Book contents
- Evidence-Based Treatment for Anxiety Disorders and Depression
- Evidence-Based Treatment for Anxiety Disorders and Depression
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- 1 Introduction
- 2 The History and Philosophical Underpinnings of CBT:
- Part One Cognitive Behavioral Therapy for Anxiety Disorders
- Part Two Cognitive Behavioral Therapy for Posttraumatic Stress Disorder
- Part Three Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder and Associated Disorders
- 11 Obsessive-Compulsive Disorder:
- 12 CBT for OCD:
- 13 Obsessive Compulsive Disorder:
- 14 Other Specified and Unspecified Obsessive-Compulsive and Related Disorders
- 15 A Cognitive Behavioral Approach to Body Dysmorphic Disorder:
- 16 Comprehensive Behavioral Treatment for Trichotillomania (Hair Pulling Disorder) and Excoriation (Skin Picking) Disorder
- 17 Cognitive Behavioral Therapy for Hoarding Disorder
- Part Four Cognitive Behavioral Therapy for Depression
- Part Five Complexity and Comorbidity in Anxiety Disorders and Depression:
- Part Six Specialist Applications of Cognitive Behavioral Therapy for Anxiety Disorders and Depression
- Part Seven Future Developments
- Appendices
- Index
- References
12 - CBT for OCD:
Evidence-Based Treatment for Contamination and Checking
from Part Three - Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder and Associated Disorders
Published online by Cambridge University Press: 06 January 2022
- Evidence-Based Treatment for Anxiety Disorders and Depression
- Evidence-Based Treatment for Anxiety Disorders and Depression
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- 1 Introduction
- 2 The History and Philosophical Underpinnings of CBT:
- Part One Cognitive Behavioral Therapy for Anxiety Disorders
- Part Two Cognitive Behavioral Therapy for Posttraumatic Stress Disorder
- Part Three Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder and Associated Disorders
- 11 Obsessive-Compulsive Disorder:
- 12 CBT for OCD:
- 13 Obsessive Compulsive Disorder:
- 14 Other Specified and Unspecified Obsessive-Compulsive and Related Disorders
- 15 A Cognitive Behavioral Approach to Body Dysmorphic Disorder:
- 16 Comprehensive Behavioral Treatment for Trichotillomania (Hair Pulling Disorder) and Excoriation (Skin Picking) Disorder
- 17 Cognitive Behavioral Therapy for Hoarding Disorder
- Part Four Cognitive Behavioral Therapy for Depression
- Part Five Complexity and Comorbidity in Anxiety Disorders and Depression:
- Part Six Specialist Applications of Cognitive Behavioral Therapy for Anxiety Disorders and Depression
- Part Seven Future Developments
- Appendices
- Index
- References
Summary
Contamination concerns and checking remain two of the most prevalent forms of presentation in OCD, reported by 25–50% of sufferers, with checking the most common compulsion. Since they cover a broad spectrum of concerns and complexity, the assessment and treatment of contamination and checking carries its own challenges for the therapist. This chapter explores the nature of contamination and checking concerns and provides an overview of recent research. Practical advice and guidance will guide the therapist from initial assessment to formulation and the development of an effective treatment protocol. The prevalence of covert safety-seeking behaviors such as rumination is discussed as a frequent obstacle in treatment. It advocates a move away from graded hierarchies for exposure and considers what effective exposure should consist of, encouraging the use of creativity and playfulness. A range of both common and less common presentations is used to illustrate key concepts.
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- Evidence-Based Treatment for Anxiety Disorders and DepressionA Cognitive Behavioral Therapy Compendium, pp. 222 - 251Publisher: Cambridge University PressPrint publication year: 2022