It is estimated by Gellatly and Molloy (2014) that about 1.1 - 3% of the United States population is affected by Obsessive Compulsive Disorders. There has been extensive research on techniques and therapies to help this population. Therapist delivered treatment encompasses strategies that are rooted from cognitive-behavioral school of thought. The common goal for all approaches is to treat the obsessive and compulsive behaviors that are the hallmarks for this disorder.
The compulsive and repetitious actions are experienced involuntarily as a way for the patient to attempt to suppress or neutralize the obsessive, intrusive and persistent thoughts. The obsessive behaviors are believed to be caused the neurochemistry of the brain. The most common
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The therapist achieves this by providing alternative actions as steps to stopping the compulsive behavior. For example, if the client compulsively washes their hand the therapist might instruct the client to move to a different room to dry their hands. By removing the sink from the client’s immediate area and introducing a competing act, the client can no longer engage the hand-washing compulsion. (Basco et al, 2000) The therapist can support and guide the client through the alternative behavior and make modification as needed. The therapist might also engage the client in role-playing. This is beneficial for clients that experience OCD caused by social interaction anxieties. Role playing allows the client to practice with a conversational partner that can offer feedback and advice in a safe environment. By practicing, the client can be prepared for the anxiety provoked situation.
Cognitive Intervention
In addition to behavioral techniques, CBT also uses methods to promote logical awareness. “The cognitive component of cognitive-behavior therapy involves changing distorted thoughts and beliefs (Hyman & Pedrick, 1999, p. 34)”. According to Hyman and Pedrick, (1999) most clients are already aware of their obsessive and abnormal thoughts. It is important for the client to identify the intrusive and inaccurate thoughts and attitudes to effectively replace them with healthy behaviors and outlooks. The therapist can use tools such as thought stopping and cognitive restructuring to provide this type of intervention.
Thought
Conceição do Rosario-Campos, M., Leckman, J. F., Mercadante, M. T., Shavitt, R. G., Prado, H. S., Sada, P., Zamignani, D. & Miguel, E. C. (2001). Adults with early-onset obsessive-compulsive disorder. The American Journal of Psychiatry, 158, 1899-1903.
Obsessive-Compulsive Disorder can come in many different forms. It can control how people live their everyday lives, and it is extremely difficult to get rid of it. It can take months to years of behavioral therapy to stop it. Even then it is not gone for
Obsessive-Compulsive Disorder is a disease that afflicts up to six million Americans, however all its characteristics are yet to be fully understood. Its causes, triggers, attributes, and variations are still unknown although effective medicines exist to treat the symptoms. OCD is a very peculiar disease as Rapoport discusses it comes in many different forms and have different symptoms yet have many similarities. One sure aspect is that it appears, or at least its symptoms do, out of the blue and is triggered either by stressful experiences or, most of the time, just appears out of nowhere. One example is a boy who's father was hard on him for being affected by the worlds "modern ways", the boy at a high school party tries LSD ( a hallucinatory drug), after that thoughts of whether his mind was dangerously affected by the drug. What seemed like completely appropriate worrying and anxiety turned into attacks of anxiety, he couldn't shake the thoughts that something was wrong with his mind. Essentially he had "his mind on his mind" constantly and that haunted his days his thought were as follows: " did the lsd do anything to my mind? The thought never went away ; instead it got more and more complicated. There must be something wrong with my mind if i am spending so much time worrying about it. Is there something wrong with my mind? Was this from the lsd? Will it ever get better?" (The boy who, J. L. Rapoport 125,126) Dr. Rapoport promptly put him on Anafranil (an anti-depressant, used for OCD, not marketed in the U.
Cognitive Behavioral Therapy provides a collaborative relationship between the client and the therapist with the ultimate goal of identifying irrational beliefs and disputing those beliefs in an effort to change or adapt behavior (Corey, 2013). The developers of Cognitive Behavioral Therapy saw humans as capable of both rational and irrational thoughts and able to change the processes that contribute to irrational thinking (Corey, 2013). CBT is a more direct approach than some other therapy theories practiced today in that it challenges the client to identify aspects about their self through cognitions. This therapy, as discussed in Corey (2013) also provides an educational component such that therapist teach clients tools to effectively change the way they think to a healthier way. There are a multitude of techniques associated with CBT such as shame attacking exercises, changing ones language...
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) published by the American Psychiatric Association, used by psychologists to classify mental disorders, obsessive-compulsive disorder or OCD is defined by obsessions and compulsions that are time-consuming, uncontrollable, and interfere with the individual’s cognition and social development (APA, 2000). For the purpose of this paper the focus will be on psychological assessments used to assist in the diagnosis of OCD. Psychological assessments explored include the Minnesota Multiphasic Personality Inventory -2 (MMPI-2), the Rey-Osterrieth Complex Figure Test (RCFT), and the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). Obsessions are characterized as unwanted recurrent thoughts and wishes. Compulsions are the rituals, such as excessive cleaning or counting, that follow the obsessions. The act of the compulsion eases the discomfort felt because of the obsession.
