Helping Families Manage Childhood OCD Decreasing Conflict and Increasing Positive Interaction, Therapist Guide

Pediatric obsessive compulsive disorder (OCD) is a common condition that can take a substantial toll on the entire family system. Research suggests that families of youth with OCD face a unique set of difficulties in that they often are intimately involved in the child's symptoms. This involvement, also known as symptom accommodation, can be quite taxing, and it is often accompanied by high levels of distress, anxiety, and family conflict. These family responses, while natural and understandable, pose very real problems for treatment. Growing research suggests that poor family functioning undermines successful child OCD treatment.

Helping Families Manage Childhood OCD provides clinicians with a comprehensive set of strategies for identifying and intervening with family dynamics that are likely to interfere with successful treatment of pediatric OCD. Moving beyond commonly employed techniques such as parent education and behavior management training, this manual includes skills training in emotion regulation for the entire family. It offers step-by-step strategies for helping family members to identify and manage their own emotional responses to OCD and provides a foundation for more effective and collaborative problem-solving around OCD. Through interactive exercises, families develop strategies for communicating around and troubleshooting difficult OCD episodes as well as strategies for promoting a more positive home environment in which to work on OCD.

Tara S. Peris, PhD, is an Assistant Professor in the Department of Psychiatry and Biobehavioral Sciences at the UCLA Semel Institute. She is the Program Director for the ABC Children's Partial Hospitalization Program at the Institute. Her clinical specialty is in evidence-based treatments for child and adolescent OCD and anxiety disorders. Her research interests center on family factors that influence how youth fare in treatment for obsessive compulsive disorder (OCD), anxiety, and related conditions.

John Piacentini, PhD, ABPP, is a Professor in the Department of Psychiatry and Biobehavioral Sciences at the UCLA Semel Institute and Director of the UCLA Child OCD, Anxiety and Tic Disorders Program. The primary focus of his work is on the development and dissemination of evidence-based treatments for childhood OCD and other psychiatric disorders.

Introductory Information for Therapists

Chapter 1: Session 1: Getting Started in Family Treatment
Chapter 2: Session 2: Managing Emotions Related to OCD
Chapter 3: Session 3: Problem Solving Around OCD
Chapter 4: Session 4: Addressing Barriers to Treatment Success
Chapter 5: Session 5: Continued Problem-solving/Modeling Healthy Responses to Anxiety
Chapter 6: Session 6: Consolidating Treatment Gains and Looking Ahead/Relapse Prevention

Appendices

Appendix A Child Obsessive Compulsive Disorder Impact Scales - Revised
Appendix B Parents' Attitudes and Behaviors
Appendix C Standard Psychoeducation for Child and Adolescent OCD
Appendix D Additional Skills Training for Families
Appendix E Handouts and Tools
Appendix F Tools for Helping Family Members Learn to Manage Difficult Emotions
Appendix G Sample Exposure Tasks for Family Accommodation

References
About the Authors