Obsessive Compulsive Disorder (34 page)

differences, 5; family’s role in carrying out

compulsions, 12, 53, 146

Gender, 3, 5

Conduct disorder, 8, 20

Generalised anxiety disorder (GAD), 7–8,

Confidence in memory, 11

19, 41

Continuums, 113–114

Genes, 9, 112

Control, 22–23, 45, 51–52, 74, 98, 115, 117,

Goals, 26, 31, 33, 51–52, 67–68, 75–76, 98,

136, 138; losing control, 39, 100–103

103–105, 114, 116, 118–122, 130, 135

Controlling thoughts, 10, 15, 21, 36, 38, 45,

Guided discovery, 24, 26, 60, 80, 106

49, 62–64, 91, 147

Cost-benefit analysis, 43, 75

Head versus heart, 57, 71, 110

Course of OCD, 6, 46, 120, 138

Heredity, 9

Home visits, 90, 115

Decision-making, 10

Homework, 3, 31, 54, 76, 115, 119, 127

Depression, 6–9, 20, 22, 35, 42, 46, 143

Development and Well-Being Assessment

Imagery, 25, 61, 71

(DAWBA), 45–46

Impairment, 3, 45–47

Developmental history, 33, 35–37

Incidence of OCD, 4, 9

Developmental issues, 4, 20–22, 42, 43, 120,

Inflated responsibility, 12, 14–15, 20–21, 36,

137–139

109, 111–112, 139, 141–142

Diagnosis of OCD, 1–3, 33, 44, 149

Intrusive thoughts, 2, 8, 14–16, 21, 25, 28, 30,

Diagnostic interviews, 44–45

35–36, 39, 47–49, 51, 53, 57–59, 62–64, 66,

Diaries, 35, 48

68, 75, 80–88, 90–94, 101–104, 116, 123,

Differential diagnosis, 7–9, 39–42, 44, 46

126–128, 135, 139, 147, 149

Index

191

Leyton Obsessional Inventory – Child Version

93–95, 98–99, 101–102, 107, 115, 119, 130,

(LOI-CV), 45

135, 138, 140–142, 144, 146, 148; beliefs,

Leyton Obsessional Inventory – Child Version

19, 34, 36–37, 119–120, 127, 130; mental

Survey Form
(Leyton-CV), 47

health problems, 9; role in therapy, 30–31

Life events, 4, 36, 142, 147

Perfectionism, 15, 35, 110–112, 143

Planning treatment, 8, 33, 35, 53–55, 98, 115

Magical thinking, 21, 41, 130

Prevalence of OCD, 4, 78, 147, 150

Medication, 6, 11, 17–18

Prevention: of OCD, 140, 142, 146–147, 150;

Memory, 2, 10–11, 55

of relapse, 24, 29, 51, 77, 95–96

Mental arguing, 91

Prognosis, 6

Mental rituals, 2, 38, 46, 109

Pros and cons, 22, 43, 73, 75, 113, 114, 134

Metaphors, 25, 51, 60–61, 86, 115; ‘alligator’,

Psychoeducation, 24–25, 31, 51–53, 60,

61; ‘bully’, 79, 83, 94–95; ‘carpenter’, 60;

62–64, 77, 119, 123

‘itchy bite’, 83–84, 93; ‘rude guest’, 86–87;

Psychosis, 8

‘wave’, 86–87

Modelling, 30–31, 37, 54, 71–72, 78, 89–90,

Questionnaire measures, 34–35, 42, 46–48, 59

108, 110, 113

Motivation, 22–23, 33, 42–43, 54, 67, 71–75,

Reassurance, 22, 24, 31, 36, 38, 41, 51, 53,

87, 95, 114, 148–149

56–57, 68, 72, 78, 82, 93–94, 99, 103, 107,

Multidimensional Anxiety Scale for Children

118, 125–128, 131–132, 133–135, 146

(MASC), 46

Refining treatment, 147–148

Relapse prevention, 24, 29, 51, 77, 95–96

National Institute for Health and Clinical

Responsibility, 11, 120; amount of

Excellence (NICE), 17–18, 42, 149

responsibility, 12, 99, 141–142, 146;

