Healthcare Training Institute - Quality Education since 1979
CE for Psychologist, Social Worker, Counselor, & MFT!!
On the last track, we examined the various substances that panic disorder clients misuse most commonly, which are caffeine; illicit drugs; and alcohol.
Many times, a client’s own anxiety results from an underlying disorder which causes them to repeat or avoid situations or events. This disorder, as you know, is obsessive compulsive disorder, or OCD.
On this track, we will discuss three steps in treating OCD clients, which are identification; exposure; and self-talk.
Three Steps in Treating OCD clients
Step 1: Identification
According the Maudsley Hospital in London, compulsive rituals are distributed in the following percentages. Since some clients report more than one ritual, the following percentages will total more than 100:
Technique: Obsessive Compulsive Checklist
I gave Kelly a list of activities and asked her to score them from 0 to 2. Zero indicated that she had no problem with the activity and that it took her the same amount of time as the average person with no avoidance or repeating. A one indicated that the activity took her twice as long as most people, or she has to repeat it twice or that she tends to avoid it. A two indicated that the activity takes her three or more times as long as most people, or that she had to repeat three or more times, or that she usually avoided the activity altogether.
The list of activities included but was not limited to the following:
Step 2: Exposure
Together, we made a list of activities that would otherwise cause Kelly to feel anxious or unclean. She then signed her name at the bottom of the agreement, assuring me that she would practice the following list of activities.
Through these simple activities, Kelly gradually became less and less anxious about germs and uncleanliness.
Step 3: Self-Talk
For touching garbage cans and other unclean objects, Kelly would say, “These things are not dirty. I will not die by touching these things. I am in no danger of infection from touching garbage or other things.” When she hugged her sons, Kelly would say, “I love my sons, and because I love them, I must hug them. They are clean and would not do anything to hurt me. I need to show them my love.” Think of your Kelly. Could he or she benefit from Exposure and Self-Talk?
On this track, we presented three steps in treating OCD clients, which were identification; exposure; and self-talk.
On the next track, we will examine 3 other social avoidant behaviors more extreme than agoraphobia. These three behaviors are social phobia; social skills deficit; and dysmorphophobia.
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