Read Obsessive Compulsive Disorder Online
Authors: Polly Waite
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
Table of Contents
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
8 Issues and future directions in childhood OCD
Appendix A Child Obsessive Compulsive Inventory (Child OCI)
Appendix B Child Responsibility Attitude Scale (CRAS)
Appendix C Children’s Responsibility Interpretation Questionnaire (CRIQ)