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Eric A. Storch - Clinical Handbook of Obsessive-Compulsive and Related Disorders: A Case-Based Approach to Treating Pediatric and Adult Populations

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Clinical Handbook of Obsessive-Compulsive and Related Disorders: A Case-Based Approach to Treating Pediatric and Adult Populations
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Eric A Storch / Adam B Lewin
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Springer
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2015
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This handbook examines evidence-based treatment of obsessive-compulsive and related disorders for a broad clinical audience. Focusing on both children and adults with these conditions, it discusses various manifestations of OCD (e.g., contamination, perfectionism), related conditions (e.g., hoarding, trichotillomania, and Tourette syndrome), and cases with complicating factors. Chapters describe case specifics, offer assessment guidelines, and illustrate evidence-based psychotherapy. Case examples depict real-life complexities of presentation, notably in terms of comorbid conditions and hard-to-treat subpopulations. Topical areas addressed in the Handbook include: Phenomenology, assessment, and treatment of multiple types of OCD in adults and children. Treating not just right experiences in children with OCD. Treating obsessive compulsive disorder in very young children. Treatment of OCD comorbid with other disorders like depression and Autism Spectrum Disorder. Treatment of OCD when presenting with complicating factors like limited insight, extreme family accommodation, and poor motivation. The Clinical Handbook of Obsessive-Compulsive and Related Disorders is an essential resource for clinicians and professionals as well as researchers, and graduate students in clinical psychology, psychiatry, social work, counseling programs, pediatrics, public health, and related disciplines.

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Part I
ObsessiveCompulsive Disorder Among Adults

Springer International Publishing Switzerland 2016

Eric A. Storch and Adam B. Lewin (eds.) Clinical Handbook of Obsessive-Compulsive and Related Disorders 10.1007/978-3-319-17139-5_1

1. Introduction

Eric A. Storch 1, 3, 4 and Adam B. Lewin 2

(1)

Department of Pediatrics, Health Policy & Management, Psychiatry & Behavioral Neurosciences, and Psychology, University of South Florida, St. Petersburg, FL, USA

(2)

Departments of Pediatrics, Psychiatry and Psychology, University of South Florida, Tampa, FL, USA

(3)

Rogers Behavioral HealthTampa Bay, Tampa, FL, USA

(4)

All Childrens HospitalJohns Hopkins Medicine, St. Petersburg, FL, USA

Eric A. Storch

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Keywords

OCD OCRD Obsessions Compulsions CBT Symptomology Comorbidity

Obsessive-compulsive disorder (OCD) and obsessive-compulsiverelated disorder (OCRD) conditions ( i.e., trichotillomania, hoarding disorder, body dysmorphic disorder, excoriation disorder, Tourettes syndrome ) are psychiatric conditions that are relatively common (Lewin and Piacentini ).

Given the poor dissemination of evidence-based interventions for OCRDs, considerable efforts have been made to provide training in evidence-based psychotherapy, both within the context of clinician training programs and via continuing education opportunities for licensed professional. Even for clinicians who receive specialized training, it is not uncommon for there to be a sizable gap between training and an opportunity to utilize the relevant skills in practice. In generalized (non-specialty OCRD) practices, it may be months, if not longer, between relevant patients. In addition, training often focuses on exemplar, straightforward cases where, as in practice, comorbidity and other complexities add to the sophistication. Regardless, it is impossible to prepare clinicians for the full range of patients through didactics alone. With this in mind, we set out to create a text that provides clear, structured, and easy-to-follow case illustrations written by leading experts for using evidence-based interventions in working with the range of OCRDs across the developmental continuum that may be encountered in clinical practice.

We have organized the book into four major sections. The first and second sections detail case presentations and treatment of adults and children with OCD, covering common clinical presentations (e.g., contamination, taboo obsessions, perfectionism, just right rituals, etc.). The third section details clinical presentations and treatment of OCRDs, including Tourettes syndrome , trichotillomania, hoarding disorder, body dysmorphic disorder, and excoriation disorder. Lastly, the fourth section focuses on special populations and clinical characteristics in OCRDs, such as working with young children, common comorbidities (e.g., autism spectrum disorders, disruptive behavior, depression), and potentially complicating clinical constructs (e.g., family accommodation, limited insight and motivation, etc.).

