Advanced Casebook of Obsessive-Compulsive and Related Disorders: Conceptualizations and Treatment

Description

Advanced Casebook of Obsessive-Compulsive and Related Disorders: Conceptualizations and Treatment presents a synthesis of the emerging data across clinical phenomenology, assessment, psychological therapies and biologically-oriented therapies regarding obsessive compulsive disorders, including hoarding, skin picking, body dysmorphic and impulse control disorders. Following the re-classification of such disorders in the DSM-5, the book addresses recent advances in treatment, assessment, treatment augmentation and basic science of OCRDs. The second half of the book focuses on the treatment of OCRDs, covering both psychological therapies (e.g. inhibitory learning informed exposure, tech-based CBT applications) and biologically oriented therapies (e.g. neuromodulation). Front Cover Advanced Casebook of Obsessive-Compulsive and Related Disorders Advanced Casebook of Obsessive-Compulsive and Related Disorders: Conceptualizations and Treatment Copyright Dedication Contents Contributors Preface REFERENCES 1 - Chew on this: considering misophonia and obsessive-compulsive disorder Background What is misophonia? Who is affected by misophonia? Theoretic models relevant to the presentation How is misophonia related to obsessive-compulsive disorder? Treatment literature on misophonia Case example Case conceptualization Treatment implementation Assessment Treatment course Psychoeducation Creation of a treatment hierarchy Exposure and response prevention Between-session practice Considerations when including parents in exposure and response prevention Termination Treatment outcome Conclusion References 2 - Treatment of pathologic healthy eating (orthorexia nervosa) Background Phenomenology Relationship to obsessive-compulsive disorder Treatment literature Treatment of orthorexia nervosa in the context of obsessive-compulsive disorder Terminology relevant to disordered eating Body mass index Refeeding syndrome Weight suppression Laxative and diuretic abuse Assessment Medical management Orthorexia nervosa obsessions and compulsions Differential diagnosis Case example and treatment Case description Case conceptualization Treatment Conclusions References 3 - Sensory intolerance Background Sensory phenomena in obsessive-compulsive disorder Premonitory urges and sensory intolerance Clinical case Case description Case conceptualization Treatment implementation Assessment Treatment course and outcome Conclusions References 4 - Treatment of incompleteness in obsessive-compulsive disorder Assessment of incompleteness Self-report measures Clinical assessment Behavior avoidance tests Treatment of incompleteness Case illustration2 Primary presenting symptoms and symptom history Treatment history Baseline symptom assessments Case conceptualization Treatment conduct Conclusions References 5 - Scrupulosity Background What is scrupulosity? Definition Clinical presentation Scrupulosity versus religious practice Prevalence How is scrupulosity related to OCD? Treatment outcome studies A conceptual model of scrupulosity Case description and conceptualization Treatment implementation Assessment Treatment course Functional assessment Psychoeducation Treatment planning Exposure Response prevention Treatment outcome What can be learned from this case References 6 - Addressing comorbid substance use/abuse in obsessive-compulsive disorder Psychologic mechanisms for substance use in obsessive-compulsive disorder Tension reduction Stress dampening Integration of tension reduction and stress dampening Treatment strategies for substance use Controlled drinking Harm reduction for substance use Treatment strategy for obsessive-compulsive disorder Case illustration1 Primary presenting symptoms and symptom history Obsessive-compulsive symptoms Substance use symptoms Treatment history Baseline symptom assessments Case conceptualization Treatment conduct Sessions 1 through 9 Sessions 10 through 16 Sessions 17 through 24 Session 25 Sessions 26 through 40 Sessions 41 through 45 Conclusions References 7 - Obsessive-compulsive disorder and comorbid posttraumatic stress disorder Diagnostic overview Age of onset Differential diagnosis Static versus dynamic comorbidity Static comorbidity case example Dynamic comorbidity case example Treatment Treatment case examples Treatment case 1 Background Assessment and conceptualization Early treatment Midtreatment End of treatment Lessons learned Treatment case 2 Background Assessment and conceptualization Functional connection between obsessive-compulsive disorder and trauma Treatment Lessons learned References 8 - Postpartum obsessive-compulsive disorder Background Phenomenology Treatment literature Theoretic models Case description Treatment implementation Assessment Treatment course Treatment outcome What can be learned from the case References 9 - Treatment of obsessive-compulsive disorder in a young person with autism spectrum disorder Background Phenomenology of autism spectrum disorder The relationship between obsessive-compulsive disorder and autism spectrum disorder Treatment and theoretic models Case description and conceptualization Assessment Case formulation Treatment course Planning cognitive behavior therapy Session 1: Psychoeducation on obsessive-compulsive disorder and autism spectrum disorder Session 2: Psychoeducation on anxiety Session 3: Developing an anxiety rating scale Session 4: Anxiety habituation and the obsessive-compulsive disorder cycle Session 5: Developing a hierarchy Session 6: Setting up the first exposure with response prevention task Sessions 7–18 Sessions 19 and 20: Relapse prevention Treatment outcome What can be learnt from this case References Further reading Index A B C D E F H I L M N O P Q R S T U W Y Back Cover