Training In CBT & Other Evidence-Based Psychological Therapies
Introduction
Obsessive-compulsive disorder (OCD) is widely recognized as a serious and debilitating condition. Obsessions are intrusive and unwanted thoughts, images or doubts which are distressing. They typically occur in four domain (a) fears of contamination, (b) doubts about being responsible for harm, (c) unacceptable thoughts and images and (d) the urge for order and completeness. Compulsions are repetitive behaviours intended to undo or neutralize the obsessions, or to verify whether something is true. There is often marked avoidance or safety seeking behaviours to prevent the obsession form being triggered. Cognitive Behavioural Therapy (CBT), which includes exposure with response prevention has demonstrated efficacy and is recommended by NICE as the main treatment option for people with OCD.
The event will be equivalent to 5.1/2 hrs of CPD.
Content
This workshop will focus on (1) understanding the nature of a person’s OCD with a detailed assessment of the phenomenology and formulation (2) understand the theory behind for delivering effective CBT in OCD (3) developing the skills to deliver CBT for OCD (4) recognize complexity of OCD and to adapt the delivery of CBT to match the severity.
Learning Objectives
By the end of the workshop, participants will
1) Understand the phenomenology of obsessions (physical and mental), the compulsions and avoidance behaviour, and the processes that maintain them (for example the law of contagion, magical thinking, the over-inflated sense of responsibility and intolerance of uncertainty).
2) Be knowledgeable about the emotion of anxiety, disgust and derivatives such as self-disgust (shame), guilt, and contempt.
3) Use appropriate assessment scales and conduct a functional analysis of cognitive processes and behaviours to develop a formulation that maintains the OCD.
4) Understand the role of inhibitory learning in exposure and behavioural experiments
5) Conduct exposure and response prevention and behavioural experiments, drop safety seeking behaviours and do anti-OCD tasks.
6) Conduct imagery re-scripting for past aversive memories and flash-forwards of images
7) Consider the treatment of severe treatment refractory OCD with comorbidity and delivery of more intensive CBT.
Training Modalities
Didactic, interactive elements, polls, videos, Q&A.
Key References
Bream, V, Challacombe, F, Palmer, A, Salkovskis, P. (2017) Cognitive Behaviour Therapy for Obsessive-compulsive Disorder, Oxford University Press
Rachman, S. (2006) The Fear of Contamination: Assessment and treatment. Oxford University Press
Sündermann, O. & Veale, D. (2022) Obsessive-compulsive disorder – an updated cognitive behavioral approach. In: Evidence Based Treatments for Anxiety Disorders and Depression. Cambridge. Ed: Todd, G. and Branch, R. Cambridge University Press. ISBN 9781108355605
Veale, D, Freeston, M, Salkovskis, P (2009) Risk assessment in Obsessive Compulsive Disorder. Advances in Psychiatric Treatment, 15; 332-343
Veale, D, Willson, R, (2006) Overcoming Obsessive Compulsive Disorder. Robinson.
Veale, D. (2002) Over-valued ideas: a conceptual analysis. Behaviour Research and Therapy, 40(4), 383-400
About the presenter
David Veale is a Consultant Psychiatrist at the South London and Maudsley NHS Foundation Trust and a Visiting Professor in Cognitive Behavioural Psychotherapies at the Institute of Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London. He is past President of The British Association of Behavioural and Cognitive Psychotherapies. He is based at the Centre for Anxiety Disorders and Trauma at the Maudsley and at the Anxiety Disorders Residential Unit at the Bethlem and the Nightingale Hospital London, which all have services for severe treatment refractory OCD and related disorders. His website is www.veale.co.uk. He has published about 150 peer-reviewed articles and four self-help books. He was a trustee of OCD Action and the BDD Foundation and remains a trustee at EmetAction.
Who should attend
The event is suitable for low and high intensity practitioners, psychologists, nurse therapists, counsellors, psychiatrists, occupational therapists, and social workers working in primary or secondary care. Although we will focus on adults, the content is just as relevant for adolescents.