Chapter
List of Figures and Forms
1. Introduction to Obsessive–Compulsive Disorder
Diagnostic Criteria for OCD
Moving from Normal to Pathological
Ruling Out Other Diagnoses
Rationale for Cognitive-Behavioral Treatment
Using This Treatment Planner
2. Understanding Obsessive–Compulsive Disorder
Patients Who Engage Only in Mental Compulsions
Patients with Primary Obsessional Slowness
Epidemiology, Prevalence, and Life Course of OCD
Understanding OCD in Cognitive-Behavioral Terms
3. Evidence-Based Treatments for Obsessive–Compulsive Disorder
Cognitive-Behavioral Therapy
Exposure and Ritual Prevention
Cognitive Therapy versus Behavioral Therapy
CBT versus Medications for OCD
Which to Start with: CBT or Medications?
Combining CBT and Medications
Other Options for Treatment-Refractory Patients (Partial Responders and Nonresponders )
Other Psychological Treatments
Other Biological Treatments
A Note on the Increasing Interest in the Use of Various Technologies to Disseminate CBT for OCD
4. Assessment and Diagnosis
Handling the Initial Contact: Conducting a Brief Phone Screen
Conducting an Intake Evaluation
Structured Diagnostic Interviews
5. Clinical Evaluation and Case Formulation
Elements of a General Clinical Evaluation
Assigning a Comprehensive Empirically Based Self-Report Measures Packet
Giving Feedback and Presenting a Case Formulation to the Patient
6. Comprehensive Plan for Treating Obsessive–Compulsive Disorder: Overview
Feedback on the Assessment Phase
Presentation of the CBT Principles and Overview of the CBT Model
Mini-Motivation Enhancement and Commitment to the Treatment
Goals and Expectations for Therapy (Therapist and Patient) and Session Planning
Rapport and Alliance Building: Feedback, Summary, and Take-Home Message
Modification of the General CBT Model to Explain OCD
Rationale for CBT for OCD
Brief Overview of the Treatment
Rapport and Alliance Building: Feedback, Summary, and Take-Home Message
Review of the CBT Model of OCD
Review Rationale for CBT for OCD
Explain the Concept of SUDS and Create a Personalized Scale
Generate Items for the Exposure Hierarchy
Rapport and Alliance Building: Feedback, Summary, and Take-Home Message
Optional: Provide and Score Self-Report Measure
Quick Review of the CBT Model of OCD, Rationale for CBT for OCD, and the Concept of SUDS
Review and Finalize the Exposure Hierarchy
Provide a Rough Outline of How Future Sessions Will Be Structured
Introduce the Notion of Ritual Prevention between Sessions
Rapport and Alliance Building: Feedback, Summary, and Take-Home Message
11. Treatment Sessions 5–14: Ten Sessions of Exposure and Ritual Prevention
Brief Review of the Homework
Brief Review of the CBT Model of OCD and Rationale for Exposure
Brief Check on the Patient’s Motivation to Engage in Ex/RP
Brief Reminder of the Session Structure
In-Session Ex/RP: In Vivo and/or Imaginal
Rapport and Alliance Building: Feedback, Summary, and Take-Home Message
Preparing for the Home Visit (Optional)
12. Treatment Session 15: The Home Visit
Brief Review of the Homework
Brief Check on the Patient’s Motivation to Engage in Ex/RP
Brief Reminder of the Session Agenda and Structure
In-Home Assessment of Triggers
In-Home In Vivo Ex/RP Exercise
Rapport and Alliance Building: Feedback, Summary, and a Take-Home Message
Preparing for the Final Session (Relapse Prevention)
13. Treatment Session 16: Relapse Prevention
Final Review of the Homework
Final Ratings of Original Exposure Hierarchy
Discuss Relapse Prevention
Optional: Plan “Booster” Session
Rapport and Alliance Building: Feedback, Summary, and a Take-Home Message
14. Supplementary Techniques
Cognitive Therapy Techniques
Metacognitive Therapy Techniques
Treatment Sessions 5–14: Ten Sessions of Ex/RP
Treatment Session 15: Home Visit
Treatment Session 16: Relapse Prevention and Termination
Treatment Session 17: Booster Session
Additional Readings for Professionals
Additional Reading for Patients
Sources for Expert Consensus Guidelines for the Treatment of OCD
Empirically Based Measures for OCD and Related Constructs
Appendix B. Reproducible Forms
Appendix C. Obsessive–Compulsive Inventory—Revised (OCI-R)
Treatment Plans and Interventions for Obsessive-Compulsive Disorder
( Treatment Plans and Interventions for Evidence-Based Psychotherapy )
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