Obsessive-compulsive disorder tends to stem around certain categories. Fears, such as germs, are often a major category attacked by OCD. (Mayo, 1) These fears turn into obsessions, which can cause detrimental conflict in one’s life. Obsessions are thoughts, images, or impulses that keep reoccurring and lack control by the person obtaining them. (Ocfoundation, 2) Generally, these obsessions are unwanted by the person and are generally disturbing and confusing. Feelings of discomfort typically follow such thoughts as well as the wanting to correct the feeling of discomfort. (Ocfoundation, 3) Some of the most common obsessions today are body contamination, losing control, perfectionism, harm, or unwanted sexual thoughts. (Ocfoundation,4)
In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) (Harrington and Pickles, 2009). The main aspect that all of these branches of therapy share, is that our thoughts relate to our external behaviors. External events and individuals do not cause the negative thoughts or feelings, but, instead the perception of events and situations is the root cause (National Association of Cognitive Behavioral Therapists, 2010).
Coles, M. E., Schofield, C. A., & Pietrefesa, A. S. (2006). Behavioral inhibition and obsessive-compulsive disorder. Anxiety Disorders, 20, 1118-1132. doi:10.1016/j.janxdis.2006.03.003
Cognitive behavioral therapy commonly known as CBT is a systematic process by which we learn to change our negative thoughts into more positive ones. CBT is a combination of two types of therapy, Cognitive Therapy and Behavioral Therapy. Cognition is our thoughts, so cognitive behavioral therapy combines working with our thought process and changing our behavior at the same time. Cognitive behavioral therapists believe that our behavior and our feelings are influenced by the way we think; also our mood is affected by our behavior and thought process. So CBT tries to tackle our thoughts, feelings and behavior. Scientific research has shown that cognitive behavioral therapy is affective for a wide range of mental health problems. The purpose is to bring positive change by alleviating emotional distress such as depression. CBT starts by breaking down your problems into smaller components, often trying to identify particular problematic thoughts or behavior. Once these problems are broken down it is then suggested a straightforward plan in which the patient and therapist can intervene to promote recovery.
Obsessive-compulsive disorder has been classified as a type of anxiety disorder under DSM-5, in which there is a presence of obsessions, compulsions or both. Obsessions are defined as “intrusive and mostly nonsensical thoughts, images, or urges that the individual tries to resist or eliminate,” while compulsion are the thought or actions that accompany these obsessions to try to suppress and provide relief. (TEXTBOOK) The obsessions are categorized into four major types, and each is linked with a certain pattern of compulsive behaviors.
In this treatment, “clients are repeatedly exposed to objects or situations that produce anxiety, obsessive fears, and compulsive behaviors, but they are told to resist performing the behaviors they feel so bound to preform” (Comer, 2015). Individuals going through this treatment will often find it extremely difficult to resist the urge to preform these compulsions, or behaviors, therefor the therapist will often be the first to set this example. This treatment can be conducted in an individual, or group
Cognitive is defined as a mental process; it refers to everything going on in your mind including your thought processes and the way you are thinking and feeling. Behaviour refers to everything that you may do; this includes any action that you may present or act out, this can also be an indirect action that is caused by other underlying behaviours. Therapy is a systematic approach to try and resolve a problem, illness, actions, irregular thought patterns or anything that may be a disturbance that distracts you from your everyday functioning. Cognitive Behavioural Therapy (CBT) is a dynamic mode of holistic intervention that seeks to change thought processes that are linked with emotions through a goal-orientated process (Freeman and Ronen, 2007). Individuals have a three-step thought process; inferences, evaluations and core beliefs. Cognitive Behavioural Therapy looks into the dysfunctional thinking a client may have, which influences their thoughts, mood and behaviour. This theory is kept very loose and non-structured; depending on the client different theories will have to be applied depending on their needs and emotions.
Cognitive behavioural therapy (CBT) is a counselling model based greatly on talking therapy. It focuses on peoples underlying thoughts and past experiences, and how they influence current habits and behaviours. CBT tries to correct these and learn alternative ways of processing information to alter the undesired behaviour and/or habits. This is done through a combination of cognitive therapy (looking at the ways and things you think) and behavioural therapy (looking at the things you do).
Cognitive behavioral therapy (CBT) is a form of treatment that focuses on examining the relationships between thoughts, feelings and behaviors (NAMI, 2012). It is designed to modify the individual’s normative dysfunctional thoughts. The basic cognitive technique consists of delineating the individual's specific misconceptions, distortions, and maladaptive assumptions, and of testing their validity and reasonableness (Beck, 1970). By exploring thought patterns that lead to maladaptive behaviors and actions and the beliefs that direct these thoughts, people with mental illness can alter their thought process to improve coping. CBT is different from oth...
Cognitive-Behavioural Therapy has its foundations in two distinctive therapeutic theories, Cognitive Therapy and Behavioural Therapy. Cognitive Therapy (CT) believes that thoughts, feelings and behaviour are connected. CT states and an individual with help; can identify an issue that is causing a behavioural or an emotional response and correcting that thinking to achieve a desired outcome. Behavioural Therapy believes that individual’s behaviour is due to conditioning during the early years of life and as such can be altered with conscious awareness. Cognitive-Behavioural Therapy is a combination of both of these theories and is based on an individual’s own history of thought an...