العلاج المعرفي السلوكي - الوسواس القهري ج ٢

Prognosis: Predictors of Remission
Later age of onset
Symptoms of shorter duration
Good insight
Response to treatment
Early and aggressive treatment


Exposure and Response Prevention
Beginning at the bottom of the exposure hierarchy and consciously refrain from their compulsion for at least two hours.
This task should be practiced daily.
Exposure can begin in session, but it should also continue throughout the week as homework.
You may start touching it with only one finger.
Be creative to come up with forms of exposure that are challenging, but not impossible.
One important note: Imagination is not a replacement for real life exposure. It's just one step toward the next stage of the hierarchy.
the anxiety associated with each level doesn't have to totally disappear before you move on, but the next task should feel manageable


Exposure and Response Prevention Therapy
In the course of ERP, the client will be exposed to the sources of their anxiety, obsessions, and compulsions.
As the client is exposed to their triggers, they will practice refraining from their compulsive behaviors.
This will break the cycle of avoidance and the reinforcement of anxiety.
Psychoeducation
Exposure therapies are, by definition, uncomfortable for clients.
Few will consider facing their fears unless they believe in the treatment.
OCD Exposure Hierarchy
Before beginning exposure, you'll need to identify specific obsessions, compulsions, and sources of anxiety t
Beginning with the least distressing items,