Obsessive Compulsive Disorder (OCD) is one of the most disabling mental health problems. However, there is also an excellent research base supporting the effectiveness of Cognitive Behavioural Therapy in enabling clients to overcome this. Treatment consists of the identification of triggers to the obsessive thoughts (typically thoughts of a specified or unspecified disaster) and exposure to them. This is combined with “response prevention” i.e. resistance to engaging in the compulsive behaviour that such obsessive thoughts typically trigger. Detailed guidance illustrated with a particular case (Carl) demonstrates how this technique can be effectively used.
The structure of this video:
Consultant Clinical Psychologist Paul Grantham interviews Dr Fiona Kennedy on her perspective of helping clients struggling with OCD by using Exposure and Response Prevention Therapy. Dr Kennedy shares the theoretical background, research evidence and her own views and ideas on application of ERP to work with this group of clients.
This is then followed by an expert demonstration of the use of the principles discussed in the interview by Dr Kennedy in TWO LIVE client sessions. The sessions start, unfold and finish in front of the viewer.
Client: Carl (27) presents with OCD problems. These manifest themselves as a desire for symmetry regarding any books, magazines or paperwork. Any piles of papers on a table have to be straightened, any piles of magazines have to be in piles of multiples of four. Any “extras” have to be in their own pile. Books on shelves need to be in groups of four as well and any “extras” here need to be turned on their sides on the book case. He has an unspecified fear of something “bad” or “catastrophic” happening if he doesn’t check these items in a room or if he doesn’t order them as he wants.
Dr Fiona C. Kennedy, BA (Hons), M Clin Psychol, D Clin Psy, AFBPS, C Psychol
Fiona has a vast clinical experience in mental health and learning disability fields. She was a Board Member/Trustee for the British Association of Behavioural and Cognitive Psychotherapists (BABCP). She has an extensive experience of teaching and presenting, giving regular input to doctoral training programmes. Amongst many other research projects she has studied dissociation after trauma that led to a new theoretical model and scale, as well as innovative new treatments. The creation of an effective treatment service for self-harming, suicidal, ‘revolving door’ inpatients was quoted as an example of national excellence by the governments’ National Audit Office in its House of Commons report ‘Safer Patient Services’ 2005.
Prof Paul Grantham, is a Consultant Clinical Psychologist with extensive NHS, Social Services and training experience. He has written on a range of therapy and helping issues. An extensively informed, clinically experienced and humorous speaker he is known for his emphasis on the practicalities rather than just the theory of client-based work. Paul is a founder and Director of SDS Seminars Ltd and one of the most popular and inspirational tutors in the field of psychological skills training.
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