OCD lehmkuhl et al. (2008) Flashcards
(8 cards)
aims
efficacy of CBT for a 12 year old child
dual diagnosis of ASD and OCD
little to no research of CBT for OCD although used to treat social anxiety in children and young people w ASD
case history
jason
diagnosed w ASD at 2
full time learning support assistant at school
regular speech and lang therapy
fam attended interventions to support his development
age 11 diagnosed w OCD when ritualistic and avoidant behaviours began to interfere with his social and academic life
began to cause impairment
start of therapy YBOCS children vers score was 18 - moderate
treatment
ten 50 min CBT therapy sessions over 16 weeks @ local hospital
cog restructuring and imaged exposure not possible bc cant identify obsessional thoughts
helped jason identify distressing feelings and taught coping strats
like saying ntg bad gnna happen to reduce anxiety
beating OCD and not letting OCD be the boss
used chart to reward progress w hw exercises
created other visual ways to develop self awareness
how thoughts and feelings affect behaviour
encouraged him to expose self to unpleasant situations for new learning
parents and tchrs involved so can help practice new strats at home and school
progress
found the exposure difficult
avoidance reduced
final sessions for hoarding behaviours
YBOCS dropped 15 from 18 to 3
strats in place to prevent relapse
follow up @ 3 months still doing well no relapse
conclusion
CBT personalised to meet children’s individual developmental needs
can be effective as treatment for children w ASD and OCD
use of children
used therapy of adults for children
build rapport w entire fam to ensure strats worked
fam provide additional info to tailor treatment
can communicate if child cannot
important for children who r young or have additional needs like jason
weakness lack generalisability
case study
generalisations w caution
white american w avg IQ
difficult to know if works on those wo ASD or teens w ASD
jason had lots of professional support as a child
so may not even generalised w youngins w ASD who dh experience w therapists
strength reliability of findings
quali and quanti data
observation
interview
psychometric tests like IQ AND YBOCS
detailed examination of secondary data like med records
idiographic nature > practical issues of ERP adapting for ASD
quanti data can be compared
determine reliability of findings
russell et al 2013 RCT w 46 adults w ASD supported efficacy of ERP for this population
