Matt Tilley and Clare S. Feedback from the participants at the de-briefing session included suggestions that this process would be helpful for therapy because it would provide the therapist and client with rich and current material regarding their symptom patterns. She had catastrophic thoughts about the probability of harm e. It has been suggested recently that, of all the major components of treatment for obsessions, behavioral experiments produce the greatest therapeutic effect. While the focus is on obsessions without compulsions, the book will not be useful for clients presenting with pure obsessions not associated with perceived negative outcomes, such as intrusive and repetitive melodies. Reductionist , Deterministic etc etc! Rachman presents procedures consistent with ERP, couched in cognitive therapy terms, in the form of behavioral experiments.

Given that accurate assessment of obsessions and compulsions is a critical aspect of treatment planning and that reliance on self-report and clinician interview has some known limitations, the purpose of this study was to investigate the utility of EMA as a potential adjunct to the conventional assessment of OCD. Mary also reported variations on her compulsive behaviors and the presence of thought suppression not identified during the administration of the Y-BOCS. As Stone and Shiffman discuss, a potential problem relates to participants recording their data based on their recall of what was occurring at the time of the SMS prompt, rather than immediately. If obsessive compulsive disorder is caused by chemical imbalances in the brain then restoring balance should eliminate any symptoms of obsessive compulsive disorder. A cognitive approach to panic. Mary said that she also had reoccurring thoughts and images that her husband or other family members might die.

rachman case study ocd

Models of treatment for obsessive-compulsive disorder OCD have undergone substantial revisions and refinements over the past 20 years, with particular focus on cognitive factors and, by association, specific cognitive therapy interventions. Rachman rachnan out how obsessions follow a similar pattern, whereby an intrusive thought e.

The Treatment of Obsessions

Self-monitoring is a useful therapeutic technique that provides essential information to assist in the development of exposure hierarchies and behavioral experiments used in occd therapy Tolin, You know how these drugs work from the Abnormal Affect page, so you should be able to describe the action of the drug in some detail.


Don’t think that a piece of evidence for caee approach is only useful for that approach Glass and Arnkoffp. During this process all identifying details were removed. As people observe themselves and collect data about what they observe, their behavior may be influenced. Powered by Create your own unique website with customizable templates. Not only do these SSRIs increase brain serotonin activity; they also produce more normal activity ofd the orbital region and caudate nuclei, the brain areas that are implicated in the disorder Baxter et al.

rachman case study ocd

Generally it is agreed that EMA offers broader assessment within the client’s natural environment, as it includes random time sampling of the client’s experience, recording of events associated with the client’s experience, and self-reports regarding the client’s behaviors and physiological experiences Stone and Shiffman, An overactive OFC would result in increased anxiety and increased planning to avoid anxiety.

In order to ensure that participants remain anonymous, pseudonyms have been used. Depressive symptoms and baseline prefrontal EEG alpha activity: Understanding recall of weekly pain from a momentary assessment perspective: Interviewing and Change Strategies for Helpers: Treatment of scrupulous obsessions and compulsions using exposure and response prevention: The researcher manually sent SMS prompts to the participants at random intervals; at least every 2 h across 1 day, from 10 am to 10 pmfor a minimum of 10 data entries in keeping with research using EMA procedures see, Stone and Shiffman, ; asking them to complete their responses to all four questions as details on the EMA-OCD Participant Questions Sheet.

Potentials and limitations of cognitive treatments for obsessive-compulsive disorder. Lorys CastelliUniversity of Turin, Italy.

Anxiety disorders (OCD) – Psych Tutor

In the case of any discrepancies agreement was reached via consensus. The debrief session focused on their experiences of the research and use of the digital voice recorder; and provided the opportunity for them to discuss anything else that arose they wished to tell the researcher. It can therefore be accused of being a reductionist approach, although being combined with behavioural strategies improves this somewhat. Introduction Obsessive-Compulsive Disorder OCD is a disabling anxiety disorder characterized by upsetting, unwanted cognitions obsessions and intense and time consuming recurrent compulsions American Psychiatric Association, Sexual obsessions and clinical correlates in adults with obsessive-compulsive disorder.


This may lead to them performing their compulsionwhich temporarily reduces anxiety but which makes the compulsion more likely to have to be repeated later. See the document below for more.

rachman case study ocd

Gilbert et al – see right – found that thalamic volumes in OCD patients reduced after successful drug treatment. He stated that he feared that harm would come to his wife and son if he didn’t perform these checks.

Login using

A second course of cognitive therapy adapted for mental contamination was then offered and all 14 sessions and follow-ups were attended. It is probably not a coincidence that many cases of OCD centre on cleanliness and security.

About a page should be a good length. As rachmn pilot case study we cannot generalize from these initial findings but our results indicate that a larger study replicating the procedure used here, is justified.

Here you have to suggest how you would use drugs to treat a patient with OCD. Here are two great ways cxse reducing the amount that you have to learn Overall, The Treatment of Obsessions provides an excellent resource for clinicians by describing, succinctly, the model of obsessions and the methods for most effective intervention.