Solutions A strategy towards solutions and/or amelioration of CBT as it relates to OCD includes implementing multiple evidence-based paradigms to guide treatment of OCD besides the treatment modality CBT. While CBT has proven to be ___ effective in treating childhood OCD, there is a ___chance children will reach remission. Children, who experience anxiety disorders such as OCD, often encompass creativity, resiliency, sensitivity, flexibility, and supportive client systems (cite). The aforementioned positive qualities need to be addressed when implementing treatment. Clinicians need to respond appropriately to ensure clients are treated based on individuality and not cohesive treatments that have been significantly sensationalized. Abolishing …show more content…
DBT can be used in conjunction of SSRI specifically because of suicidal ideations and self-injury attached to children with OCD. As of now childhood suicide is an epidemic of huge proportions, the addition of OCD can have staggering effects for children (Neece, Berk, & Combs-Ronto, 2013). DBT includes the worldview of an individual taking into context the entirety of a client and not their initial presenting problem (s) (MacPherson, 2013). DBT involves the implementation of decreasing emotional irregularities as well as the behaviors connected to these emotions (Neece et al., 2013). DBT employs skills that allow clients to combat stress and situations that cannot be altered, allowing individuals the capability to accept and react to external stimuli with suicidal ideation or self-injury tactics (MacPherson, 2013). Researchers Neece et al (2013) argued that individuals that possess suicidal ideations and self-injury lack the skills to cope with less than ideal situations. Introducing positive reality based cognitions can assist the individual with succeeding in decreasing extremities (MacPherson, 2013). DBT has enveloped treatment modalities that entail individual therapy, group skills, telephone-based skills, and weekly sessions with a therapist (Neece et al.,
Reynolds, S. A., Clark, S., Smith, H., Langdon, P. E., Payne, R., Bowers, G., & ... McIlwham, H. (2013). Randomized controlled trial of parent-enhanced CBT compared with individual CBT for obsessive-compulsive disorder in young people. Journal Of Consulting And Clinical Psychology, 81(6), 1021-1026. doi:10.1037/a0034429
DBT is effective when working with clients experiencing anxiety disorder and depression. Individuals in DBT therapy are taught to notice, rather than react to thoughts and behaviors. DBT teaches clients to accept their emotional reactions and learn to tolerate distress while being mindful of their present experiences. DBT has four stages for therapy. In stage one the pre-commitment stage is where the therapist explains what types of treatment the client will receive. In this stage the client must agree to stop all self harm behavior and work toward developing other coping skills. In stage two the goal is to assist the client into controlling her emotions. Stage three and four involve assisting the client to gain the ability to develop self respect (Waltz, 2003).
CAMH: Centre for Addiction & Mental Health. Retrieved February 27, 2011, from http://www.camh.net/About_Addiction_Mental_Health/AMH101/top_searched_ocd.html. Foundations of Clinical Psychology (1st Custom Edition). (2011). The 'Standard' of the 'Standard Toronto, ON: Nelson Education.
The therapist encourages the client to replace the irrational thoughts with more rational ones (Corey 2017). Beliefs that require the client to think they “must” are rigid and constricting, and often leave the client feeling depressed or trapped within their own life. As aforementioned, this therapeutic technique holds strong to the notion that the client contributes to their problems, and therefore, can contribute to solutions/changes.
Obsessive-Compulsive Disorder (OCD) is a disorder which causes people to develop an anxiety when certain obsessions or compulsions are not fulfilled. OCD can affect both children and adults with more than half of all adults with OCD stating that they experienced signs as a child. People living with OCD display many obvious signs such as opening and closing a door fifty times because they have to do it “just right”. Others exhibit extreme cleanliness and will wash their hands or take showers as often as they can because they constantly feel dirty. OCD devastates people’s social lives as they are fixated and obsessed with perfection that can take forever to achieve. However people living with OCD are often found to have an above average intelligence and typically excel at school due to their detail oriented mindset, cautious planning and patience. OCD can be caused by many different factors such as genetics or the ever changing world a...
middle of paper ... ... It is very important to try to treat OCD and not just ignore it. According to the article, there are certain interactive online activities for children to help treat OCD. These games are played with parents and therapists for the child to have a better understanding of the treatment methods.
Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions involved in comprehensive DBT treatment. The first function DBT serves is enhancing behavioral capabilities. Secondly, it improves motivation to change by modifying inhibitions and reinforcement. Third, it assures that new capabilities can be generalize to the natural environment. Fourth, DBT structures the treatment environment in the ways essential to support client and therapist capabilities. Finally, DBT enhances therapist capabilities and motivation to treat clients effectively. In standard DBT, these functions are divided into modes for treatment (Dimeff & Linehan, Dialectical behavior therapy in a nutshell, 2001).
