Re:Questions

1. Obviously, if the client is not consistently taking his medication as prescribed, it is likely to be ineffective. It would be useful to pinpoint his cognitions at the times when he thinks of taking his medication and then does not take it.

2. "Reasoning" with clients about their OCD thoughts and beliefs rarely is effective (except possibly in mild cases). Laurette is correct in saying that it runs the risk of inducing the client to defend his views more vigorously. In addition, even if it is possible to convince the individual that the thoughts and beliefs are incorrect, the OCD persists. "Exposure and Response Prevention" (ERP) is an essential component of CBT with OCD. Take a look at the Expert Consensus Treatment Guidelines for OCD (which can be found online at http://www.psychguides.com).

3. In your first post you mentioned that he had psychotic-like thinking. It is essential to figure out if he has OCD, a psychosis, or both. If he is psychotic eh will need different medication and a different treatment plan.

Replies:

There are no replies to this message.

| Behavior OnLine Home Page | Disclaimer |

Copyright © 1996-2004 Behavior OnLine, Inc. All rights reserved.