This practical manual presents a cognitive-behavioral treatment program that has been proven effective in eliminating or alleviating OCD symptoms in children across a broad range of ages and aptitudes. Building upon and expanding their internationally acclaimed How I ran OCD Off My Land, the authors provide an empirically grounded guide to assessment, treatment planning, and skills-based intervention. Clinicians are taken through the four stages of treatment--psychoeducation, cognitive training, mapping OCD, and graded exposure and response prevention--in 13 to 20 clearly structured treatment sessions. The book is enriched by sample dialogues, 'clinical pearls' drawn from the authors' own experience, and appendices featuring reproducible rating scales, patient handouts, and tips and resources for parents. PHOTOCOPY RIGHTS: The publisher grants to individual purchasers nonassignable permission to reproduce handouts and forms in this book for clinical use with their clients. For details and limitations, see copyright page. - from the publisher Contents Foreword, Foa I. Introduction1. Review of Pediatric OCD2. Assessing OCD3. Overview of Treatment II. Session-by-Session Treatment Program4. Session 1: Establishing a Neurobehavioral Framework5. Session 2: Introducing the 'Tool Kit'6. Session 3: Mapping OCD7. Session 4: Completing the Tool Kit8. Session 5: Putting E/RP into Action9. Session 6: E/RP Continues10. Session 7: Family Session11. Sessions 8--11: Moving Up the Stimulus Hierarchy12. Session 12: Family Session II13. Sessions 13--18: Completing E/RP14. Session 19: Relapse Prevention15. Session 20: Graduation16. Session 21: Booster Session III. Troubleshooting17. Pitfalls18. Special Wrinkles: Supplemental Treatment Interventions19. Working with Families20. Working with Schools (with Gail Adams) Appendix I: Handouts and Figures* Your CBT Program * Map Figure * Fear Thermometer * Symptom List (Stimulus Hierarchy) * Homework Sheet Appendix II: Assessment Instruments* Leyton Obsessional Inventory * Yale--Brown Obsessive-Compulsive Scale * NIMH Global Obsessive-Compulsive Scale * Clinical Global Impairment Scale * Clinical Global Improvement Scale Appendix III: Resources, Tips, and Guidelines for Parents Find more about John March at Duke University Medical Center PCAAD |