Obsessive Compulsive Disorder
Discussion of the Diagnostic criteria for OCD as well as specific sub types of OCD such as scrupulosity will be stressed. Specific techniques such as graded exposure and scripting will be taught specific techniques from the works of John March and Jonathon Grayson will be taught to help foster competence in the treatment of OCD.
Outline
Session 1: April 20
8:30 – 8:55 Introduction to OCD types of OCD
- Contamination
- Doubt/Harm
- Perfection
- Forbidden thoughts.
8:55 - 9:20 Behavioral theory of symptoms development
- Pavlov
- Core beliefs
- Biology and learned behaviors.
- Wrap up/ review
9:20 – 9:30
- Wrap up/ review
Session 2: April 27
8:30 - 8: 55 Diagnostic criteria for OCD
- DSMV definitions
- Obsessions
- Compulsions.
8:55 – 9:20 Rule out criteria
- Psychosis
- Substance induced symptoms
- GAD
- OCPD
9:20 – 9:30
- Wrap up/ review
Session 3: May 4
8:30 – 8:55 OCD assessment
- Obsessive concerns checklist
- Compulsive activities checklist
- Yale Brown
8:55 – 9:20 levels of severity
- Example s of severe presentations
- Examples of moderate presentation
- Discussion of impact on function
9:20 – 9:30
- Wrap up review
Session 4: May 11
8:30 – 8:55 starting treatment
- Psychoeducation
- Explaining exposure with response/ ritual prevention
- Motivation assessment
8:55 – 9:20 exposure
- Flooding
- Graded exposure
9:20 – 9:30
- Wrap up/ review
Session 5:May 18
8:30 – 8:55 graded exposure
- Developing a hierarchy
- A model hierarchy
8:55 – 9:20
- Cognitive restructure during exposure
- Keeping in mind core belief
9:20-9:30
- Wrap up review
Session 6: May 25
8:30 - 8:55 different hierarchies
- Doubt/ harm hierarchies
- Perfection hierarchies
- Bad thoughts/ hierarchies
8:55 - 9:20 exposure without fears
- Symmetry exposures
- Obsessions about anxiety
9:20 – 9:30
- wrap up review
Session 7: June 1
8:30 – 8:55 OCD pure O
- Thoughts as a compulsion
- Identifying the compulsion
8:55 - 9:20 treating pure O
- Difficulties in treatment
- The use of scripting
9:20 – 9:30
- Wrap up/ review
Session 8: June 8
8:30 – 8:55 Scrupulosity
- Identifying the difference between religion and OCD.
- Cultural sensitivity.
8:55 – 9:20 treating scrupulosity
- Designing an exposure
- Scripting
- Treatment partners
- Difficulties in treatment
9:20 – 9:30
- Wrap up/ review
Session 9: June 15
8:30 – 8:55 OCD in children
- Symptoms of OCD in children.
- Pandas
8:55 – 9:20 treatment of children /John March
- The monster / Bully model
- Parental involvement
9:20 - 9:30
- Wrap up/ review
Session 10: June 22
8:30 – 8:55 Motivation during treatment
- Do Rituals help
- Motivational interviewing
8:55-9:20 generalizing treatment gains
- Applying treatment to global function
- Booster sessions
9:20 – 9:30
- Wrap up/review
Session June 29
8:30 – 8:55 the therapist client relationship in OCD treatment
- Validation to change
- The clinician s exposure experience
8:55 – 9:20 DBT skills in OCD treatment
- Radical genuineness
- Radical acceptance
- Distress tolerance skills
9:20 – 9:30
- Wrap up review
Session 12:July 6
8:30 – 8:55 Case presentations
- Case presentation 1/ case type determined by request
8:55 - 9:20
- Case presentation 2/ case type determined by request
9:20 – 9:30
- wrap up review
Dr. Yosef Posy is a doctoral level psychologist who received his doctoral degree from Hofstra University. Dr Posy has also done advanced training in Dialectical Behavioral Therapy (DBT) through Behavioral Tech, and has worked as a clinician, supervisor and administrator since 2003. Dr Posy has provided training on CBT and DBT to several schools in the Brooklyn area. He has also developed, and run a Doctoral level internship and externship program for Interborough Developmental &Consultation Center.