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The American Psychiatric Association recommends ERP for the treatment of OCD, citing that ERP has the richest empirical support. [25] As of 2019, ERP is considered a first-line psychotherapy for OCD. [21] [26] A 2024 systamtic review found that ERP is highly effective in treating pediatric OCD using both in-person and telehealth-based ...
The most effective treatment for primarily obsessional OCD appears to be cognitive-behavioral therapy [29] (more specifically exposure and response prevention (ERP)) as well as cognitive therapy (CT) [29] [30] which may or may not be combined with the use of medication, such as SSRIs.
When OCD becomes severe, this leads to more interference in life and continues the frequency and severity of the thoughts the person sought to avoid. [21] Exposure therapy (or exposure and response prevention) is the practice of staying in an anxiety-provoking or feared situation until the distress or anxiety diminishes.
A passing score on the associated National Counselor Exam (NCE). After January 1, 2022, NCC applicants will be required to have a degree from a counselor education program accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP) , which includes a minimum of 60 semester hours of coursework.
Inference-based therapy (IBT) is a form of cognitive therapy specifically developed for treating OCD. [184] The therapy posits that individuals with OCD put a greater emphasis on an imagined possibility than on what can be perceived with the senses, and confuse the imagined possibility with reality, in a process called inferential confusion. [185]
Systematic desensitization, (relaxation training paired with graded exposure therapy), is a behavior therapy developed by the psychiatrist Joseph Wolpe. It is used when a phobia or anxiety disorder is maintained by classical conditioning. It shares the same elements of both cognitive-behavioral therapy and applied behavior analysis.
Flooding, sometimes referred to as in vivo exposure therapy, is a form of behavior therapy and desensitization – or exposure therapy – based on the principles of respondent conditioning. As a psychotherapeutic technique, it is used to treat phobia and anxiety disorders including post-traumatic stress disorder .
When designing an exposure hierarchy, therapists first conduct a thorough assessment of their client's fear with particular attention to the (a) feared object or situation, (b) feared consequences of confronting the object, (c) fear-related avoidance or safety behaviors, and (d) triggers and contexts of the fear. [3]
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