Neuropsychology, 10–11

beliefs, 14–16, 20–21, 36, 47, 51, 75, 109,

Normal fears, 35–36; rituals, 14, 35–36

111–113, 139–142; pie charts, 112–113,

Normalising intrusive thoughts, 14, 21, 25,

134; shifting responsibility in sessions, 52,

30–31, 35, 37, 49, 51, 57, 59, 62–63, 68,

72, 90, 107

81–82, 84, 90, 101–103, 123, 127, 137, 147

Risk assessment, 33, 42

Number of sessions, 22, 52–53

‘Rocking the boat’, 75

Role play, 28, 60, 63, 71, 79, 85, 91, 115

Obsessions, 1–2, 13, 14, 16, 21, 55–57, 64, 73,

Roles: of friends, 31; of parents and family,

78, 90–91, 112, 114, 120–121, 123,

30–31, 98–99, 107, 130; of school, 31; of

128–130, 132–135, 138, 140–149;

therapist, 29–30, 104, 119

assessment of, 33–39, 41, 45–50

Obsessive Compulsive Cognitions Working

Schedule for Affective Disorders and

Group (OCCWG), 14–15, 109

Schizophrenia for School-Age Children
(K-

Obsessive Compulsive Inventory
(OCI), 46

SADS-PL), 44

Obstacles to treatment, 73–75, 94–95,

Screen for Child Anxiety Related Emotional

114–117

Disorders – Revised
(SCARED-R), 46

Oppositional behaviour, 93, 95

Seeking treatment, 5, 141, 149

Oppositional defiant disorder, 8, 139

Selective attention, 82, 92

Origins of OCD, 12, 21, 137, 139–142

Selective serotonin reuptake inhibitors

Overimportance of thought, 15

(SSRIs), 17

Self-esteem, 53, 132, 136, 149

Paediatric autoimmune neuropsychiatric

Self-help, 17–18, 149

disorder associated with streptococcal

Self-report measures, 46–47

infection (PANDAS), 9–10

Separation anxiety disorder, 8, 41

Paediatric OCD treatment study (POTS), 12,

Sertraline, 16

17

Setback plan, 22, 29, 51, 75–77, 95–96

Panic disorder, 41, 139

Shame, 5, 49, 101, 149

Parents, 7–8, 9, 12–13, 19, 22, 34, 36–37,

Social anxiety, 6, 8, 41

40–41, 44–48, 53, 67–68, 77–80, 84, 90,

Socratic questioning, 24, 26–27, 31, 112, 119

192

Index

Specific phobias, 41

Threat, 11, 16, 36, 87, 109, 123, 125–128,

Stepped care model, 17–18, 149

130–132, 137, 141; overestimation of, 15,

Stereotypical behaviour, 41

109–111

Subtypes of OCD, 10, 139

Tourette’s syndrome, 8, 41

Suitability for CBT, 33, 42–43

Treatment failures, 147–148

Surveys, 28, 32, 112–113, 135

Triggers, 4, 29, 55, 123, 127–128, 142–143

Twin studies, 9

Theory A/B, 51, 68–71, 87, 105–106,

130–132, 137

Uncertainty, 15, 110–112

Thought–action fusion, 14, 15, 20, 72,

108–109, 147

Vicious cycles, 60–62, 83–84, 100, 103, 146

Document Outline

• Book Cover
  
• Title
  
• Copyright
  
• Contents
  
• Figures
  
• Contributors
  
• Acknowledgements
  
• 1 Introduction to obsessive compulsive disorder
  
• 2 The use of CBT with children and adolescents
  
• 3 Cognitive behavioural assessment of OCD in children and adolescents
  
• 4 Planning and carrying out treatment
  
• 5 CBT with younger children
  
• 6 CBT with adolescents
  
• 7 Working with families
  
• 8 Issues and future directions in childhood OCD
  
• References
  
• Appendix A Child Obsessive Compulsive Inventory (Child OCI)
  
• Appendix B Child Responsibility Attitude Scale (CRAS)
  
• Appendix C Children’s Responsibility Interpretation Questionnaire (CRIQ)
  
• Appendix D Diaries
  
• Appendix E Experiments
  
• Index
  

Table of Contents

Book Cover

Title

Copyright

Contents

Figures

Contributors

Acknowledgements

1 Introduction to obsessive compulsive disorder

2 The use of CBT with children and adolescents

3 Cognitive behavioural assessment of OCD in children and adolescents

4 Planning and carrying out treatment

5 CBT with younger children

6 CBT with adolescents

7 Working with families

8 Issues and future directions in childhood OCD

References

Appendix A Child Obsessive Compulsive Inventory (Child OCI)

Appendix B Child Responsibility Attitude Scale (CRAS)

Appendix C Children’s Responsibility Interpretation Questionnaire (CRIQ)

Appendix D Diaries

Appendix E Experiments

Index