ADAA Webinar: OCD & Strategic Pressure: Working with Treatment Resistant Children & Adult Children Living at Home
September 22, 2017 | 12 noon – 1:00 pm ET
OCD & Strategic Pressure: Working with Treatment Resistant Children & Adult Children Living @Home
As therapists we have all experienced the painful difficulty of seeing sufferers in extreme distress and having difficulty functioning, who are refusing to follow through with treatment at any level. When confronted with a treatment refusing child, the stakes seem even higher because we know that with each passing year of dysfunction, the odds that child will recover begin to decrease. Sending the treatment refusing child to an intensive OCD inpatient program may seem like a viable solution, but such programs can be defeated by the treatment refusing child, because legally, they can’t force anyone to do treatment. We consider Strategic Pressure to be the treatment of last resort, when all else has failed.
Strategic Pressure is a treatment approach that can be used by therapists to work with the parents of treatment refusing children to pressure them into treatment. It takes into account the difficulty the parents have had with enabling and focuses as much upon helping them to gradually change their behaviors as much as the child’s. It can be used for any dependent child living at home, whether 4 or 36.
- Describe a minimum of three different manifestations of harm OCD that differ in the intentionality and responsibility experienced by the sufferer.
- Convince sufferers from harm OCD to risk and cope with the possibility of their worst fears coming true.
- Design and implement an ERP protocol for different forms of harm OCD
Click here to watch the Southern California OCD Affiliate’s 2nd annual conference 2 keynote addresses. The first is mine and discusses uncertainty and a number of primary mental obsessions. The second if Ethan Smith, a comedian, actor, spokesperson for the International OCD Foundation and generally a great guy.
This is from a an OCD Awareness Week Event. This is the panel that followed my presentation, “The ABCs of Overcoming OCD.” The speakers, Liz McInvale, Ethan Smith and Jeff Bell humble me with their life stories and their bravery. I hope I could do as well as them if I were in their circumstances. Click here to see their panel.
This is from a livestreamed OCD Awareness Week Event. Click here to watch my presentation of “The ABCs of Overcoming OCD.” My thanks to Liz McInvale, Ethan Smith, Jeff Bell and Barbara Van Oppen for putting this together and for there wonderful presentations. You can check out their presentation which is also shared on this site.
Sunday March 13 2016, 10:30am – 4:00pm (if you have OCD or an OCD related disorder ( hoarding, skin picking, hairpulling, body dysmorphic disorder, you may be eligible to participate! Study enrollment opens at 10:30)
Courtyard Marriott Pasadena
180 N Fair Oaks Avenue, Pasadena, CA
(Free parking on the street)
By March 7, 2016 to email@example.com
* Light refreshments will be provided
Jonathan Grayson, PhD, The Grayson LA Treatment Center for Anxiety and OCD
“The ABC’s of OCD: Understanding OCD and its Treatment”
1:00 pm-1:45 pm:
Barbara Van Noppen, PhD, University of Southern California
“The Role of Family in OCD”
Chris Trondsen, The Gateway Institute
“Life Beyond OCD”
Question and Answer Panel
**Study Enrollment all day (compensation will be provided)
* Research funded by the National Institute of Mental Health.
Approved by USC HS-IRB 10-00299.
When you are in the middle of suffering from OCD, all of your attention is upon overcoming OCD, that future time when everything will be okay forever. But it won’t be that way. Life will be wonderful, but real life is also full of ups and downs. After a honeymoon period of having freedom, your next task will be living – finding out how to fill all of that time that used to be devoted to OCD, whether that time way eaten by behavioral or mental rituals. If you have OCD, you have a wonderfully creative mind and if you don’t use it, OCD will.
And then there is slipping. It turns out that for any behavior a person has to work on changing , slips will occur. Your OCD was like a garden full of weeds. You’ve gone through treatment and worked incredibly hard cleaning out the weeds and planting what you want – your garden is beautiful, but weeds will grow. You have to decide how much effort you want to put into keeping it beautiful, because you can let it get overgrown with weeds again. The good news is that no matter how much you slip, no matter how weedy your garden becomes, you can always come back, but the more you slip the more work you will have. In future posts I will discuss some of the relapse prevention that is in my book. The main focus of this post is a friend of mine, Shala Nicely who is an OCD Therapist; that is, she is a wonderful therapist who treats OCD and she has OCD. She attended the 2014 International OCD Foundation Conference in LA and attended my “virtual camping” trip. Shala’s OCD is never going to take control of her again, but she will slip. Slipping is normal and your relapse prevention work is to make slips less frequent and to keep them small. A major part of the work is learning to have the right attitude. If you expect to have slips and expect to have to battle them, you will be ready. If you expect to never have a slip, OCD will blindside you and you will fall. Click on this link for Shala’s 2014 IOCDF experience to see the fighting attitude you want to learn to adopt to maintain treatment gains. Shala, I can’t thank you enough for sharing your courage and wisdom.
It’s official, I will be relocating to LA on Dec. 1 this year and starting a new anxiety and OCD treatment center there. The new office will be in LA county (I’m open to suggestions for possible locations, but please have reasons other than convenient to where you might live). Go to LAOCDTreatment.com for:
- New center updates or;
- if you are interested in becoming a patient or;
- joining the free GOAL support group
OCD can be devastating, but there is treatment that works. When reading comments from other readers that may sound hopeless, please search through the thread – it is likely that earlier on I did discuss some of what can be done for that manifestation of OCD. I’ve been working with OCD since 1978 (I know, I’m ancient) and I haven’t seen a manifestation/presentation that can’t be treated successfully. At the same time, I have seen many people suffer needlessly from bad treatment. If you’re seeing a therapist and that therapist doesn’t mention exposure and response prevention as a part of treatment, you are probably in the wrong office. The updated edition of my book (Freedom From OCD) covers many different OCD presentations. If yours isn’t in it, it doesn’t mean you are untreatable, so there is no reason to give up hope. A good place to find a therapist is the Find-A-Therapist section of the International OCD Foundation‘s website and you should look for someone who is BTTI faculty or a BTTI graduate. Take care all and don’t lose hope.