Accredited With https://thecpd.group Accreditation Number #1014785
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Compared to many of the anxiety disorders, obsessive compulsive disorder (OCD) has a lower lifetime prevalence. Yet, it accounts for a greater share of the mental health burden because of its symptom heterogeneity, chronic course, high comorbidity, and severe impact on quality of life. Cognitive behavior therapy (CBT) that includes exposure-based interventions is highly effective, although only 25% of treatment completers achieve symptom-free status. Moreover, our evidence-based psychological treatments are more successful in treating compulsions than obsessions. Often obsessive thinking remains intact even after a significant reduction in compulsive rituals. Also, individuals who experience obsessions without overt compulsive rituals tend to show poorer response to conventional exposure-response prevention treatments for OCD. Thus obsessive thinking continues to be one of the most difficult problems to treat with current psychological interventions. This webinar explores the problems inherent in psychological treatment of obsessions. It begins by exploring the common and specific characteristics of obsessions, how they are distinct from negative repetitive thought like worry and rumination, their heterogeneity, and the psychological processes responsible for their remarkable resilience in the face of overwhelming disconfirming evidence. Several difficulties inherent in the treatment of obsessions are identified and we discuss why clinicians so often fall into these traps when treating obsessive thinking. The cognitive appraisal model of obsessions is presented, and key tenets of the model are highlighted. This is followed by instruction on how to assess obsessions and develop an individualized cognitive case formulation of obsessive thinking. Step-by-step instruction is provided in how to use core cognitive interventions to effect change in obsessive thinking. The webinar returns to the various pitfalls involved in treating obsessions and how to circumvent these problems with a cognitive case formulation and treatment. Throughout case examples and illustrations are provided, and participants are invited to share their observations and experiences in treating obsessions.
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