When Exposures Go Right: Effective Exposure-Based Treatment for Obsessive–Compulsive Disorder

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• 作者：Cary Jordan ; Adam M. Reid ; Andrew G. Guzick…
• 关键词：Exposure ; based therapy ; Psychotherapy ; Evidence ; based treatment ; OCD ; Clinical recommendations
• 刊名：Journal of Contemporary Psychotherapy
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：47
• 期：1
• 页码：31-39
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Public Health; Psychiatry; Clinical Psychology; Personality and Social Psychology;
• 出版者：Springer US
• ISSN：1573-3564
• 卷排序：47

文摘

Cognitive behavioral therapy with exposure and response prevention (CBT-E/RP) is the first-line treatment for obsessive–compulsive disorder (OCD). Several CBT-E/RP treatment manuals exist, yet clinicians still struggle to implement this evidence-based form of therapy. This article aims to help clinicians implement exposure-based treatment for OCD by providing practical treatment-enhancing strategies. In particular, literature and treatment recommendations related to effective hierarchy formation, strategic exposure design, and optimal exposure implementation is reviewed. Clinical case examples are provided throughout the paper to illustrate important principles, concepts, and recommendations. This paper aims to enhance the delivery of CBT-E/RP and address common questions and concerns that both new and advanced clinicians encounter when learning and applying this form of psychotherapy. Improving the integrity of CBT-E/RP delivery can improve therapeutic outcomes, patient compliance, and successful treatment completion.