Exposure And Response (Ritual) Prevention For Obsessive Compulsive Disorder (Second Edition): Therapist Guide
Exposure and Response (Ritual) Prevention for Obsessive-Compulsive Disorder comes in two volumes. This page is for the Therapist Guide. Click on the following link to access the Client Workbook.
Cognitive behavioral therapy (CBT), including Exposure and Response Prevention (ERP), is an effective treatment for Obsessive-Compulsive Disorder (OCD). It is recommended by the American Psychiatric Association (APA) and the UK National Institute for Health and Care Excellence (NICE). The Exposure and Response (Ritual) Prevention for Obsessive-Compulsive Disorder (Second Edition) is written by Edna B. Foa, Elna Yadin, and Tracey K. Lichner, and provides therapists with all the tools they need to deliver effective, evidence-based psychological treatment for OCD. Part of the Treatments That Work® series, it provides step-by-step instructions for helping clients manage and overcome their OCD, as well as the challenges that can arise during treatment.
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Chapter 1: Introductory Information for Therapists
Chapter 2: Assessment
Chapter 3: Treatment Components of Exposure and Ritual Prevention
Chapter 4: Session 1: Treatment Planning Part I
Chapter 5: Session 2: Treatment Planning Part II
Chapter 6: Session 3: Exposure and Ritual Prevention - Introducing In Vivo Exposure
Chapter 7: Exposure and Ritual Prevention - Introducing Imaginal Exposure
Chapter 8: Intermediate Sessions: Continuing Exposure and Ritual Prevention
Chapter 9: Final Session
Chapter 10: Problems Commonly Encountered During Exposure And Ritual Prevention
Appendix
References
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Introduction & Theoretical Background
OCD can be one of the most debilitating mental health conditions (Mathers & Loncar, 2006) and affects approximately 1% of individuals during their lifetime (Fawcett et al., 2020). Symptoms of OCD include obsessions (repetitive and distressing thoughts, images, or urges) and compulsions (repetitive behaviors, including mental acts, that are performed in response to obsessions). Obsessions and compulsions are often time consuming and can have a significant impact on people’s relationships, work, and ability to function. Exposure and Response (Ritual) Prevention for Obsessive-Compulsive Disorder is a comprehensive program which assists clinicians in delivering effective ERP for OCD. The program includes two books:
- Exposure and Response (Ritual) Prevention for Obsessive-Compulsive Disorder: Therapist Guide details the step-by-step treatment of OCD using ERP, including common obstacles.
- Treating Your OCD with Exposure and Response Prevention: Workbook is the companion to this therapist guide. It will help your patients to become active participants in
Therapist Guidance
Each Treatments That Work® title is published in two volumes:
- Clients use the Workbooks which contain elements of psychoeducation, skills development, self-assessment quizzes, homework exercises, and record forms.
- Therapists use the Therapist Guides which contain step-by-step instructions for teaching clients’ skills, overcoming common difficulties.
Although written for the client, the exercises in the workbook are intended to be carried out under the supervision of a mental health professional. The authors suggest that the most effective implementation of these exercises requires an understanding of the principles underlying the different procedures, and that mental health professionals should be familiar with both the Treating Your OCD with Exposure and Response Prevention: Workbook, as well as this therapist guide.
Therapists with an active subscription to a Psychology Tools ‘Complete’ plan are licensed to use Treatments That Work® titles, and to download and share chapters with their clients.
References And Further Reading
- Abramowitz, J. S. (2006). The psychological treatment of obsessive—compulsive disorder. The Canadian Journal of Psychiatry, 51, 407-416. DOI: 1177/070674370605100702.
- American Psychiatric Association (2007). Practice guideline for the treatment of patients with obsessive-compulsive disorder. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/ocd.pdf.
- Fawcett, E. J., Power, H., & Fawcett, J. M. (2020). Women are at greater risk of OCD than men: a meta-analytic review of OCD prevalence worldwide. The Journal of Clinical Psychiatry, 81, 19r13085. Doi:10.4088/JCP.19r13085.
- Ferrando, C., & Selai, C. (2021). A systematic review and meta-analysis on the effectiveness of exposure and response prevention therapy in the treatment of Obsessive-Compulsive Disorder. Journal of Obsessive-Compulsive and Related Disorders, 31, 100684. DOI: 1016/j.jocrd.2021.100684.
- Mathers, C. D., & Loncar, D. (2006). Projections of global mortality and burden of disease from 2002 to 2030. PLoS Medicine, 3, e442. Doi:10.1371/journal.pmed.0030442
- National Institute for Clinical Excellence (2005). Obsessive-compulsive disorder: Core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder (Clinical guideline CG31). https://www.nice.org.uk/guidance/cg31.