OCD in Children and Adolescents


John S. MarchKaren Mulle

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


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.


"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


Foreword, Foa

  1. Introduction
    1. Review of Pediatric OCD
    2. Assessing OCD
    3. Overview of Treatment
  2. Session-by-Session Treatment Program
    1. Session 1: Establishing a Neurobehavioral Framework
    2. Session 2: Introducing the "Tool Kit"
    3. Session 3: Mapping OCD
    4. Session 4: Completing the Tool Kit
    5. Session 5: Putting E/RP into Action
    6. Session 6: E/RP Continues
    7. Session 7: Family Session
    8. Sessions 8--11: Moving Up the Stimulus Hierarchy
    9. Session 12: Family Session II
    10. Sessions 13--18: Completing E/RP
    11. Session 19: Relapse Prevention
    12. Session 20: Graduation
    13. Session 21: Booster Session
  3. Troubleshooting
    1. Pitfalls
    2. Special Wrinkles: Supplemental Treatment Interventions
    3. Working with Families
    4. Working with Schools (with Gail Adams)
  4. Appendix I: Handouts and Figures Appendix III: Resources, Tips, and Guidelines for Parents
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