OCD in Children and Adolescents: A Cognitive-Behavioral Treatment Manual

Overview

This practical manual presents a cognitive-behavioral treatment program that has been proven effective in eliminating or alleviating OCD symptoms in children across a broad range of ages and aptitudes. Building upon and expanding their internationally acclaimed HOW I RAN OCD OFF MY LAND, the authors provide an empirically grounded guide to assessment, treatment planning, and skills-based intervention. Clinicians are taken through the four stages of treatment--psychoeducation, cognitive training, mapping OCD, and ...
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Overview

This practical manual presents a cognitive-behavioral treatment program that has been proven effective in eliminating or alleviating OCD symptoms in children across a broad range of ages and aptitudes. Building upon and expanding their internationally acclaimed HOW I RAN OCD OFF MY LAND, the authors provide an empirically grounded guide to assessment, treatment planning, and skills-based intervention. Clinicians are taken through the four stages of treatment--psychoeducation, cognitive training, mapping OCD, and graded exposure and response prevention--in 13 to 20 clearly structured treatment sessions. The book is enriched by sample dialogues, "clinical pearls" drawn from the authors' own experience, and appendices featuring reproducible rating scales, patient handouts, and tips and resources for parents.

The book contains black-and-white illustrations.

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Editorial Reviews

From the Publisher

"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

Journal of Clinical Child Psychology

"A comprehensive, state-of-the-art (and science) resource....The authors adopt a developmentally sensitive approach and provide helpful hints for tailoring each session to meet the needs of children and adolescents. The book is well organized, and the authors use clear and nontechnical language; this makes the text accessible to practitioners of various theoretical backgrounds and various levels of expertise. Overall, this book not only provides a wealth of up-to-date information on OCD to practitioners but significantly advances the field by presenting a model treatment program for a disorder that challenges even the best child clinician."--Journal of Clinical Child Psychology
Psychiatric Services

"The book is written in a clear, straightforward, and organized style consistent with the treatment approach. It is really much more than a treatment manual, and it avoids the dry tone inherent in many treatment manuals....A highly informative and pragmatic how-to resource for a comprehensive, empirically supported cognitive-behavioral approach for pediatric obsessive-compulsive disorder....The book is likely to be very helpful to child therapist trainees, child mental health clinicians, and clinical supervisors interested in an effective treatment approach for children and adolescents with obsessive-compulsive disorder."--Psychiatric Services
Journal of Psychotherapy Practice and Research

"This is an excellent volume....To the clinician, March and Mulle offer a clinically sensitive, highly applicable, evidence-based treatment approach to pediatric OCD. In doing so they generously extend the hope of recovery to the many children and their loved ones whose lives are so tragically altered by this debilitating disorder."--Journal of Psychotherapy Practice and Research
Child and Family Behavior Therapy

"March and Mulle demonstrate that extensive clinical experience combined with systematic experimentation can lead to treatment manuals that successfully integrate both structure and flexibility. Their manual addresses the needs of both scientists and practitioners for developmentally sensitive treatments, in this instance, for children and adolescents with Obsessive Compulsive Disorder (OCD)....Unlike manuals correctly criticized for ignoring theory for the sake of technique, this manual emphasizes the importance of mastering the concepts underlying in the treatment as well as the techniques themselves. To aid understanding of key concepts, a table is provided that lists and explains important cognitive-behavioral terminology. Throughout, treatment-specific principles, such as externalizing OCD, are recurring themes."--Child and Family Behavior Therapy
Psychiatric Times

"In an era when psychiatrists and mental health professionals increasingly are being pushed to medicate problems away quickly, it is a pleasure to read a book about a practical, proven psychotherapeutic approach to obsessive-compulsive disorder (OCD) in youth. It is even more enjoyable since a leading child and adolescent psychopharmacologist is co-author. This book is an excellent illustration of thoughtful and skillful integration of effective treatments based on demonstrated outcomes....The book includes plenty of practical advice and clinical wisdom."--Psychiatric Times
From the Publisher
"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

Journal of Clinical Child Psychology
"A comprehensive, state-of-the-art (and science) resource....The authors adopt a developmentally sensitive approach and provide helpful hints for tailoring each session to meet the needs of children and adolescents. The book is well organized, and the authors use clear and nontechnical language; this makes the text accessible to practitioners of various theoretical backgrounds and various levels of expertise. Overall, this book not only provides a wealth of up-to-date information on OCD to practitioners but significantly advances the field by presenting a model treatment program for a disorder that challenges even the best child clinician."--Journal of Clinical Child Psychology
Psychiatric Services
"The book is written in a clear, straightforward, and organized style consistent with the treatment approach. It is really much more than a treatment manual, and it avoids the dry tone inherent in many treatment manuals....A highly informative and pragmatic how-to resource for a comprehensive, empirically supported cognitive-behavioral approach for pediatric obsessive-compulsive disorder....The book is likely to be very helpful to child therapist trainees, child mental health clinicians, and clinical supervisors interested in an effective treatment approach for children and adolescents with obsessive-compulsive disorder."--Psychiatric Services
Journal of Psychotherapy Practice and Research
"This is an excellent volume....To the clinician, March and Mulle offer a clinically sensitive, highly applicable, evidence-based treatment approach to pediatric OCD. In doing so they generously extend the hope of recovery to the many children and their loved ones whose lives are so tragically altered by this debilitating disorder."--Journal of Psychotherapy Practice and Research
Child and Family Behavior Therapy
"March and Mulle demonstrate that extensive clinical experience combined with systematic experimentation can lead to treatment manuals that successfully integrate both structure and flexibility. Their manual addresses the needs of both scientists and practitioners for developmentally sensitive treatments, in this instance, for children and adolescents with Obsessive Compulsive Disorder (OCD)....Unlike manuals correctly criticized for ignoring theory for the sake of technique, this manual emphasizes the importance of mastering the concepts underlying in the treatment as well as the techniques themselves. To aid understanding of key concepts, a table is provided that lists and explains important cognitive-behavioral terminology. Throughout, treatment-specific principles, such as externalizing OCD, are recurring themes."--Child and Family Behavior Therapy
Psychiatric Times
"In an era when psychiatrists and mental health professionals increasingly are being pushed to medicate problems away quickly, it is a pleasure to read a book about a practical, proven psychotherapeutic approach to obsessive-compulsive disorder (OCD) in youth. It is even more enjoyable since a leading child and adolescent psychopharmacologist is co-author. This book is an excellent illustration of thoughtful and skillful integration of effective treatments based on demonstrated outcomes....The book includes plenty of practical advice and clinical wisdom."--Psychiatric Times
Booknews
Clinicians at the Duke University Medical Center offer a treatment program for young people with obsessive-compulsive disorder. It has been shown effective in eliminating or alleviating symptoms in children across a wide range of ages and aptitudes. They provide a session-by-session guide to assessment, treatment planning, and skills-based intervention and include a section on overcoming common therapeutic roadblocks. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

  • ISBN-13: 9781572302426
  • Publisher: Guilford Publications, Inc.
  • Publication date: 5/21/1998
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 298
  • Sales rank: 465,035
  • Product dimensions: 6.20 (w) x 9.00 (h) x 1.30 (d)

Meet 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.

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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
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  • Anonymous

    Posted January 3, 2005

    effective, depth oriented cogitive behavioral treatment

    John March's program is very effective with adults as well as children. It's fun to implement even if you don't have a lot of experience treating OCD because this approach is ethical and well explained with examples. It is more than just CBT - it has heart and depth. I've been using his model for nine years.

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