Obsessive-Compulsive Disorder in Adults (Advances in Psychotherapy


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Table of Contents

Dedication 1 Description 1.1 Terminology 1.2 Defi nition 1.3 Epidemiology 1.4 Course and Prognosis 1.5 Diff erential Diagnoses 1.6 Comorbidities 1.7 Diagnostic Procedures and Documentation 2 Theories and Models 2.1 Biological Theories 2.2 Psychological Theories 3 Diagnosis and Treatment Indications 3.1 Form vs. Function 3.2 The Diagnostic Assessment 3.3 Identifying the Appropriate Treatment 3.4 Factors That Infl uence Treatment Decisions 3.5 Presenting the Recommendation for CBT 4 Treatment 4.1 Methods of Treatment 4.2 Mechanisms of Action 4.3 Effi cacy and Prognosis 4.4 Variations and Combinations of Methods 4.5 Problems in Carrying Out the Treatment 4.6 Multicultural Issues 5 Case Vignettes 5.1 Case Vignette 1: Contamination Symptoms 5.2 Case Vignette 2: Harming Symptoms 5.3 Case Vignette 3: Incompleteness Symptoms 5.4 Case Vignette 4: Unacceptable Thoughts 6 Further Reading 7 References 8 Appendix: Tools and Resources

About the Author

Jonathan S. Abramowitz, PhD, is Professor and Associate Chair of Psychology and Research Professor of Psychiatry at the University of North Carolina (UNC) at Chapel Hill. He is Director of the UNC Anxiety and Stress Disorders Clinic and a North Carolina licensed psychologist with a diplomate from the American Board of Professional Psychology. He is an international expert on anxiety and OCD and has published 12 books and over 200 research articles and book chapters. He is editor of two scientifi c journals, including the Journal of Obsessive-Compulsive and Related Disorders. Dr. Abramowitz has served as President of the Association for Behavioral and Cognitive Therapies. Ryan Jane Jacoby, MA, is a doctoral student of clinical psychology in the Anxiety/OCD Lab at the University of North Carolina (UNC) at Chapel Hill. She conducts research on the nature and treatment of OCD and anxiety disorders and is specifi cally interested in cognitive biases, treatment augmentation strategies, symptom dimensions of OCD, and inhibitory learning approaches to exposure therapy. Ms. Jacoby has published and presented her research at various national and international professional conferences and has received numerous awards for her academic accomplishments


This volume in the Advances in Psychotherapy series is a thorough guide to the effective diagnosis and empirically supported treatment for obsessive-compulsive disorder. The authors review the DSM-5 and ICD-10 diagnostic criteria, current theories and models, prevalence rates, and comorbidity, and provide a well-thought out examination of current treatments.; "All of the books in this series are written for a wide range of mental health professionals, but psychologists and psychiatrists will benefit the most from the wealth of knowledge in this volume. Another wonderful feature of these books is their usefulness across clinical, research, and academic settings."; Nicholas Greco IV, MS, BCETS, CATSM(Columbia College of Missouri), in DOODY'S BOOK REVIEW SERVICE, 2015;; "The authors have done a tremendous service to the profession and clinicians of all levels with this book. The research related to the conceptualization and treatment of OCD has burgeoned in recent years, and this book brings to providers a single, brief, highly approachable resource that will greatly facilitate the delivery of therapy to clients. Especially unique are the clinical vignettes that link conceptualization of this complex disorder to clinical presentations that are common but less well known, such as harming obsessions and unacceptable thoughts. This book is a 'must-read' for clinicians who expect to treat individuals with OCD."; Dean McKay, PhD, ABPP, President (2013-2014), Association for Behavioral and Cognitive Therapies; Professor, Fordham University, Bronx, NY;; "From the esteemed University of North Carolina Anxiety and Stress Disorders Clinic comes this clinician's guide to treatment of OCD. Going well beyond outlining the evidencebased treatment protocols, the authors sort through the daunting number of permutations of OCD to guide the reader from assessment tools through the best responses to nonadherence and misuse of exposure techniques as anxiety control strategies."; Reid Wilson, PhD, coauthor, Stop Obsessing! Overcoming Your Obsessions and Compulsions;; "Finally, an updated, concise text that covers all the 'OCD bases' from conceptualization to psychological treatment, including recent clinical advances such as ACT and inhibitory learning. Anyone interested in treating OCD needs to use this book as their guiding resource."; Bradley Riemann, PhD, Clinical Director, OCD Center and CBT Services, Rogers Memorial Hospital, Oconomowoc, WI

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