This practical manual presents a cognitive-behavioural treatment program that has been proven effective in eliminating or alleviating OCD symptoms in children across a broad range of ages and aptitudes. Building on their title "How I Ran OCD Off My Land", the authors provide a empirically grounded guide to assessment, treatment planning, and skills-based intervention. Clinicians are taken through the four stages of treatment - psychoeducation, cognitive training, mapping OCD, and graded exposure and response prevention - in 13 to 20 clearly structured treatment sessions. The book contains sample dialogues drawn from the authors' own experience, and appendices featuring reproducible rating scales, patient handouts, and tips and resources for parents.

Table of Contents

Foa, Foreword. Part I: Introduction. Review of Pediatric OCD. Assessing OCD. Overview of Treatment. Part II: Session-by-Session Treatment Program. Session 1: Establishing a Neurobehavioral Framework. Session 2: Introducing the "Tool Kit". Session 3: Mapping OCD. Session 4: Completing the Tool Kit. Session 5: Putting E/RP into Action. Session 6: E/RP Continues. Session 7: Family Session. Sessions 8-11: Moving Up the Stimulus Hierarchy. Session 12: Family Session II. Sessions 13-18: Completing E/RP. Session 19: Relapse Prevention. Session 20: Graduation. Session 21: Booster Session. Part III: Troubleshooting. Pitfalls. Special Wrinkles: Supplemental Treatment Interventions. Working with Families. Working with Schools (with Gail Adams). Appendix I: Handouts and Figures: Your CBT Program. Map Figure. Fear Thermometer. Symptom List (Stimulus Hierarchy). Homework Sheet. Appendix II: Assessment Instruments: Leyton Obsessional Inventory. Yale Brown Obsessive-Compulsive Scale. NIMH Global Obsessive-Compulsive Scale. Clinical Global Impairment Scale. Clinical Global Improvement Scale. Appendix III: Resources, Tips, and Guidelines for Parents

Reviews

"This is a rare and wondrous book, clearly demonstrating that March and Mulle both know their subject and love their patients. The manual provides everything one needs to learn and do effective cognitive-behavioral therapy with children and adolescents with OCD, from theory to practical techniques to managing wrinkles and pitfalls in treatment. These strong collaborators and gifted writers have produced a work that ranks with the classics of the field. It is a 'must read' for clinicians working with child and adolescent OCD clients." --John H. Greist, MD, Distinguished Senior Scientist, Dean Foundation, and Clinical Professor of Psychiatry, University of Wisconsin Medical School

"This long-awaited guide builds upon proven cognitive-behavioral techniques to provide clinical strategies and metaphors designed specifically for young OCD sufferers. Balancing their programmatic treatment description with helpful anecdotes and explanations of key techniques, March and Mulle have produced a model treatment manual. Clinicians treating even one child with OCD symptoms should read this book." --Lee Baer, PhD, Associate Professor of Psychology, Department of Psychiatry, Harvard Medical School; author of "Getting Control: Overcoming Your Obsessions and Compulsions"