Obsessive Compulsive Disorder (OCD) is thought to occur in between 1 and 4% of the child and adolescent population and is recognised to persist into adulthood if left untreated and to be associated with significant impairment for young people and their families across contexts. Despite the recognition that CBT, with appropriate developmental modifications, can be an effective method of treating OCD in young people, there is a dearth of evidence demonstrating how to effectively modify aspects of the assessment and treatment process to enhance accessibility for young people. This workshop is designed to draw on practice and existing evidence to provide a framework to understand how to effectively modify both the cognitive and behavioural models of intervention in order to improve access for young people to effective therapy to overcome OCD.
Interactive exercises and experiential learning will be used in the workshop.
Learning outcomes from the workshop:
- Be able to complete comprehensive assessments of OCD in children and young people and diagnose OCD appropriately
- Understand a range of OCD presentations and the developmental trajectory associated with different subtypes of OCD
- Identify and formulate OCD using both the vicious flower CBT model and idiosyncratic maintenance formulations
Clinical skills covered will include:
- How to effectively provide developmentally appropriate information, examples and metaphors that help people with OCD to start to see their intrusive thoughts, images, urges and doubts as part of ‘normal’ thinking
- Working on a shared understanding- using creative ways to make sense of the problem in a way that can be understood by children and adolescents
- Developmentally appropriate cognitive change methods including use of continua, responsibility pie charts, surveys and metaphors and recognising when and how to use these versus behavioural components.
- Developing effective Exposure with Response Prevention (ERP) tasks and behavioural experiments and understanding when to use which approach
- Working with parents- supporting parents to become co-therapists, to make changes in the absence of young people feeling able to make change and understanding and challenging accommodation.
- Planning for ending and completing a thorough relapse prevention plan.
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