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CBT Sanderson > OCD > Flashcards

OCD Flashcards

1
Q

Obsessions

A

Intrusive and nonsensical thoughts, images, or urges that one tries to resist or eliminate

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2
Q

Compulsions

A

Thoughts or actions to relieve anxiety associated with obsession

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3
Q

Common OCD Subtypes

A

Contamination

Checking

Harming

Scrupulosity

Symmetry (superstition)

*Many persons with OCD display multiple obsessions

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4
Q

OCD Prevalence

A

Affects about 3% of the population

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5
Q

Medication Treatment of OCD

A

Preferential response to SSRIs (or TCAs with strong serotonin effects such as clomipramine)

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6
Q

Psychological Treatment of OCD

A

Cognitive-behavioral therapy – Most effective for OCD

Essential: exposure and response prevention (ERP)

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7
Q

OCD Assessment

A

YBOCS:
Obsession Scale: M=11, SD=3
Compulsion Scale: M=11, SD=3

OCI:
M= 27 SD=13

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8
Q

CBT: Overview

A

Psychoeducation (specific to each subtype)
ocfoundation.org, adaa.com

Cognitive Therapy
 modify appraisals and address core beliefs

Exposure and Response Prevention
 confront avoidance behavior (negative reinforcement)
 extinguish association between the obsession/anxiety
and the compulsive behavior

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9
Q

Belief Domains (Core Schema) in OCD that Shape Appraisals

A

Inflated Responsibility
-belief one has power to bring about or prevent negative outcomes

Over-importance of Thoughts (thought-action fusion)
-belief that the presence of the thought indicates it is important

Overestimation of Threat
-exaggeration of the probability of severity or harm

Importance of Controlling Thoughts
-belief that one must be in complete control of intrusive, obsessive thoughts

Intolerance of Uncertainty

Perfectionism
-Belief that if not done perfectly serious consequences may occur

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10
Q 
CONTAMINATION SUBTYPE (disgust, anxiety, guilt):
Inflated Responsibility
A

I must remain perfectly clean to protect self and others from harm

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11
Q 
CONTAMINATION SUBTYPE (disgust, anxiety, guilt):
Over-importance of Thoughts
A

If I feel it is contaminated then it must be

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12
Q 
CONTAMINATION SUBTYPE (disgust, anxiety, guilt):
Overestimation of Threat
A

This contaminated item can lead to serious health consequences

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13
Q 
CONTAMINATION SUBTYPE (disgust, anxiety, guilt):
Intolerance of Uncertainty
A

I must be certain that I have not come in contact with that contaminated object

I must be certain that I’ve washed sufficiently to eliminate it

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14
Q 
CONTAMINATION SUBTYPE (disgust, anxiety, guilt):
Perfectionism
A 
My hands, that object, etc. is either perfectly clean (safe) 
or contaminated (dangerous)
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15
Q

Treatment: Contamination

A

Psychoeducation

Cog Restructuring: address specific beliefs and appraisals

Systematic Exposure: – Hierarchy
Imaginal (inoculation)
In-vivo
Imaginal (disastrous consequences)

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16
Q 
CHECKING SUBTYPE (anxiety, guilt)
Inflated Responsibility
A

If I don’t check to be sure then I will be responsible if something happens

17
Q 
CHECKING SUBTYPE (anxiety, guilt)
Over-importance of Thoughts
A

I have to control/eliminate this doubt

18
Q 
CHECKING SUBTYPE (anxiety, guilt)
Overestimation of Threat
A

If my doubt is true, then a horrible consequence will happen

19
Q 
CHECKING SUBTYPE (anxiety, guilt)
Importance of Controlling Thoughts
A

I must not feel this way - I can’t tolerate the thought

20
Q 
CHECKING SUBTYPE (anxiety, guilt)
Intolerance of Uncertainty
A

I must make sure my doubt is untrue so I an be certain

21
Q 
CHECKING SUBTYPE (anxiety, guilt)
Perfectionism
A

It must be done completely the way I want it or else it is not good enough

22
Q 
HARMING SUBTYPE (anxiety, guilt, shame)
Inflated Responsibility
A

Belief one has power to bring about or prevent negative outcomes

23
Q 
HARMING SUBTYPE (anxiety, guilt, shame)
Over-importance of Thoughts (thought-action fusion)
A

I must not have this thought – having it is just as bad as doing it

24
Q 
HARMING SUBTYPE (anxiety, guilt, shame)
Overestimation of Threat
A

If I have this thought I will engage in the behavior

25
Q 
HARMING SUBTYPE (anxiety, guilt, shame)
Importance of Controlling Thoughts
A

I must eliminate this thought

26
Q 
HARMING SUBTYPE (anxiety, guilt, shame)
Perfectionism
A

I should never have a harming or aggressive thought

27
Q

Treatment: Harming

A

Psychoeducation

Cog Restructuring: address specific beliefs and appraisals

Systematic Exposure:
Cognitive: to the thoughts themselves
In-vivo: cues that trigger obsessions

28
Q

SCRUPOLISTY – religiosity, morality (anxiety, guilt shame)

Inflated Responsibility

A

If I do not meet this standard I, or loved ones, will be punished

29
Q

SCRUPOLISTY – religiosity, morality (anxiety, guilt shame)

Over-importance of Thoughts (thought-action fusion)

A

If I have blasphemous, immoral thoughts I deserve to be punished

30
Q

SCRUPOLISTY – religiosity, morality (anxiety, guilt shame)

Overestimation of Threat

A

Less than scrupulous behavior will lead to danger/punishment

31
Q

SCRUPOLISTY – religiosity, morality (anxiety, guilt shame)

Importance of Controlling Thoughts

A

Blasphemous, immoral thoughts must be controlled or else I will be punished

32
Q

SCRUPOLISTY – religiosity, morality (anxiety, guilt shame)

Intolerance of Uncertainty

A

Am I religious enough, moral enough?

33
Q

SCRUPOLISTY – religiosity, morality (anxiety, guilt shame)

Perfectionism

A

I must be perfectly scrupulous, moral, religious

Anything less than perfect is not good enough

34
Q

SYMMETRY w/magical ideation/superstition (anxiety, guilt)

Inflated Responsibility

A

Less than scrupulous behavior will lead to danger/punishment

Blasphemous, immoral thoughts must be controlled or else I will be punished

I must be perfectly scrupulous, moral, religious
Anything less than perfect is not good enough

35
Q

Treatment Scrupulosity

A

Psychoeducation

Cog Restructuring: address specific beliefs and appraisals

Systematic Exposure:
Cognitive: to the blasphemous thoughts themselves
In-vivo: cues that trigger obsessions

CBT Sanderson (10 decks)

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