The Art of Treating OCD: Real World Issues and How to Address Them by Dr. Jonathan Grayson




In this workshop, Dr. Grayson discussed challenges in the treatment of Obsessive Compulsive Disorder (OCD) and their solutions. This included: treatment readiness preparation for clients with different OCD presentations (with extra attention to scrupulosity and Orthodox Judaism); when and how to modify treatment for co-morbid issues; motivating clients and incorporating acceptance and commitment (ACT) themes into an exposure and response prevention program without compromising the treatment protocol; and the use of scripts to create an immersive treatment environment.
Attendees at this training learned:
How to help clients become treatment ready depending on the suffered form of OCD.
To identify different sources of treatment resistance, including how ot deterime when co-morbid issues do or don’t play a role.
Different techniques for motivating clients/overcoming client resistance in treatment.
How to incorporate principles of acceptance and commitment (ACT) into state of the art exposure and response prevention protocols.
Presentation Outline
I. Introduction A. Treatment Basics and the Role of Uncertainty B. Incorporating Scripts into Treatment 1. The Role of Cognitive Therapy and ACT in ERP
II. Co-Morbidity – When and How Do You Have to Modify Treatment
III. Modifying Treatment for Different OCD Presentations A. Primary Mental Obsessions 1. Scrupulosity and Orthodox Judaism: 2. Violent Obsessions: 3. Sexual Obsessions: 4. Relationship OCD B. OCD Spectrum 1. Body Dysmorphic Disorder: 2. Hypochondriasis
IV. Questions
Jonathan B. Grayson, Ph.D. is co-founder of the Anxiety and OCD Treatment Center of Philadelphia and an Assistant Clinical Professor of Psychiatry at Temple University Medical School. For more than 30 years he has been specializing in the treatment of obsessive compulsive disorder (OCD) and is a nationally recognized expert and author of Freedom from Obsessive Compulsive Disorder: a Personalized Recovery Program for Living with Uncertainty, a self-help guide for sufferers. In October of 2010, the Association of Behavioral and Cognitive Therapies gave his book, Freedom from Obsessive Compulsive Disorder, the Self Help Book of Merit Award, recognizing his book as providing sufferers with the highest level of information about the best practices treatment for OCD. Dr. Grayson has presented workshops and has written numerous articles and book chapters for both professional and lay audiences. His work and expertise has been featured in national media including, People Magazine, The Oprah Winfrey Show and Nightline. He serves on both the Scientific Advisory Board and the Speakers Bureau of the OC Foundation. In 1981, along with Gayle Frankel (the former president of the Philadelphia Affiliate of the OC Foundation), he started the first support group in the country for OCD, to which he still donates his time. On July 17, 2010 the International OCD Foundation awarded Dr Grayson the Patty Perkins Lifetime Achievement Award for his devotion and contributions to the treatment of those with OCD.
Date of recording: Thursday, September 11, 2014.


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