behavioural therapy (ERP) exposure responce prevention
- Created by: becca ellis
- Created on: 30-12-12 14:33
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- behavioural therapy (ERP) exposure responce prevention
- ERP thearpy aims to provide oppertunities for recondtioning
- first component is EXPOSURE
- patient is repeatedly presented with the feared stimulus until anxiety subsides
- exposure may just start with them imagining the feared stimulus and later experieng the real feared stimulus such as touching dirt for a contamination OCD stufferer
- exposure moves from least threatening to most threatening similar to systematic desestitiations
- if the pace is to slow patients may get demotivated
- the second component is RESPONCE PREVENTION
- at the same time as the exposure the patient is prohibited from carrying out the compulsion
- this is important as it make the patient realise that the anxiety can be reduced without the compulsive ritual
- in an institutional setting staff may work out a strict routine to restrict patients compulsive behaviours such as allowing them to only flush the toilet twice instead of ten times like they normally would
- at the same time as the exposure the patient is prohibited from carrying out the compulsion
- mode of action
- 1) the psychiatrist work out a list of target areas using the y-boc test
- 2) the paitient ranks them from least to most anxiety provoking
- it normally consists of 13-20 weeks worth of sessions
- once treatment is complete patients are encouraged to continue to use the ERP techniques
- monthly booster sessions are often given up to six months afterwards
- effectiveness
- albucher etal reported that between 60-90% of adult with OCD have improved considerablly using ERP
- research has found that the effectiveness of ERP was improved when intergrated with discussions of feared consequences and dysfunctional beleifs
- for people with mild OCD self directed ERP may be realitively effective
- appropriateness
- ERP alone is not effective for people who also suffer from depression and are serverally depressed nor with patients who have specific types of ocd such as hording
- the sucess of ERP relies on the effort made by the patient
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