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OCD: Implications for Counselling<br />Karen Boileau, Ashlee Ellerbruch, Maria Elsdon, Meagan Keashly, & Kim Long<br />
Overview<br />History of OCD<br />Defining OCD<br />Cognitive Behavior Theory<br />Models of OCD<br />Behavioral<br />Cogn...
A Peek at OCDExamples of Obsessionsand Compulsions<br />A woman spends hours in the shower washing her body in a sequence ...
History of OCD<br />
What is OCD?<br />Basic Stats on OCD:<br /><ul><li>A Canadian survey found a lifetime prevalence of 3%
The median age of onset is about 19 years old
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Ocd presentation part 1

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Ocd presentation part 1

  1. 1. OCD: Implications for Counselling<br />Karen Boileau, Ashlee Ellerbruch, Maria Elsdon, Meagan Keashly, & Kim Long<br />
  2. 2. Overview<br />History of OCD<br />Defining OCD<br />Cognitive Behavior Theory<br />Models of OCD<br />Behavioral<br />Cognitive-Behavioral<br />Belief and Appraisal<br />Interventions for OCD<br />Medication<br />Cognitive Behavior Therapy <br />Exposure Response Repetition<br />Implications for Counselling<br />
  3. 3. A Peek at OCDExamples of Obsessionsand Compulsions<br />A woman spends hours in the shower washing her body in a sequence that has to be the same each time. She will use a towel only if it is handed to her directly from a dryer and has not touched anything <br />An aunt will not babysit for her nieces because she is afraid she will stab them with a knife as they sleep<br />For five years a woman has been washing her arms up to the elbow 50 times a day until they are raw because she is worried that her germs will infect her family<br />A man covers everything with a paper towel before touching it. If anything is touched by his clothes, he has to wash it. He can barely use his left hand because he is reluctant to let it touch anything <br />Examples from: Obsessive Compulsive Disorder, 1998<br /> <br />
  4. 4. History of OCD<br />
  5. 5. What is OCD?<br />Basic Stats on OCD:<br /><ul><li>A Canadian survey found a lifetime prevalence of 3%
  6. 6. The median age of onset is about 19 years old
  7. 7. Women account for 60% of adults with OCD
  8. 8. In children, however, this ratio is reversed</li></ul>Paris, 2006; Taylor, 2005 <br /> <br />Defining Obsessions and Compulsions:<br /><ul><li>Obsessions are upsetting thoughts, images or urges
  9. 9. Examples of obsession (in order of most to least common): contamination, aggressive impulses, sexual content, somatic concerns and the need for symmetry.
  10. 10. Compulsions are repetitive and intentional acts or thoughts
  11. 11. typically these actions tend to reduce distress and they are quite excessive
  12. 12. Example: May be performed in response to an obsession. Or are performed according to certain rules (usually having to do with a pattern or set of numbers)</li></ul> Barlow & Durand, 2005; <br />Obsessive Compulsive Disorder, 1998 <br />
  13. 13. Diagnosing OCD: DSM-IV-TR<br />A. Either Obsessions or Compulsions<br /><ul><li>Obsessions
  14. 14. Recurrent and persistent thoughts, impulses or images that cause anxiety or distress
  15. 15. These thoughts, impulses or images are not just excessive worries
  16. 16. The person attempts to neutralize these with some other thought or action
  17. 17. the person recognizes that the thoughts, impulses or images are a product of their mind
  18. 18. Compulsions
  19. 19. Repetitive behavior or mental acts that the person feels driven to perform
  20. 20. The behaviors or mental acts are meant to try and reduce distress or prevent some dreaded event or situation</li></ul>B. The person recognizes that the obsession/compulsions are unreasonable <br />or excessive<br />C. The obsessions/compulsions are time consuming, or interfere with a daily routine<br />D. If the person has another Axis I diagnosis the content of the obsessions/compulsions is not restricted to it<br />E. The obsessions/compulsions that are disturbing the person are not due to effects of a substance or general medical condition<br />Reference: APA, 2000<br />

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