OCD

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  • Created by: Jess
  • Created on: 17-05-14 13:33
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  • OCD treatments
    • Cognitive treatments
      • Aims to replace unrealistic thoughts with more realistic ones
      • Aims to identify, challenge and replace thoughts with more constructive thinking patterns.
      • Attempts to change thoughts
        • Help people understand that they are misinterpreting thoughts
          • Make people feel guilty
        • Make people aware that they need to neutralize thoughts
          • By making amends for thoughts
        • Once achieved, the therapist will try to change these thoughts through catastrophic thinking
      • Schwartz 4 steps
        • RELABEL – Recognize that the intrusive obsessive thoughts and urges are the result of OCD
        • REATTRIBUTE – Realize that the intensity and intrusiveness of the thought or urge is caused by OCD; it is probably related to a biochemical imbalance in the brain. 
        • REFOCUS – Work around the OCD thoughts by focusing your attention on something else, at least for a few minutes. Do another behavior. 
        • REVALUE – Do not take the OCD thought at face value. It is not significant in itself. 
      • Habituation training
        • Think repeatdly about obsessive thought so that it becomes less anxiety provoking
      • Rufer:
        • 30 impatients over 6 years and found that cog treatments is the most successful at reducing obsessive thoughts especially when combined with behavioural - found to decrease frequency and duration of thoughts
    • Biological treatments
      • Drug treatments aim to change the level of nuerotransmitters in the brain
      • If drug treatments dont work, nuerosurgery can be performed
      • Riddle:
        • Investigate the safety of SSRI's in children and adolescents.with a placebo over the course of 10 weeks. there was a 42% reduction in symptoms over the 10 weeks but most difference in the first few weeks compared to 26% with the placebo. Found to be effective and tolerant for children in the short term treatment of OCD
      • Evaluation
        • Quicker and cheaper than psychotherapy
        • Side effect include nausea and relapse if come of medication.Valium is highly addictive and can cause withdrawl symptons
        • Drugs dont treat the cause so if come off it relapse will occur
        • A combination of drugs and therapy may be effective rather than on their own as the cause will be investigated
        • Safe and tolerant so can be used on children and in the long term
  • Evaluation
    • Can be preacticed at any time so it helps maintain ability to cope
    • must be articulate and ready to be challenged - do therefore it is not suited to all people
    • follow up studies have found that it works
    • a lot of empiritcal evidence, especially when combine with behavioural
    • Cognitive treatments
      • Aims to replace unrealistic thoughts with more realistic ones
      • Aims to identify, challenge and replace thoughts with more constructive thinking patterns.
      • Attempts to change thoughts
        • Help people understand that they are misinterpreting thoughts
          • Make people feel guilty
        • Make people aware that they need to neutralize thoughts
          • By making amends for thoughts
        • Once achieved, the therapist will try to change these thoughts through catastrophic thinking
      • Schwartz 4 steps
        • RELABEL – Recognize that the intrusive obsessive thoughts and urges are the result of OCD
        • REATTRIBUTE – Realize that the intensity and intrusiveness of the thought or urge is caused by OCD; it is probably related to a biochemical imbalance in the brain. 
        • REFOCUS – Work around the OCD thoughts by focusing your attention on something else, at least for a few minutes. Do another behavior. 
        • REVALUE – Do not take the OCD thought at face value. It is not significant in itself. 
      • Habituation training
        • Think repeatdly about obsessive thought so that it becomes less anxiety provoking
      • Rufer:
        • 30 impatients over 6 years and found that cog treatments is the most successful at reducing obsessive thoughts especially when combined with behavioural - found to decrease frequency and duration of thoughts

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