Search results for ‘Subject term:"obsessive compulsive disorders"’ Sort:
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The experience of working with people that hoard: a Q-sort exploration
- Authors:
- HOLDEN Kathryn, et al
- Journal article citation:
- Journal of Mental Health, 28(1), 2019, pp.97-103.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: The impact and burden of working with people that hoard is largely unexplored. Aim: To explore professionals’ varied experiences of engagement and intervention with this client group. Method: Five semi-structured interviews were initially conducted with professionals with detailed experience of working with people that hoard. A thematic analysis then identified key statements for a 49-item Q-set. The Q-sort was subsequently administered to public sector professionals with wide experience of working with people who hoard (N= 36; fire-fighters, environmental health, housing and mental health). Organizational support and job-related wellbeing measures (anxiety/contentment and depression/enthusiasm) were also administered. Results: Factor analysis identified three distinct clusters (a) therapeutic and client focused (N = 15), (b) shocked and frustrated (N = 2) and (c) pragmatic and task focused (N = 5). Therapeutic and client focused professionals were significantly more content and enthusiastic regarding their work with clients with hoarding difficulties. Conclusions: Professionals experience and approach their work with people that hoard in discrete and dissimilar ways. Service delivery and training implications are considered. (Edited publisher abstract)
Working with people who hoard: frontline briefing
- Authors:
- ORR David, BRAYE Suzy, PRESTON-SHOOT Michael
- Publisher:
- Research in Practice for Adults
- Publication year:
- 2017
- Pagination:
- 16
- Place of publication:
- Dartington
Aimed at frontline social care practitioners and managers, this briefing outlines the evidence on hoarding and how to best support people who are engaging in hoarding behaviours. It looks at what hoarding is and why people hoard. It also covers assessment, intervention and risk-management in hoarding, highlighting the importance of find a balance between addressing risks and respecting the person's choices. It also provides an overview of relevant legislation and guidance, the implications for practitioners' responsibilities and highlights the importance of taking a multi-agency response. (Edited publisher abstract)
Age of onset and progression of hoarding symptoms in older adults with hoarding disorder
- Authors:
- DOZIER Mary E., PORTER Ben, AYERS Catherine R.
- Journal article citation:
- Aging and Mental Health, 20(7), 2016, pp.736-742.
- Publisher:
- Taylor and Francis
Objectives:The authors investigated (1) age of onset of hoarding disorder (HD) symptoms and diagnosis, (2) late-onset HD, (3) progression of HD symptoms, and (4) association between demographics and hoarding progression. Method: Eighty-two older adults with HD provided retrospective ratings of their hoarding symptoms for each decade of life. Age of onset of symptoms (saving, difficulty discarding, and clutter) was operationalised as the first decade in which the participant reported at least minor symptom severity, and age of onset for possible HD diagnosis was operationalised as the first decade in which the participant reported all three symptoms. The authors used mixed effects modeling to examine the progression of HD symptoms. Results: The median age of onset for symptoms was between 10 and 20 years, and the median age of onset for possible HD diagnosis was between 20 and 30 years. Twenty-three percent of participants reported onset of possible HD diagnosis after the age of 40. All HD symptoms increased in severity over time. Men reported higher initial clutter and a slower increase in hoarding severity for all symptoms. Increased education was associated with slower increase in saving. Having at least one parent with hoarding tendencies was associated with higher initial hoarding symptoms. Conclusion: Generally, symptoms of HD begin relatively early and worsen across the lifespan. However, approximately one fourth of older adults with HD reported a possible onset after the age of 40. (Edited publisher abstract)
Hoarding: key considerations and examples of best practice
- Author:
- McPHILLIPS Marcus
- Publisher:
- National Housing Federation
- Publication year:
- 2015
- Pagination:
- 26
- Place of publication:
- London
Drawing on the learning from a series of regional events organised by the National Housing Federation and Sitra, this report looks at the issues surrounding hoarding disorder for housing association staff working in general needs and supported housing. Areas discussed include: risk management challenges, health and safety concerns, escalating legal costs and safeguarding issues. Best practice examples are also included. (Edited publisher abstract)
“Do they think I am a pack rat?”
- Authors:
- ANDERSEN Elizabeth, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 25(5), 2013, pp.438-452.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This case study presents details of the life of one older man who lived in seclusion and squalor, surrounded by hoarded possessions. This man was one participant of a focused ethnography of eight older adults who received home care. All participants in the original ethnography were identified by their community care coordinators as exhibiting hoarding behaviours. The case study presented here provides rich narrative and photographic detail in order to add strength to what has already been presented in previous research articles about compulsive acquisition. The narratives reveal examples of debilitating dysfunction, distress associated with decision making, broad acquisition of free things, compulsive buying, and ritualistic discarding. Quotes included in the case study stem from the original ethnography. (Publisher abstract)
“My penis is shrinking and people can tell”: a confusing case of apparent body dysmorphic disorder
- Author:
- HOLMAN Warren Dana
- Journal article citation:
- Social Work in Mental Health, 9(1-6), 2011, pp.319-335.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Body dysmorphic disorder (BDD) is characterised by an intense preoccupation with a slight or imagined defect in physical appearance. BDD is a severely debilitating disorder which curtails social involvement, derails a developing positive sense of self, and often predisposes those afflicted to chronic mental health problems. It usually begins in adolescence and, even with treatment, tends to become long term and debilitating. This article starts by describing BDD, including its clinical course, aetiology, and treatment. It then presents a case of a young man who believed that his penis was shrinking. Although this case does not end neatly or well, that illustrates the uncertain work of diagnosing and treating the disorder and provides lessons for social workers.
