Counselling Interventions for Pediatric-Onset OCD
Counselling Interventions for Pediatric-Onset OCD
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Issue Date
2023-12
Authors
Wood, Lisa
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Abstract
Obsessive-compulsive disorder (OCD) is a debilitating psychiatric condition that causes significant distress and impairment in functioning. The context of pediatric-onset OCD is explored including delayed diagnosis and treatment gaps. Possible interventions for pediatric-onset OCD that have research to support effectiveness are reviewed, such as psychodynamic/psychoanalytic therapy, interpersonal therapy (IPT), metacognitive therapy, acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), and exposure and response prevention (ERP). The implications of the literature review suggest that ERP is one of the most efficacious and effective forms of treatment for OCD. Barriers to delivering ERP for pediatric-onset OCD are explored including therapist’s beliefs, intervention drop out and clinician training. From these findings, recommendations are made for a clinician training program to deliver ERP for pediatric-onset OCD.
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Keywords
obsessive-compulsive disorder , gold standard treatment , cognitive therapy , exposure and response prevention