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1 results

  • 13 - Obsessive Compulsive Disorder:

  • from Part Three - Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder and Associated Disorders
  • Edited by Gillian Todd, University of East Anglia, Rhena Branch, University of East Anglia
  • Book:
    Evidence-Based Treatment for Anxiety Disorders and Depression
    Published online:
    06 January 2022
    Print publication:
    13 January 2022, pp 252-268

  • Summary

    “Pure” obsessions were once considered untreatable. This chapter provides clarity on the definition of obsessive thoughts and their associated behavioral sequelae (mental and physical rituals, reassurance seeking, and avoidance). The reader will become familiar with the universality of intrusive thoughts and the mechanism by which they convert to obsessive thoughts in certain individuals. The most common misinterpretations of obsessive thoughts are outlined (including fears that one is crazy, immoral, and/or dangerous). Up-to-date research on evidence-based treatment for this symptom is reviewed. Structured assessment tools and options for open-ended questions are provided for measuring not only symptoms, but the maladaptive beliefs associated with these symptoms. A case vignette of a new mother who began having intrusive thoughts of harming her infant is used to illustrate the case formulation, as well as behavioral and cognitive interventions. The chapter ends with relapse prevention strategies and suggested further reading.