OCD overcoming dysfunctional beliefs

Question 1

Estimation of catastrophe

Answer 1

Estimate the chance and split up in parts of how likely it is that the catastrophe will happen. You show that the cumulative change is extremely high, therefore not realistic

Question 2

Estimation of responsibility

Answer 2

Pie technique, list the factors that contribute to the catastrophic event, make a pie with realistic percentages

Question 3

Fear hierarchy

Answer 3

Making hierarchy of worst and less bad, start slow but later start at the top eg

Question 4

Efficacy CBT

Answer 4

70% responds, of which 35% decrease in the Y BOCS

Average symptom decrease of 60-80%

Question 5

Poor outcome factors

Answer 5

CLINICAL
Severe OCD
Greater functional impairment
Hoarding symptoms
Poor insight
Higher comorbidity
Resistance to change
Low treatment adherence

DEMOGRAPHIC
Males
Single
Lower status
Lower education

OTHER
Family history of OCD
Poor therapeutic alliance
No early response to SSRI