ObsessiveCompulsiveDisorder-UniversityofNebraska–Lincoln强迫症-内布拉斯加大学–林肯.ppt

Obsessive Compulsive Disorder: Treatment of obsessive-compulsive disorder utilizing an ecological treatment package (ETP). Objectives Description of the disorder. Prevalence and etiology of OCD. Impact upon academic, behavioral and social performance in schools. Ecological Treatment Package (ETP; Swearer Eagle, 2000). CBT treatment. Conjoint Behavioral Consultation (CBC; Sheridan Kratochwill, 1992) and OCD. School related issues. What is OCD? Repetitive pattern of obsessions and/or compulsions. Time-consuming. Create significant distress or impairment. It’s not just avoiding cracks or washing your hands. Obsessions Persistent ideas, thoughts, impulses or images. Create marked disturbance or distress. Most common Contamination Doubting Need to have things ordered Horrific impulses Sexual imagery Compulsions Repetitive behaviors or mental acts with goal of preventing/reducing distress or anxiety. Most common Washing/cleaning Counting Checking Requesting/demanding assurances Repeating actions Ordering Prevalence 1 in 200 children and adolescents (Flament, 1990). 1 in 50 adolescents (OC Foundation, 1999). Generally considered to affect 2% of the total population. 3 or 4 children in each elementary school. Up to 20 teenagers in most average-sized high schools. “Hidden Epidemic” (Jenike, 1989) Only 4 of 18 high school students found to have OCD were under professional care (Flament et al., 1988). None of the 18 had been correctly identified as suffering from OCD. OCD is typically underdiagnosed and undertreated. Other facts… Age-of-onset for children with OCD is approximately 10.2 years old (Chansky, 2000). Males tend to develop OCD earlier than females; females develop OCD in adolescence (Adams Torchia, 1998; Chansky, 2000). 80% of adults with OCD identify an onset of symptoms before the age of 18 (Pauls, Alsobrook, Goodman, 1995). Childhood OCD is typically considered a chronic condition. Developmental Perspective Developmentally, most children experience obse