The CBT handbook: cognitive behavioural therapy
- Author:
- EVANS-JONES Catherine
- Publisher:
- Speechmark
- Publication year:
- 2011
- Pagination:
- 165p., CD ROM
- Place of publication:
- Milton Keynes
This book, and accompanying CD, aims to provide cognitive behavioural therapists with a comprehensive set of work sheets which they can photocopy and use with adult clients. As well as covering the basic techniques of CBT, it also contains worksheets specific to presenting problems, including: depression, panic, anxiety, obsessive compulsive disorder, health anxiety, social anxiety, post traumatic stress disorder, low self esteem, and sleep. Worksheets are considered essential tools in CBT. They record events and patterns, provide new information, and suggest new ways of thinking and acting. When and how to use a worksheet is determined by a number of factors: the formulation, the stage in therapy, the current focus of treatment, the reading and writing ability of the client and the wishes of the client. The use of worksheets in CBT is part of the ongoing learning process for both therapists and clients. The wide range of worksheets included in this resource cover all the key elements of recording and evaluating during therapy.
Development and psychometric evaluation of the Treatment-Emergent Activation and Suicidality Assessment Profile
- Authors:
- REID Jeannette M., et al
- Journal article citation:
- Child and Youth Care Forum, 39(2), April 2010, pp.113-124.
- Publisher:
- Springer
The authors note that although selective serotonin reuptake inhibitors (SSRI) are effective in treating a range of childhood psychiatric conditions, they have been implicated in the development of 'activation syndrome' symptoms that may represent an intermediary state change that fosters suicidality. They report on a project to develop a measure of behavioural activation (the Treatment-Emergent Activation and Suicidality Assessment Profile), including research to refine the measure, and an ongoing randomised controlled trial on the phenomenology of behavioural activation in a study of cognitive behavioural therapy (CBT) with or without sertraline in young people with Obsessive Compulsive Disorder. The article reports that, overall, findings so far suggest that the Treatment-Emergent Activation and Suicidality Assessment Profile is psychometrically sound, and that the study is continuing.
D-cycloserine augmentation of cognitive-behavioral therapy: directions for pilot research in paediatric obsessive-compulsive disorder
- Authors:
- STORCH Eric A., et al
- Journal article citation:
- Child and Youth Care Forum, 39(2), April 2010, pp.101-112.
- Publisher:
- Springer
Noting that cognitive behavioural therapy (CBT) is promising in treating paediatric obsessive-compulsive disorder (OCD), but that CBT does not help all young people, this paper discusses a recent development in combining behavioural psychotherapy with a novel medication (d-cycloserine) to augment CBT for anxiety disorders. The article discusses behavioural and neurochemical models, clinical studies of d-cycloserine, and general design considerations with d-cycloserine and exposure therapy in children. The authors conclude that paediatric OCD is an ideal condition to initiate a pilot trial of d-cycloserine augmentation, and report that a multisite randomised controlled treatment pilot study of d-cycloserine augmentation of CBT for 20 young people with paediatric OCD is currently underway under their direction.
Long-term outcomes of obsessive-compulsive disorder: follow-up of 142 children and adolescents
- Authors:
- MICALI N., et al
- Journal article citation:
- British Journal of Psychiatry, 197(2), August 2010, pp.128-134.
- Publisher:
- Cambridge University Press
Obsessive-compulsive disorder (OCD) often starts in childhood and adolescence and can be a chronic disorder with high persistence rates. This study aimed to follow up young people with OCD to clarify persistence rates and relevant predictors, presence of other psychiatric disorders, functional impairment, service utilisation and perceived treatment needs. The study participants were young people with OCD assessed between July 1996 and June 2005 at the National and Specialist Paediatric OCD clinic, Maudsley Hospital, London. One hundred and forty two of the 222 contactable young people and parents completed computerised diagnostic interviews and questionnaires. The results found a persistence rate of OCD of 41%. Forty percentage of participants had a psychiatric diagnosis other than OCD at follow-up. The main predictor for persistent OCD was duration of illness at assessment. High levels of baseline psychopathology predicted other psychiatric disorders at follow-up. Functional impairment and quality of life were mildly to moderately affected. Approximately 50% of participants were still receiving treatment and about 50% felt a need for further treatment. This study confirms that paediatric OCD can be a chronic condition that persists into adulthood and has a substantial amount of unmet need. Important challenges for services are ensuring adequate treatment and a smooth transition from child to adult services.