This book uniquely combines CBT with the Department of Health stepped care model to provide the first comprehensive case study-approach textbook. A step-by-step guide to using CBT, the book is structured around case examples of clients who present with the most commonly encountered conditions; from mild depression and GAD to more complex, enduring symptoms and diagnosis like OCD, personality disorder and social phobia.

The distinctive practical format is ideal in showing how to put the principles of CBT and stepped care into effect. As well as echoing postgraduate level training, it provides an insight into the experiences the trainee will encounter in real-world practice. Each chapter addresses a specific client condition and covers initial referral, presentation and assessment, case formulation, treatment interventions, evaluation of CBT strategies and discharge planning.

The book also includes learning exercises and clinical hints, as well as extensive reference to further CBT research, resources and reading. It will be invaluable for trainees on Improving Access to Psychological Therapies (IAPT) programs, and anyone studying graduate CBT courses.

Client Presenting with Obsessive Compulsive Disorder (OCD)

Client presenting with obsessive compulsive disorder (OCD)

Learning Objectives

By the end of this chapter you should be able to:

  • Identify the symptoms and nature of OCD
  • Explain the development of OCD from a cognitive perspective
  • Outline the cognitive and behavioural strategies used in the treatment of OCD
  • Be aware of factors that may cause a relapse of OCD

Diagnostic Criteria

Obsessive compulsive disorder (OCD) is a chronic mental health condition associated with both obsessive thoughts and compulsive behaviour. An obsession (the cognitive component) is defined as an unwanted thought, image or urge that repeatedly enters a person's mind, whereas a compulsion is defined as a repetitive behaviour or mental act that a person feels compelled to perform, often in an effort to reduce the anxiety ...

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