCD would greatly benefit from receiving professional help to learn how to successfully manage this debilitating condition. This book guides clinicians in treating individuals with OCD through the use of exposure and ritual (response) prevention, one of the most effective and the most studied treatments for OCD. Designed to be used in conjunction with its companion patient workbook titledTreating Your OCD with Exposure and Ritual (Response) Prevention Therapy, this Therapist Guide includes supporting theoretical, historical and research background information, diagnostic descriptions, differential diagnoses, session by session treatment outlines, case examples, sample dialogues, practice assignments, and tailored application to the vast variety of presentations and nuances of the disorder. The manual contains the 'nuts and bolts' of how to provide the treatment and is a comprehensive resource for therapists. It is an invaluable guide for clinicians in overcoming the barriers and difficulties that are part and parcel of every treatment. "Exposure and ritual (response) prevention (EX/RP) is the best treatment we have for obsessive compulsive disorder. TheTherapist GuideandWorkbookby Foa, Yadin, and Licher will do two very important things. The first is to make EX/RP much more available to people suffering from OCD. The second is to help ensure that the treatment that is made more available is a treatment that should really work."--Michael R. Liebowitz M.D., Professor of Clinical Psychiatry, Columbia University and Former Director, Anxiety Disorders Clinic, New York State Psychiatric Institute "In this well-organized and succinct manual, leading experts describe exposure and ritual (response) prevention (EX/RP), a proven first-line treatment for obsessive-compulsive disorder (OCD). They detail how to evaluate clients for EX/RP treatment, provide session-by-session instructions for treatment delivery, and offer invaluable advice on handling problems like patient nonadherence. This outstanding therapist manual, together with its accompanying client workbook, provides state-of-the-art tools for transforming the lives of people with OCD."--H. Blair Simpson, M.D. Ph.D., Professor of Clinical Psychiatry, Columbia University Director of the Anxiety Disorders Clinic and the OCD Research Program at the New York State Psychiatric Institute "A concise, up-to-date, and extremely useful clinical guide to understanding and treating people struggling with OCD. State-of-the-art essentials for how to provide the most effective intervention for this often difficult to treat condition are covered in a clear and practical manner that is certain to facilitate positive outcomes."--Jonathan S. Abramowitz, Ph.D., ABPP, Professor of Psychology, University of North Carolina at Chapel Hill and Editor-in-Chief,Journal of Obsessive-Compulsive and Related Disorders

Author Biography

Edna B. Foa, Ph.D. is a Professor of Clinical Psychology in Psychiatry at the University of Pennsylvania and the Director of the Center for the Treatment and Study of Anxiety. She has published 18 books and over 350 articles and book chapters and has lectured extensively around the world. Her work has been recognized with numerous awards and honors, including the first International OCD Foundation's Outstanding Career Achievement Award in 2011, and a Lifetime Achievement Award from the International Society for Traumatic Stress Studies. Dr. Foa was also named one of TIME's 100 most influential people in the world in 2010. Elna Yadin, Ph.D. is the Director of the OCD clinic at the University of Pennsylvania's Center for the Treatment and Study of Anxiety. She has been invited to speak nationally and internationally and has taught workshops on the use of evidence-based treatments for anxiety disorders. Tracey K. Lichner, Ph.D. is the Director of Supervision at the University of Pennsylvania's Center for the Treatment and Study of Anxiety. Her professional interests include psychotherapy and the dissemination of evidence-based treatments for OCD, PTSD, and prolonged grief disorder.

Table of Contents

Introductory Information for Therapists	p. 1
Assessment	p. 35
Treatment Components of Exposure and Ritual Prevention	p. 49
Session 1: Treatment Planning Part I	p. 67
Session 2: Treatment Planning Part II	p. 79
Session 3: Exposure and Ritual Prevention-Introducing In Vivo Exposure	p. 93
Session 4: Exposure and Ritual Prevention-Introducing Imaginal Exposure	p. 103
Intermediate Sessions: Continuing Exposure and Ritual Prevention	p. 111
Final Session	p. 117
Problems Commonly Encountered during Exposure and Ritual Prevention	p. 121
Appendices Information-Gathering Form	p. 132
Obsessive-Compulsive Disorder: Some Facts	p. 137
Sample Self-Monitoring Form	p. 139
Self-Monitoring Form	p. 140
Appointment Schedule	p. 142
Telephone Tips and Reminders	p. 143
Telephone Contact Notes	p. 144
Treatment Planning Form	p. 145
Understanding Exposure and Ritual Prevention (EXJRP) Therapy for OCD	p. 149
Hierarchy Form	p. 155
Therapist Exposure Recording Form	p. 156
Patient Rules for Ritual Prevention	p. 158
Exposure Homework Recording Form	p. 160
Imaginal Exposure Script Worksheet	p. 162
Imaginal Exposure Homework Recording Form	p. 163
Guidelines for "Normal Behavior"	p. 165
References	p. 167
About the Authors	p. 181
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