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Course #: N0745
OCD in Children and Adolescents

Publication Date: 1998
John S. March, MD, MPH; Karen Mulle, BSN, MTS, MSW
 

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About the Author

John S. March, MD, MPH, is Director of the Program in Child and Adolescent Anxiety Disorders at Duke University Medical Center. An expert in both the cognitive-behavioral and medication management of OCD in children and adolescents, Dr. March received the 1994 Norbert and Charlotte Reiger Award from the American Academy of Child and Adolescent Psychiatry for his work on the integrated treatment of OCD. Dr. March is widely published in the areas of OCD, PTSD and pediatric psychopharmacology. His textbook, Anxiety Disorders in Children and Adolescents, is generally considered the standard work in the area. With Dr. Edna Foa, Dr. March is currently conducting a comparative study of medication, CBT and their combination in pediatric OCD funded by the National Institutes of Mental Health.

Karen Mulle, BSN, MTS, MSW, is the chief therapist in the Program in Child and Adolescent Anxiety Disorders at Duke University Medical Center.

Summary

10 hours CE
John S. March and Karen Mulle


Foreword by Edna B. Foa


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. The authors provide an empirically grounded guide to assessment. Clinicians are taken through the four stages of treatment – psychoeducation, cognitive training, mapping OCD, and graded exposure and response prevention.

Learning Objectives

  1. identify characteristics of OCD
  2. identify appropriate assessment procedures for OCD
  3. compare medication and CBT treatments for OCD
  4. identify appropriate, effective treatments for OCD
  5. identify ways to prevent relapse in OCD treatment

Table of Contents

  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)
    Appendix I: Handouts and Figures
    1. Your CBT Program
    2. Map Figure
    3. Fear Thermometer
    4. Symptom List (Stimulus Hierarchy)
    5. Homework Sheet
    Appendix II: Assessment Instruments
    • NIMH Global Obsessive-Compulsive Scale
    • Clinical Global Improvement Scale
    • Clinical Global Impairment Scale
    • Yale--Brown Obsessive-Compulsive Scale
    • Leyton Obsessional Inventory
    Appendix III: Resources, Tips, and Guidelines for Parents Difficulty Level: Intermediate to Advanced

    239 pp.

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