Lehmkl Et Al

Question 1

What was the aim of the study involving Jason?

Answer 1

To investigate the efficacy of CBT for a 12-year-old child with a dual diagnosis of autism spectrum disorder (ASD) and obsessive-compulsive disorder (OCD).

Question 2

At what age was Jason diagnosed with autism spectrum disorder?

Answer 2

Two years old.

Question 3

What significant impairment did Jason exhibit that led to his OCD diagnosis?

Answer 3

Ritualistic and avoidant behaviours began to interfere with his social and academic life.

Question 4

What was Jason’s initial score on the children’s version of the Y-BOCS?

Answer 4

18 (moderate).

Question 5

List two symptoms related to Jason’s autism spectrum disorder.

Answer 5

• Sensory issues around touch and sound
• Limited and repetitive language

Question 6

What were Jason’s obsessions and compulsions related to OCD?

Answer 6

• Obsessions: contamination
• Compulsions: handwashing and checking of food ‘use by dates’

Question 7

How many cognitive-behavioural therapy sessions did Jason attend?

Answer 7

Ten sessions.

Question 8

What therapy techniques were adapted for Jason due to his inability to identify obsessional thoughts?

Answer 8

Cognitive restructuring and imagined exposure.

Question 9

What coping strategy did the therapist teach Jason to reduce anxiety?

Answer 9

Saying nothing bad is going to happen.

Question 10

What was one of the phrases the therapist used to motivate Jason?

Answer 10

‘Beating OCD’ and not letting OCD be the boss.

Question 11

What type of situations did the therapist encourage Jason to expose himself to?

Answer 11

Unpleasant situations, such as touching doorknobs and elevator buttons.

Question 12

What was Jason’s final Y-BOCS score after therapy?

Answer 12

3.

Question 13

What did the therapist prepare Jason for towards the end of therapy?

Answer 13

To finish therapy and put strategies in place to prevent relapse.

Question 14

True or False: Jason showed signs of relapse during the three-month follow-up.

Answer 14

False.

Question 15

What conclusion can be drawn about the personalization of CBT for children?

Answer 15

If CBT is personalised to meet children’s individual developmental needs, it can be effective as a treatment for children with autism and OCD.

Question 16

What is a strength of the case study regarding therapy for children?

Answer 16

Successful adaptation of therapy designed for adults to meet the specific needs of a child.

Question 17

Fill in the blank: Family members may provide additional information that helps the therapist to tailor the treatment programme to the child’s _______.

Answer 17

[individual needs].

Question 18

What was Jason’s obsession?

Answer 18

Contamination

Question 19

What was Jason’s compulsions?

Answer 19

Handwashing and checking the labels expiry dates

Question 20

What was Jason’s main avoidant?

Answer 20

Would not touch door, knobs, library, books, and other children’s papers and school equipment and would not sit in public places on benches and chairs

Question 21

How old is Jason when he developed OCD

Answer 21

11

Question 22

What were some of Jason’s ASD symptoms?

Answer 22

Sensory issues touched and sound
Banged his head and beat himself repeated and limited language repetitive play poor social relationships

Question 23

How many sessions did Jason attend and what were their duration?

Answer 23

Jason attended 10 sessions of CBT 15 minutes each

Question 24

Over what time.

Answer 24

60 weeks at a local hospital

Question 25

Why were the doctors uneven to provide cognitive restructuring and imagined exposure?

Answer 25

As Jason could not identify his oppositional thoughts of the therapist adapted the therapy to suit Jason’s needs

Question 26

What were coping strategies that were taught?

Answer 26

Like saying, nothing bad is going to happen to reduce anxiety

Question 27

What phrase is written by the therapist?

Answer 27

Beating OCD and not letting OCD be the boss

Question 28

How was Jason rewarded

Answer 28

The therapist used it short to reward Jason’s progress and with the homework exercises and created other visual ways to develop a self awareness, such as how thoughts and feelings affect behavior

Question 29

What did the therapist encourage Jason to do?

Answer 29

To expose himself to unpleasant situations like touching door knobs, and the elevator buttons to ensure that Jason was exposed to long enough for new learning to take place

Question 30

How are Jason’s parents and teachers involved?

Answer 30

They allowed him to practice new strategies at home and at school

Question 31

What were the final sessions of CBT focused on?

Answer 31

Jason’s hoarding behaviors

Question 32

How long after therapy was done was the follow up and what did the follow up show?

Answer 32

The follow up was three months after and and it showed that he was still doing well and that there were no signs of relapse

Question 33

What was the conclusion of the study?

Answer 33

If CBT is personalized to meet children’s individual development and needs, it can be effective as a treatment for children with autism and OCD

Question 34

What is one strength of using children in this case study

Answer 34

Is that a tad was able to successfully adaptive therapy designed for adult to with the specific needs of the child with a ST and an important consideration when working with the children is to build a connection with the whole family such as what was done here, but providing help with the parent and teachersand building a good home environment family members may also provide additional information that may help the therapist to Tata the treatment program to a child interest, especially this is especially important for young children

Question 35

What was the weakness of the study?

Answer 35

That it was a case study, which means that the generalization could only be adapted to someone who is a young boy at age around 12 who also has ASD meaning that the results are not generalized to older or younger demographics nor as a generalized to females or people without ASD

Question 36

What is the strength of the study?

Answer 36

Strength is that triangulation was used, and this involve the collection of qualitative and quantitative data from observations, interviews and psychometric tests, such as the Y box and an IQ test. This means that the study is geographic in nature and allows the researchers to gain insight into the practical issues And adapting ERP for people who have ASD. The collection of quantitative data means that the results can be compared to other studies of children who also have ASD, although this case study only uses a single compare participant comparison with other studies using Y Box can help determine the reliability of findings