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Treating OCD with Exposure and Response Prevention

General Information

Title: Treating OCD with Exposure and Response Prevention. The Basics and Beyond

Presenter: Jonathan Abramowitz, PhD

Dates: Sunday-Monday, July 21 and July 22, 2024. 8:00 AM- 4:00 PM

Fee: $600. Earlybird special (until 4/1) $475. Includes full technical support, handouts, 12 CE credits, and 2 months access to recordings.

Venue: Online Webinar

Treating OCD with Exposure and Response Prevention

Description

Obsessive-Compulsive Disorder (OCD) is a chronic and disabling psychological condition. In this workshop, attendees will receive comprehensive information on the nature and psychological treatment of this disorder. A conceptual model will be provided, and evidence-based cognitive-behavioral assessment, treatment planning, and intervention will be reviewed and illustrated. Attention will be placed on core principles of assessment, case conceptualization, and treatment by exposure and response prevention (ERP) as derived from theory and research. In addition, there is a substantial art to bringing patients to interventions that will treat OCD, and accordingly attention will be placed on discussing and demonstrating the art of delivery of ERP—the first line treatment for this condition. Numerous case examples will be discussed throughout the workshop and illustrated using videotapes. We will also cover troubleshooting and working with complex cases.

 

Instructor

Jonathan (Jon) Abramowitz, Ph.D., is Professor and Director of Clinical Training in the Department of Psychology and Neuroscience at the University of North Carolina at Chapel Hill, USA. His research and clinical work focuses on obsessive-compulsive disorder (OCD) and anxiety disorders, including fears and phobias, health anxiety, and panic attacks.  He has authored over 300 scientific publications and 20 books, which have been translated into several languages. He served as President of the Association for Behavioral and Cognitive Therapies and as Editor or Associate Editor of several academic journals. Dr. Abramowitz has received wide recognition for his scholarly work and contributions.

Treating OCD with Exposure and Response Prevention

Objectives

At the conclusion of this program: 

  1. Attendees will be able to identify OCD symptoms and tell them apart from the symptoms of similar but unrelated disorders.
  2. Attendees will be able to describe current cognitive-behavioral models to explain the symptoms of OCD
  3. Attendees will be able to identify the best practices in the assessment of OCD and describe a functional assessment of this disorder
  4. Attendees will be able to describe the implementation of exposure and response prevention for the various manifestations (obsessions and compulsions) of OCD.

Application Deadline

July 19, 2024 or until all training spaces are filled, whichever comes first.

Notification of Acceptance

Applicants will be notified, via email, of acceptance when registration is complete, and payment is received.

Refund/Cancellation Policy 

Tuition/registration payments are refundable (minus $25) until June 10, 2024.  Cancellations after this date are non-refundable. In this situation, we will attempt to find someone to take your slot (based on our waiting list).

Accessibility

Conference is via webinar. For live options, there will be handicap accessibility.

Course level

Introductory

Level of clinician 

Introductory

Accessibility

If you require ADA accommodations, please contact our office 30 days or more before the event. We cannot ensure accommodations without adequate prior notification

The Grievance Policy for trainings provided by NEFESH INTERNATIONAL is available here. Please Note: Licensing Boards change regulations often, and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling.

CE Information

Participants must have paid the tuition fee, signed in or logged in and out each day, attended the entire webinar, and completed an evaluation to receive a certificate (for pre-recorded program, a post-test with a passing grade of 80% is required.) Failure to sign/log in or out will result in forfeiture of credit for the entire course. No exceptions will be made. Partial credit is not available. Certificates are available electronically after satisfactory course completion. A link will be provided for those who have completed the training.

 

Three Continuing Education Credits are granted through Nefesh International for the following professions: Psychologists, Social workers, Mental Health Counselors, and LMFTs. It is the participant’s responsibility to check with their individual state boards to verify CE requirements for their state.

NEFESH International, Inc. is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0116.

NEFESH International is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0046

NEFESH International is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for Mental Health Counselor #MHC-0082

NEFESH International is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0048.

This program is co-sponsored by NEFESH International and Neuhoff Psychological Consulting . NEFESH International is approved by the American Psychological Association to sponsor continuing education for psychologists. NEFESH International, maintains responsibility for this program and its content.

Satisfactory Completion:

Participants must have paid the tuition fee, signed in or logged in and out each day, attended the entire webinar, and completed an evaluation to receive a certificate (for pre-recorded program, a post-test with a passing grade of 80% is required.) Failure to sign/log in or out will result in forfeiture of credit for the entire course. No exceptions will be made. Partial credit is not available. Certificates are available electronically after satisfactory course completion. A link will be provided for those who have completed the training.

 

References

Elsner, B., Jacobi, T., Kischkel, E., Schulze, D., & Reuter, B. (2022). Mechanisms of exposure and response prevention in obsessive-compulsive disorder: effects of habituation and expectancy violation on short-term outcome in cognitive behavioral therapy. BMC psychiatry22(1), 1-16.

 

Keleher, J., Jassi, A., & Krebs, G. (2020). Clinician-reported barriers to using exposure with response prevention in the treatment of paediatric obsessive-compulsive disorder. Journal of Obsessive-Compulsive and Related Disorders24, 100498.