To orient the reader, each chapter follows a specific format in which the nature of problem and associated research basis will be initially reviewed. Thereafter, a description of the presenting problem and case information is provided. Information on assessment and case conceptualization are reviewed next. The bulk of each chapter is devoted to conveying an illustrative treatment course that clearly describes the implementation of evidence-based care into applied practice for the respective clinical presentation. Complicating factors and how they were addressed are discussed next, with the authors providing their concluding thoughts about the particular case and extant literature.

In undertaking this edited text, it was our hope that this book would disseminate information about evidence-based treatment for OCRDs in adults and youth, and provide clinicians who work with those affected by OCRDs with a deeper understanding of conceptualization and treatment. Too often, we meet individuals who have tirelessly pursued intervention only to be stymied in their efforts for relief because they could not access evidence-based care. With this in mind, we hope that this book will serve to further develop our network of expert clinicians, which will translate into improved treatment access and outcomes of individuals with OCRDs.

References

Blanco, C., Olfson, M., Stein, D. J., Simpson, H. B., Gameroff, M. J., & Narrow, W. H. (2006). Treatment of obsessive-compulsive disorder by U.S. psychiatrists. The Journal of Clinical Psychiatry, 67 (6), 946951. PubMed CrossRef

Foa, E. B., & Kozak, M. J. (1996). Psychological treatments for obsessive compulsive disorder. In M. R. Mavissakalian & R. F. Prien (Eds.), Long-term treatments of anxiety disorders (pp. 285309). Washington, D.C.: American Psychiatric.

Geffken, G. R., Storch, E. A., Duke, D. C., Monaco, L., Lewin, A. B., & Goodman, W. K. (2006). Hope and coping in family members of patients with obsessive-compulsive disorder. Journal of Anxiety Disorders, 20 (5), 614629. PubMed CrossRef

Lewin, A. B., & Piacentini, J. (2009). Obsessive-compulsive disorder in children. In B. J. Sadock, V. A. Sadock, & P. Ruiz (Eds.), Kaplan & Sadocks comprehensive textbook of psychiatry: Vol. 2 . (9th ed., pp. 36713678). Philadelphia: Lippincott, Williams & Wilkins.

Lewin, A. B., Piacentini, J., Flessner, C. A., Woods, D. W., Franklin, M. E., Keuthen, N. J., et al. (2009). Depression, anxiety, and functional impairment in children with trichotillomania. Depression and Anxiety, 26 (6), 521527. PubMed

Lewin, A. B., Wu, M. S., McGuire, J. F., & Storch, E. A. (2014). Cognitive behavior therapy for obsessive-compulsive and related disorders. The Psychiatric Clinics of North America, 37 (3), 415445. doi:10.1016/j.psc.2014.05.002. PubMed CrossRef

Murphy, T. K., Lewin, A. B., Storch, E. A., Stock, S., & American Academy of Child Adolescent Psychiatry Committee on Quality Issues. (2013). Practice parameter for the assessment and treatment of children and adolescents with tic disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 52 (12), 13411359. doi:10.1016/j.jaac.2013.09.015. PubMed CrossRef

Piacentini, J., Bergman, R. L., Keller, M., & McCracken, J. (2003). Functional impairment in children and adolescents with obsessive-compulsive disorder. Journal of Child and Adolescent Psychopharmacology, 13 (Suppl 1), S61S69. PubMed CrossRef

Storch, E. A., Bjorgvinsson, T., Riemann, B., Lewin, A. B., Morales, M. J., & Murphy, T. K. (2010). Factors associated with poor response in cognitive-behavioral therapy for pediatric obsessive-compulsive disorder. Bulletin of the Menninger Clinic, 74 (2), 167185. doi:10.1521/bumc.2010.74.2.167 [pii]. PubMed CrossRef

Storch, E. A., Wu, M. S., Small, B. J., Crawford, E. A., Lewin, A. B., Horng, B., & Murphy, T. K. (2014). Mediators and moderators of functional impairment in adults with obsessive-compulsive disorder. Comprehensive Psychiatry, 55 (3), 489496. doi:10.1016/j.comppsych.2013.10.014. PubMed CrossRef

U.S.D.H.H.S. (1999). Mental health: A report of the surgeon generalexecutive summary . Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.

Springer International Publishing Switzerland 2016

Eric A. Storch and Adam B. Lewin (eds.) Clinical Handbook of Obsessive-Compulsive and Related Disorders 10.1007/978-3-319-17139-5_2

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