Search results for ‘Subject term:"mental health problems"’ Sort:
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Cognitive treatment of obsessions
- Author:
- WILHELM Sabine
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.187-199.
- Publisher:
- Oxford University Press
This article briefly describes the nature and prevalence of obsessions without overt compulsions, and it reviews a cognitive model and cognitive domains relevant for OCD. A case example highlights the application of cognitive strategies for obsessions without overt rituals.
Cognitive and behavioural methods for obsessive-compulsive disorder
- Authors:
- WHITTAL Maureen L., O'NEILL Melanie L.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.201-225.
- Publisher:
- Oxford University Press
The psychological treatment of choice for obsessive-compulsive disorder (OCD) has been behavioural in nature, that is, mainly exposure and response prevention (ERP). Recent advances and interest in cognitive therapy, largely spurred by the theoretical paper of Salkovskis in 1985, led to the development of cognitively focused approaches for the treatment of OCD. Although ERP has strong empirical support for its efficacy, cognitive interventions are receiving mounting evidence. Combining cognitive and behavioural techniques to match with a patient's unique symptom presentation may help maximize treatment outcomes and patient satisfaction. The purpose of this article is to introduce the cognitive-behavioural theory, assessment, and treatment strategies for OCD, and to illustrate their use in the case of an individual with compulsive checking behaviours.
Behavioural and pharmacological treatment of Trichotillomania
- Authors:
- STEMBERGER Ruth M. T., STEIN Dan J., MANSUETO Charles S.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(3), 2003, pp.339-352.
- Publisher:
- Oxford University Press
Hair pulling, known as trichotillomania (TTM), has become increasingly recognized as an often chronic problem for a large number of individuals, most of whom are women. This paper discusses current conceptualizations of TTM with particular focus on the medical and behavioral approaches. The relationship of TTM to other disorders is discussed and issues in pharmacotherapy that are unique to TTM are reviewed. A comprehensive behavioral model (ComB) that explains the environmental, motoric, sensory, cognitive, and affective patterns involved in hair pulling is presented. This model is used to describe how a clinician can develop treatment plans tailored to individual patients, including specific strategies for hair pulling reduction. Potential pitfalls and complications that may occur during treatment are also discussed.
Cognitive-behavioral therapy for children and adolescents with obsessive-compulsive disorder
- Author:
- WAGNER Aureen Pinto
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(3), 2003, pp.291-306.
- Publisher:
- Oxford University Press
Selected by experts as the treatment of choice for youngsters, cognitive-behavioral therapy (CBT) has emerged as a safe, viable, and effective treatment for obsessive-compulsive disorder (OCD) among children and adolescents. Yet, most children with OCD do not receive CBT, at least in part due to the shortage of clinicians who are well versed in managing the unique challenges that arise in the treatment of children. This paper reviews developmental factors that complicate the diagnosis and treatment of OCD in youngsters; it discusses appropriate adaptations of CBT protocols for children; and it presents the application of CBT for children and adolescents, using a developmentally sensitive protocol that is flexible and feasible in clinical settings: RIDE Up and Down the Worry Hill. Illustrated is the use of this protocol with a 15-year-old girl with forbidden thoughts and praying rituals, and a 6-year-old boy with fears of harm and reassurance-seeking rituals. Future directions for making CBT available and accessible to children with OCD are discussed.
Therapeutic approaches to Body Dysmorphic Disorder
- Authors:
- NEZIROGLU Fugel, KHEMLANI-PATEL Sony
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(3), 2003, pp.307-322.
- Publisher:
- Oxford University Press
Body dysmorphic disorder (BDD) is an obsessive-compulsive spectrum disorder characterized by an intense preoccupation with an imagined or slight defect in appearance. BDD has posed a challenge to mental health professionals as a result of its complex clinical presentation, involving issues such as high overvalued ideation, comorbidity, suicidality, and severe impairment in daily functioning. This article reviews the appropriate psychological and psychopharmacological treatment approaches for BDD, and it offers clinical strategies to address the multiple array of symptoms.
Torrential tears: the relationship between memory development, early trauma, and dysfunctional behaviour
- Author:
- INBINDER Francine C.
- Journal article citation:
- Clinical Social Work Journal, 30(4), Winter 2002, pp.343-357.
- Publisher:
- Springer
- Place of publication:
- New York
The purpose of this article is to illustrate how findings in memory research can significantly inform our understanding of dysfunctional behaviour. It demonstrates that specific forms of memory, which are expressed through procedures or behaviors, reveal through their presentation information of diagnostic significance. From a neuropsychosocial perspective, this article suggests that the time at which early trauma intersects with the development of memory structures, systems and functions can be significant to the motivation of dysfunctional behaviour.
The voice of reason
- Author:
- JAMES Adam
- Journal article citation:
- Nursing Times, 15.10.02, 2002, pp.26-27.
- Publisher:
- Nursing Times
Looks at the use of cognitive behaviour therapy in the treatment of people with psychosis.
Emotional dysregulation: the key to a treatment approach for violent mentally ill individuals
- Authors:
- NEWHILL Christina E., MULVEY Edward P.
- Journal article citation:
- Clinical Social Work Journal, 30(2), Summer 2002, pp.157-171.
- Publisher:
- Springer
- Place of publication:
- New York
Prior research has suggested that psychopathy, substance abuse, and the presence of a personality disorder increase an individual's risk for violence toward others. Substantial clinical literature has established emotional dysregulation as a risk marker for violence toward self. It is hypothesized that emotional dysregulation may be an important component in a constellation of risk markers for violence toward others and may interact with psychopathy and substance abuse in individuals with personality disorders to enhance risk for violence. If these hypothesized relationships exist, it suggests that the development of an intervention approach which directly targets these factors may hold promise. A potential intervention approach based on dialectical behavioral therapy, with case illustrations, is provided.
Group cognitive behavioral therapy for obsessive-compulsive disorder: a review
- Authors:
- HIMLE Joseph A., VAN ETTEN Michelle, FISCHER Daniel J.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.217-229.
- Publisher:
- Oxford University Press
Behavioral therapy utilizing exposure and response prevention (ERP) is considered the psychosocial treatment of choice for obsessive-compulsive disorder (OCD). Individual ERP treatment is the most common therapy format, and much of the empirical support for ERP is based upon studies of OCD subjects treated individually. However, there are numerous advantages of delivering this effective intervention in a group format, including cost savings to patients and time-efficiency for ERP therapists. This review summarizes the 12 adult trials and 4 adolescent trials of group behavioral therapy for OCD conducted to date. The paper also describes a typical group therapy protocol in detail and describes the costs and benefits of delivering ERP for OCD in a group format.
Cognitive and behavioral treatment of compulsive hoarding
- Authors:
- FROST Randy O., STEKETTEE Gail, GREENE Kamala A. I.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(3), 2003, pp.323-227.
- Publisher:
- Oxford University Press
Compulsive hoarding appears to be a common variation of obsessive-compulsive disorder that is associated with elevated anxiety, depression, and disability, and that is commonly accompanied by a variety of comorbid conditions. In this article, the authors present a model for understanding this multifaceted problem, from which we derive specific treatment interventions that pertain to problems with information processing; excessive attachment with strong beliefs pertinent to saving possessions; avoidance of distress associated with discarding or making decisions about possessions; and excessive acquisition and difficulty discarding possessions. A case example illustrates these problems, methods of assessment, and interventions that proved successful during cognitive and behavioural treatment.