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Obsessive Compulsive Disorder in Children and Adolescents

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Table of Contents

Foreword, Foa I. Introduction 1. Review of Pediatric OCD 2. Assessing OCD 3. Overview of Treatment II. Session-by-Session Treatment Program 4. Session 1: Establishing a Neurobehavioral Framework 5. Session 2: Introducing the ""Tool Kit"" 6. Session 3: Mapping OCD 7. Session 4: Completing the Tool Kit 8. Session 5: Putting E/RP into Action 9. Session 6: E/RP Continues 10. Session 7: Family Session 11. Sessions 8-11: Moving Up the Stimulus Hierarchy 12. Session 12: Family Session II 13. Sessions 13-18: Completing E/RP 14. Session 19: Relapse Prevention 15. Session 20: Graduation 16. Session 21: Booster Session III. Troubleshooting 17. Pitfalls 18. Special Wrinkles: Supplemental Treatment Interventions 19. Working with Families 20. 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

About the Author

John S. March, MD, MPH, is Director of the Program in Child and Adolescent Anxiety Disorders at Duke University Medical Center. An expert in both the cognitive-behavioral and medication management of OCD in children and adolescents, Dr. March received the 1994 Norbert and Charlotte Reiger Award from the American Academy of Child and Adolescent Psychiatry for his work on the integrated treatment of OCD. Dr. March is widely published in the areas of OCD, PTSD and pediatric psychopharmacology. His textbook, Anxiety Disorders in Children and Adolescents, is generally considered the standard work in the area. With Dr. Edna Foa, Dr. March is currently conducting a comparative study of medication, CBT and their combination in pediatric OCD funded by the National Institutes of Mental Health. Karen Mulle, BSN, MTS, MSW, is the chief therapist in the Program in Child and Adolescent Anxiety Disorders at Duke University Medical Center.


"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

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