Jennifer B Freeman - Böcker

Obsessive-compulsive disorder (OCD) can develop at a young age and when it does, it can cause significant distress for the child and the family. Parents may be unclear on the nature of OCD symptoms and how to best respond to their child. Family involvement in the child's symptoms may be making the situation worse for the whole family. When treating young children with OCD, it is important to recognize the family component and directly involve parents in treatment. It is also essential to tailor the treatment to a child's age and developmental level. This therapist guide presents a family-based treatment for OCD specifically designed for children ages 5-8. Using a cognitive-behavioral approach, it provides psychoeducation for the family and a set of tools for the management of OCD. "Parent tools" involve differential attention, modeling, and scaffolding techniques. "Child tools" include cognitive strategies such as "bossing back" and using a feelings thermometer to rate anxiety. Treatment centers on exposure with response prevention (E/RP), in which the patient faces feared situations without avoidance or rituals until anxiety decreases. The therapist works with the family to create a hierarchy of E/RP tasks that will be conducted in session and practiced at home. A reward plan helps motivate the child to complete tasks and cooperate with parents. The program ends with relapse prevention to maintain gains and prepare for future symptoms. Therapy process issues are addressed throughout treatment to help families improve life at home.With helpful tips for adapting the program to a child's developmental level and family situation, this guide is a "must-have" for clinicians working with childhood-onset OCD. The corresponding workbook for families reinforces the skills introduced in session and provides forms for homework. Children, their parents, and their families will all benefit from this comprehensive treatment package.

Young children with obsessive-compulsive disorder (OCD) often require professional help to overcome their symptoms. This workbook corresponds to a treatment program specifically designed for children ages 5-8 and their families. Your therapist will tailor the program to your child's developmental level and family situation. Parents have an important role to play in treatment; you will be attending all sessions and working at home with your child. In therapy, your child will face feared situations without avoidance or rituals until anxiety decreases. This is called exposure with response prevention (E/RP); sessions will tackle E/RP tasks of increasing difficulty. A reward plan will motivate your child to practice E/RP tasks at home with your help. You and your child will also be learning "tools" to manage and reduce OCD symptoms. For example, you will learn how to best use attention with your child and how to model positive behavior. Your child will learn how to "boss back" OCD symptoms and use a feelings thermometer to rate anxiety.This workbook includes all the information your family needs to participate in treatment. Chapters on "parent tools" and "child tools" review the skills learned in session. Instructions for E/RP assist with home practice. There are also tips for maintaining gains after treatment ends and how to handle future symptoms.