In summary, according to empirical evidence Exposure and Response Prevention (ERP) treatment is to be the most effective form of psychological treatment. If the practitioner correctly undertakes the correct steps in implementing this treatment to the patient; the severity will read lower on the golden standard of OCD treatments- the Y-Bocs scale, which according to empirical evidence, to be t the most accurate form of measuring the severity of the disorder in the hopes of neutralizing the symptoms of this socially debilitating condition. It is therefore recommended for optimal treatment efficacy, that any sufferer partake in ERP treatment or consider pharmacotherapy with Selective Serotonin Reuptake Inhibitors to assist in the neutralization of this socially debilitating disorder.
Cognitive behavioral therapy (CBT) is a form of treatment that focuses on examining the relationships between thoughts, feelings and behaviors (NAMI, 2012). It is designed to modify the individual’s normative dysfunctional thoughts. The basic cognitive technique consists of delineating the individual's specific misconceptions, distortions, and maladaptive assumptions, and of testing their validity and reasonableness (Beck, 1970). By exploring thought patterns that lead to maladaptive behaviors and actions and the beliefs that direct these thoughts, people with mental illness can alter their thought process to improve coping. CBT is different from oth...
Obsessive Compulsive Disorder is a disease that a lot of people suffer with in society especially young adults. While it is not a disease that is deadly, it does affect the victim in every day aspects of their life and can ultimately control their lives. Obsessive Compulsive Disorder (OCD) is defined by the National Institute of Mental Health as, “… a common, chronic and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and behaviors (compulsions) that he or she feels the urge to repeat over and over”. The thoughts that individuals have when suffering through Obsessive Compulsive Disorder cannot be restrained and really can disturb the individual. Thoughts or actions that people may have can range from worrying about daily occurrences, such as washing their hands, to having thoughts of harming people that are close to them. People tend to have these reoccurring compulsions because they believe by doing them or thinking them, they will either prevent something bad from happening or because it eliminates stress that they have. This disease can last a lifetime and can be very detrimental and disabling to how one lives their lives. Individuals can start to see signs of OCD in either late adolescence or even early adulthood and everyone is susceptible. When it comes to classifying this incurable disease, there is much debate on whether or not it a type of anxiety (Abramowitz, Taylor, & McKay, 2009). It is important to be able to understand this mental disorder since so many people are diagnosed with it. While there are treatments for OCD, there are no cures yet. Treatments could range anywhere from taking prescribed medication to just going to therapy and counseling fo...
CBT is the treatment option for some mental disorders, such as depression, dissociative identity disorder, eating disorders, generalized anxiety disorder, hypochondriasis, insomnia, obsessive-compulsive disorder (OCD), and panic disorder without agoraphobia (Clark, 1986). In contrast, as Flannery-Schroeder & Kendall (2000) describe, CBT is an inappropriate treatment option for some patients. Patients with significant cognitive impairments (for example patients with traumatic brain injury or organic brain disease) and individuals who are not willing to take an active role in the therapy and treatment process are not desirable candidates.
CBT is a treatment that helps OCD patients to learn new thought and behaviors on their obsession and compulsion by exposing the patient to the feared obsession.
Biological treatments consist of the use of antidepressant. Per Nolen-Hoeksem, 2014, antidepressants drugs were found to have affecting levels of serotonin which helps relieve symptoms of OCD. The first drug was called Clomipramine then came the selective serotonin reuptake inhibitors (SSRI’s), which included Prozac, Paxil, Zoloft, and Luvox. These have been proven effective, up to 80 percent in patients with OCD, to decrease a person’s obsessive and compulsive behaviors. There are 30 to 40 percent of people with OCD that stop taking the medication, and may relapse. Along with relapse there are side effects of these types of medications which include drowsiness, constipation, and loss of sexual interest (Nolen-Hoeksem, 2014). Cognitive-behavioral treatments are therapies which include a clinician/therapist. For OCD and other compulsive behaviors, it is believed that the use of exposure and response prevention can help a person recover completely. This type of therapy, per Nolemn-Hoeksem, 2014, exposes the client to the focus of the obsession and prevents compulsive responses to the resulting anxiety. This type of therapy also challenges the client’s moral thoughts and excessive sense of responsibility. Cognitive-behavioral therapy has a higher rate of success than the medication. There is a 60 to 90 percent improvement rate in both the obsession and compulsive
I chose the Client-Centered Approach or Person-Centered Therapy. This humanistic approach was developed by Carl Rogers, who assumed that human beings are essentially good, self-motivated and have the potential for positive change and to live up to our full potential if the appropriate conditions are present in a therapeutic situation. Rodgers’s theory assumes that if a person has a broken sense of self-concept and he or she cannot grasp the understanding that we oversee our own destinies, behaviors and attitudes will develop that are self-harming. Self-concept is the central component of Rogers approach in that the goal of Client-Centered Therapy is creating a therapeutic environment that will improve how clients think about, evaluate or perceive
New Haven: Yale University Press, 2004. Print. The. Suicide and Suicidal Behaviors. Suicide : Medline Plus.