Cognitive Treatment for OCD

Maureen L. Whittal and Melisa Robichaud

in The Oxford Handbook of Obsessive Compulsive and Spectrum Disorders

Published in print August 2011 | ISBN: 9780195376210
Published online September 2012 | e-ISBN: 9780199940561 | DOI:

Series: Oxford Library of Psychology

 Cognitive Treatment for OCD

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The cornerstone of cognitive treatment (CT) for OCD is based upon the knowledge that unwanted intrusions are essentially a universal experience. As such, it is not the presence of the intrusion that is problematic but rather the associated meaning or interpretation. Treatment is flexible, depending upon the nature of the appraisals and beliefs, but can include strategies focused on inflated responsibility and overestimation of threat, importance and control of thoughts, and the need for perfectionism and certainty. The role of concealment and the relationship to personal values are important maintaining and etiological factors. The short-term and long-term treatment outcome is reviewed, along with predictors of treatment response and mechanisms of action, and the chapter concludes with future directions regarding CT for OCD.

Keywords: cognitive treatment; OCD; treatment outcome; mediators; prediction

Article.  13946 words. 

Subjects: Clinical Psychology

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