Focused Cognitive-Behavioural Treatment for Obsessional
Ruminations and Obsessive-Compulsive Disorder - 7th March 2008
Facilitated by Professor Paul M. Salkovskis and Dr Victoria Bream Oldfield from the Institute of Psychiatry, King’s College, London and Maudsley Hospital Centre for Anxiety Disorders and Trauma.
Update on Thursday 6th March, 5pm: Spaces are still available for this workshop, and we will accept bookings on the morning of the event (tomorrow), however you are requested to call 0779 321 1263 to check for booking arrangement so close to the event.
* Attendees will receive an accreditation certificate towards their CBT training, stating that they have successfully completed this workshop.
Workshop Description
Cognitive-behavioural theory indicates that anxiety is related to the perception of threat or impending danger to oneself and/or others.
Obsessive-Compulsive Disorder (OCD) results when people misinterpret intrusive thoughts as a sign not only that harm may occur, but that they may be responsible for it through what they do or fail to do. People thus develop obsessional problems because they interpret otherwise normal intrusive thoughts as a sign that they may be responsible for harm if they fail to take preventative action.
The preventative action (compulsive behaviour, including ruminations and covert compulsions) is motivated by the way in which the person interprets intrusions as indicating that they may be responsible for harm to themselves or other people. However, the reactions which are motivated in this way can and do have two effects.
Firstly, they can increase the occurrence of intrusive cognitions and secondly, maintain or even increase the person’s beliefs about threat and their responsibility for it.
The cognitive-behavioural treatment that has been developed from this theory has several components, but one primary focus. Therapy seeks to help the patient understand their problem as one of anxiety rather than danger and to react accordingly.
In this workshop a multi-stage treatment will be described with the main focus being on providing practical clinical details of cognitive-behavioural treatment as applied to obsessional problems. Clinical strategies which allow the application of a personalised combination of the following components and stages in each patient:
(1) Helping the person to identify the intrusions, the way these are interpreted and the specific vicious circles involved in the maintenance of both.
(2) Strategies to normalise the experience of intrusions and help the person to interpret them in a less threatening way.
(3) Strategies which modify both (a) the general beliefs which lead the person to misinterpret intrusions (e.g. “thinking something is as bad as doing it”) and (b) the specific interpretations (e.g. “I had the thought I hoped my mother would die; this means I want to kill her”) which arise from the general beliefs and motivate the counter-productive reactions.
(4) Techniques designed to normalise the experience of intrusions and help the person to see that they do not need to engage in compulsive behaviour.
(5) Helping the person to devise, carry out and make sense of behavioural experiments with which they can test the accuracy of their new way of thinking about their problem.
(6) Helping the person to understand the counter-productive effects of safety seeking behaviours, particularly overt and covert compulsions. This allows therapist and patient to negotiate a programme of exposure to feared stimuli combined with prevention of compulsive behaviours. This programme is tailored in ways which help the person discover (a) that their anxiety can and will be reduced without resorting to compulsive behaviours and (b) where appropriate, that the consequences they fear were not being prevented by the compulsions. Although similar to exposure and response prevention, the emphasis is quite different and specific cognitive strategies (e.g. the use of metaphor) are used to achieve the required results.
(7) Exposure and response prevention, carried out in a flexible and cognitively oriented way, is important. Usually this includes very high levels of exposure with complete response prevention. Sometimes this is done as part of a brief and intensive treatment protocol. The way in which this aspect of treatment is framed as a “behavioural experiments” is outlined.
(8) Helping the person to re-establish important non-obsessional aspects of their life (their social life, education, occupational issues and so on).
(9) Identify relapse prevention strategies, and anticipate how these could best be activated if the person were to find their problem recurring.
(10) The importance of treatment flexibility and integrity will be emphasised; detailed supervision is the best strategy to ensure these.
Each stage will be illustrated through practical clinical case material. The treatment described has recently been evaluated as being effective in two randomised controlled trials, which will be briefly described.
To request a booking form please contact OCD-UK or print the linked flyer.
Aimed At
Aimed at health professionals, this workshop is suitable for mental health professionals including clinical psychologists, counsellors,
psychiatrists, social workers, mental health nurses and others involved in the direct
care of Obsessive-Compulsive Disorder.
When and Where
The workshop takes place on Friday 7th March 2008 at the The Institute of Physics, 76 Portland Place, London, W1B 1NT which is located in Central London and within walking distance of several tube and mainline stations. The workshop will take place from 9:30am until 5:30pm.
Cost
The fee for attendance is £125 which includes copies of the workshop notes, refreshments and cold buffet lunch.
Payment can be made by cheque, BACS transfer and all major cards.
How to Book
By Invoice: If you would like to be invoiced please print and complete the flyer for each delegate you would like to be invoiced for, or email us with the relevant information. Please contact us if you would like us to post you copies of the booking form.
By BACS: Please print and complete the flyer for each delegate you would like to be invoiced for, or email us with the relevant information, including your BACS reference and send payment to:
Sort Code: 08-92-99 Account No: 65252521
Online: Please visit the OCD-UK shop, and select 'events' and complete all information to complete the booking and payment process. You will receive an automated receipt for the payment.
In all cases, bookings will only be confirmed once payment is received and booking confirmations will be sent by email, (unless otherwise requested) within two weeks of payment.
Booking Terms and Conditions
Bookings will only be confirmed once payment is received. All booking
confirmations will be sent by email, unless otherwise requested. Refunds, less
a 20% administration fee will be made if cancellations are received in writing
at least 4 weeks prior to the event. Refunds, less 50% will be made to
cancellations received 2-4 weeks prior to the event. We are regretfully unable
to issue refunds to any cancellations received less than two weeks prior to
the event. We are unable to issue refunds due to non attendance, however
substitute delegates are welcomed (please confirm at least 24 hours prior).
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