A2 OCD Psychological therapies

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A2 OCD Psychological therapies

  1. 1. Psychopathology: Psychological therapies for OCD
  2. 2. Behavioural therapy – 1) Exposure and Response Prevention (ERP) therapy  ERP is about reconditioning.  Exposure – forcing the patient to experience the stimulus and learn, through association with relaxation, that it no longer produces anxiety. Both obsessions and compulsions have been acquired through conditioning.  In order to recover, patients must ‘unlearn’ this behaviour.  Obsessions are maintained through negative reinforcement.  Compulsive rituals have become assosiated with anxiety reduction. It consists of two components:    Response prevention – at the same time the patient is also prevented from engaging in their usual compulsive rituals. The patient must learn that anxiety can be reduced without the compulsive ritual.
  3. 3. Behavioural therapy – Exposure and Response Prevention (ERP) therapy Mode of action:     Psychiatrist identifies list of target symptoms using YBOCS List of items ranked by patient from least to most anxiety provoking. 13-20 weekly sessions (average) Sometimes monthly booster sessions set up to prevent relapse.
  4. 4. http://www.youtube.com/ watch?v=wvodgCQ5F-0
  5. 5. 2) Cognitive-behavioural therapy  Our behaviour is the product of our thoughts, therefore we should first of all address the thoughts.  E.g. ‘I must switch this light on and off 23 times or something terrible will happen to me or my family.’  This irrational thought will be challenged and a patient will be required to practise certain optimistic statements which challenge their cognitions.  Cognitive therapies focus on changing thoughts, in contrast to behavioural therapies which focus on changing behaviour.  Aims to identify, challenge and modify dysfunctional beliefs and the behaviours that these will result in.  Cognitive therapists believe that the behaviourists overlook and ignore the influences of a person’s thinking on psychological disorders.
  6. 6. Cognitive-behavioural therapy Typical dysfunctional beliefs You will now be given an activity which will enable you to:    1) understand more about these two therapies 2) evaluate them. 1) Unrealistic responsibility appraisals – see themselves as solely responsible for prevention of negative outcomes to themselves or those they love.  Over-importance of thoughts – sufferer may feel that having a thought (e.g. someone dying) will mean it will happen.  Exaggerated perception of threat – irrational belief in harmful outcomes.
  7. 7. http://www.youtube.com/ watch?v=wvodgCQ5F-0
  8. 8. Task:  Make a leaflet to be given to patients explaining to them one of the following two therapies for OCD:  Behavioural (ERP) Cognitive 
  9. 9. Task continued….     Make sure you explain to the client exactly what will happen to them during the therapy. Perhaps include pictures. Explain the likely strengths of this therapy. Explain any possible problems with this therapy. You have one lesson to get this ready.
  10. 10. Task continued….     Make sure you explain to the client exactly what will happen to them during the therapy. Perhaps include pictures. Explain the likely strengths of this therapy. Explain any possible problems with this therapy. You have one lesson to get this ready.

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