J Clin Outcomes Manage
2006 Jul;13 (7):405-411
Obsessive-compulsive disorder in children and adolescents
Moore PS, Allard SU, Franklin ME
Abstract Objective: To review the application of cognitive behavioral therapy (CBT) for the treatment of obsessive-compulsive disorder (OCD) in children and adolescents. Methods: Presentation of treatment model with example dialogue. Results: Pediatric OCD is a prevalent, distressing, and functionally impairing anxiety disorder. The psychosocial treatment for OCD that has the most empirical support is CBT using an exposure and response prevention technique, in which the child gradually exposes him- or herself to OCD-related anxiety or discomfort and then resists ritualizing. As the child learns experientially that anxiety associated with OCD is tolerable and remits over time, more challenging tasks can be accomplished, leading to improvements in symptom severity. Both the child and family learn about the neurobehavioral basis of OCD and form a team with the CBT clinician to “battle” the disease entity. Conclusion: Hierarchical use of exposure and re-sponse prevention in a supportive environment permits habituation to and eventual mastery of OCD symptoms.
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