Cognitive Behavior Therapy for OCD in Youth A Step-by-Step Guide

Obsessive-compulsive disorder (OCD), which can cause significant impairment in personal, social, and academic contexts, affects nearly half a million children in the United States. This step-by-step guide provides mental health professionals with an adaptable, evidence-based model that uses cognitive behavior therapy to treat pediatric OCD. The authors present well-tested, empirically-validated strategies that encourage clinical flexibility and creativity. Chapters describe the nuts and bolts of assessment, case conceptualization, and treatment planning, as well as psychoeducation, pharmacotherapy, strategies for relapse prevention, and involving family members in treatment. Richly described case studies illustrate how core strategies can be effectively implemented with youth between the ages of 7 and 18. 

Includes downloadable handouts for clinical use, including worksheets and fact sheets for parents and guardians, exercises and games, and other clinical tools and resources. 

Michael A. Tompkins is co-director of the San Francisco Bay Area Center for Cognitive Therapy, assistant clinical professor at the University of California at Berkeley, and board certified in Behavioral and Cognitive Psychology. He is the author or co-author of many articles and chapters on cognitive-behavior therapy and related topics, as well as nine books. Dr. Tompkins serves on the advisory board of Magination Press, the children’s imprint of the American Psychological Association, and provides evidence-based treatments for adults, adolescents, and children.

Daniela J. Owen is the assistant director of the San Francisco Bay Area Center for Cognitive Therapy, and assistant clinical professor at the University of California, Berkeley. She is the co-author of several peer-reviewed articles and chapters. Dr. Owen has presented locally and nationally on evidence-based treatments for pediatric disorders.

Nicole H. Shiloff is an adjunct clinical faculty member at Stanford University School of Medicine and diplomate of the Academy of Cognitive Therapy. She has a private practice in Menlo Park where she specializes in the treatment of anxiety disorders in children, adolescents, and adults.

Litsa R. Tanner is a co-founder of the Santa Rosa Center for Cognitive Behavioral Therapy. Ms. Tanner specializes in the treatment of pediatric obsessive-compulsive disorder and obsessive-compulsive spectrum disorders.

Table of Contents
Acknowledgements
Introduction 
Chapter 1: Overview of Obsessive-Compulsive Disorder in Youth
Chapter 2: Modular CBT for Pediatric OCD 

Part I Assessment, Case Conceptualization, and Treatment Planning
Chapter 3: Gathering Information
Chapter 4: Developing the Case Conceptualization and Treatment Plan

Part II Implementing the Core Strategies of the Treatment Approach
Chapter 5 Engaging Youth and Parents in the Treatment Approach
Chapter 6 Psychoeducation with Youth and Parents
Chapter 7 Working with the Family
Chapter 8 Implementing Graded Exposure with Response Prevention
Chapter 9 Developing and Implementing Relapse Prevention

Part III Putting It All Together
Chapter 10 Structuring the Treatment
Chapter 11 Combining Cognitive Behavior Therapy and Pharmacotherapy
Chapter 12 Overcoming Obstacles

References
About the Authors 
Index