We have developed an extended outpatient program for Obsessive Compulsive Disorder designed for those with more moderate to severe symptoms, in situations where a standard one hour per week of therapy is simply inadequate. If inpatient treatment is unavailable in your area or is cost prohibitive, this program may be for you.
Annabella Hagen, the Clinical Director, has spent extensive time shadowing one of the world’s foremost experts on OCD, and is a graduate of the Behavior Therapy Training Institute, the country’s authority in OCD Training. She and her team are now regular presenters of specialized workshops at the annual international OCD conference.
The Mindset Family Therapy team is eager to teach you skills that can help you enjoy life even when OCD storms show up. The requisite for treatment is that you be willing to do the essential work needed to bring about the desired change.
“Many of life’s failures are experienced by people who did not realize how close they were to success when they gave up.”
- Two-hour sessions twice a week or as needed
- Assessment Session
- Complete the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)
- Complete the Obsessive Concerns Checklist
- Complete the Compulsive Activities Checklist
- Complete the Obsessional Beliefs Questionnaire (OBQ-44)
- Other scales as needed
- Complete Interview
- Medication Review
- Psychoeducation is an important part of treatment. We will teach you how the brain is affected by OCD and how you can change your brain pathways.
- Psychoeducation continues throughout treatment
- Implementation of metaphors and stories to help client understand treatment
- ACT (Acceptance and Commitment Therapy)
- Learning to watch your thoughts
- Expansion – Learning to make room for your internal experiences such as thoughts, feelings, sensations, and urges
- Connecting to the present moment (Mindfulness training) – Learning to be here-and-now
- Recognizing the Wiser/Observer Self (the you who wants to live a better life)
- Values – Recognizing what really matters in your life
- Committed Action – Doing what it takes to live a valued-focus life and recognize OCD for what it is –not what matters!
- Cognitive-Behavioral Therapy will include
- Recognition of Cognitive Distortions that apply to OCD
- Exposure and Response Prevention Program. The B for CBT is essential in the treatment for OCD.
ERP is personalized according to your symptoms and circumstances. Guidelines are given as you practice the exposures in sessions and during your assigned home exercises.
- Case formulation
- Scripts are written according to exposures assigned
- Writing exercises
- Imaginal exposures
- Actual exposures (one step at a time)
- Relapse Prevention Skills
“Every strike brings me closer to the next home run.”
This program is designed so that clients can have ownership and accountability for their treatment. Even though we will be meeting twice a week, we will expect a daily email reporting your home exercise and progress that day.
If you live with someone (spouse, relative, friend), it’s a good idea that they participate in some sessions, if not all the sessions, so that they can learn how to help you and support you during treatment.
If your child is the client, it is expected to have a parent or both parents present at most sessions as you will be your child’s coaches at home, and you’ll need to learn what to do and not to do during your child’s treatment.