OCD in Children and Adolescents

ISBN# 1-57230-242-9
Publication Date: 1998
Hardcover, 293pp

Summary

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.

Reviews

"This long-awaited guide builds upon proven cognitive-behavioral techniques to provide clinical strategies and metaphors designed specifically for young OCD sufferers....Clinicians treating even one child with OCD symptoms should read this book."
-Lee Baer, PhD, Department of Psychiatry, Harvard Medical School, author of Getting Control

"This is a rare and wondrous book, clearly demonstrating that March and Mulle both know their subject and love their patients. The manual provides everything one needs to learn and do effective cognitive-behavioral therapy with children and adolescents with OCD....These strong collaborators and gifted writers have produced a work that ranks with the classics of the field."
-John H. Greist, MD, Distinguished Senior Scientist, Dean Foundation, and Clinical Professor of Psychiatry, University of Wisconsin Medical School

Contents

Foreword, Foa

1. Introduction
   1. Review of Pediatric OCD
   2. Assessing OCD
   3. Overview of Treatment
2. Session-by-Session Treatment Program
   4. Session 1: Establishing a Neurobehavioral Framework
   5. Session 2: Introducing the "Tool Kit"
   6. Session 3: Mapping OCD
   7. Session 4: Completing the Tool Kit
   8. Session 5: Putting E/RP into Action
   9. Session 6: E/RP Continues
   10. Session 7: Family Session
   11. Sessions 8--11: Moving Up the Stimulus Hierarchy
   12. Session 12: Family Session II
   13. Sessions 13--18: Completing E/RP
   14. Session 19: Relapse Prevention
   15. Session 20: Graduation
   16. Session 21: Booster Session
3. Troubleshooting
   17. Pitfalls
   18. Special Wrinkles: Supplemental Treatment Interventions
   19. Working with Families
   20. 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