 

Patel, S. R., Comer, J., & Simpson, H. B. (2021). Innovations in the delivery of exposure and response prevention for obsessive-compulsive disorder. The Neurobiology and Treatment of OCD: Accelerating Progress, 301-329.

Treating OCD with Exposure and Response Prevention

Schedule

Sunday, July 21, 2024

8-9:30 AM 

  • What is OCD
    • What are obsessions and compulsions?
    • The different manifestations of OCD
    • Contamination obsessions and decontamination rituals
    • Responsibility obsessions, checking, and reassurance-seeking rituals
    • Taboo obsessions, mental rituals, and neutralizing strategies
    • The need for symmetry and exactness and repeating rituals
    • Clinical case examples

9:30-9:45 AM – Break

9:45-10:15 AM 

  • What is OCD and What is Not
    • DSM-5 and confusion about where to put OCD
    • How to distinguish OCD from other anxiety disorders and why it can be difficult to tell
    • How to distinguish OCD from other Obsessive Compulsive Spectrum Disorders and OCPD
    • Clinical case examples

 10:15-10:45 AM 

  • Keys to Understanding OCD: Biology, Behavior, and Beliefs
    • OCD and the brain
    • How genetics does and does not play a role in OCD
    • Behavioral and conditioning factors in OCD
    • The role of cognition in OCD
    • Treatment implications

10:45–11:00 AM – Break

11:00 AM -12:00 PM

  • The First Sessions
    • Common first session concerns of clients and how to handle them
    • Establishing the diagnosis of OCD versus other problems with repetitive thinking and behavior
    • Is your patient a good match for treatment?
    • Introducing OCD to your clients and helping them get on board with treatment
    • Discussing treatment options
    • Demonstration of talking with a client about their OCD diagnosis and treatment options

12:00-1:15 PM Lunch

1:15 – 1:45 PM 

  • The Critical Role of Assessment
    • Why is assessment so critical to successful treatment?
    • How to assess the severity of OCD using the Yale-Brown Obsessive-Compulsive Scale Interview
    • Using self-report measures to assess the severity of OCD
    • Conducting a thorough behavioral analysis of OCD symptoms
    • Self-monitoring of rituals
    • Assessing cognitive factors in OCD

1:45 – 2:15 PM 

2:15-2:30 PM – Break

2:30-3:00PM 

  • Creating a case conceptualization
    • The importance of case conceptualization
    • How to develop a conceptualization
    • Case formulations for different manifestations of OCD
    • How to present the conceptualization
    • How to present the treatment rationale in a way that increases buy-in
    • Common client questions and how to respond

 3:00 – 4:00 PM 

  • Exposure and Response Prevention Part I
    • What is exposure and how does it work?
    • Habituation vs inhibitory learning: What’s the difference?
    • Developing an exposure list to address what the client needs to learn
    • Developing exposure lists for different manifestations of OCD
    • Finalizing the treatment plan

 

Monday, July 22, 2024

8:00 – 9:30 AM 

  • Exposure and Response Prevention Part II
    • What is expectancy tracking?
    • Getting the most out of situational (in vivo) exposure
    • Using imaginal exposure to treat obsessional thoughts
    • Implementing response prevention
    • Assigning between-session practice to vary up exposures
    • Exposure and Response Prevention for different manifestations of OCD
    • Demonstrations of exposure and response prevention

9:30-9:45 AM – Break

9:45-10:45 AM 

  • Weaving in ACT and Acceptance-Based Strategies
  • What is ACT and how does it apply to OCD?
  • Acceptance exercises
  • De-fusion exercises
  • Implementing exposure and response prevention from an ACT perspective
  • Demonstrations

10:45-11:00 AM – Break

11:00 AM -12:00 PM 

  •  Ending Treatment and Preventing Relapse
    • When is treatment over?
    • Preparing for the end of treatment
    • Planning for continued exposure and response prevention
    • Discussing lapse versus relapse
  • When Client Motivation is Low
    • Understanding treatment refusal
    • Clarifying the pros and cons
    • Clarifying values
    • Working with family members to increase incentives

12:00-1:30 PM Lunch

1:30-3:00 

  • Working with Couples and Families
    • Understanding OCD from an interpersonal perspective
    • Identifying partner/family involvement in OCD symptoms
    • Training partners and family members as coaches
    • Reducing accommodation using couple/family-based exposure and response prevention
    • Strengthening relationships outside of OCD
  • Tricky Obsessions and Compulsions
    • “Pure obsessions”
    • Mental rituals
    • Fears of long-term disasters
    • Scrupulosity
    • No feared consequences
    • Excessive reassurance-seeking

3:00-3:15 PM - Break

3:15-4:15 PM 

 Common Therapist Mistakes and How to Avoid (or Fix) Them (week 8)

    • Debating about risk
    • Backing down from high anxiety
    • Reassurance-giving
    • Emphasizing habituation
    • Using cognitive therapy
    • Missing mental rituals

 

Treating OCD with Exposure and Response Prevention

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