29 10, 2016

Preventing Relapse in the Treatment of Obsessive-Compulsive Disorder: Self-Directed Exposures

By | October 29th, 2016|From OCD to Anxiety, Partner Perspectives|

Obsessive-compulsive disorder (OCD) is a chronic condition and therefore even following an effective treatment, your client always and will forever face the possibility of relapse. Assisting the client to manage the risk of relapse is an essential part of treatment for the condition. As you taper sessions with the client, use the times between sessions […]

19 10, 2016

When the Winnie-the-Pooh Cup is Half-Empty: Cognitive-Behavior Therapy for Depressed Children

By | October 19th, 2016|Kid Korner|

A clinician recently told me that cognitive-behavior therapy (CBT) wasn’t appropriate for children because it was “too cerebral.” I asked her what she meant by this and she said that CBT just wasn’t any fun. It didn’t look fun to her so it couldn’t be fun to a kid. And, if it wasn’t fun then […]

30 09, 2016

Behavioral Treatment for Tourette Disorder and Motor Tics

By | September 30th, 2016|Kid Korner|

Tourette disorder is a chronic neurological condition characterized by brief, rapid movements (motor tics) such as blinking, sniffing, or tongue thrusting) or sounds (vocal tics) such as throat clearing, grunting, humming. However, both motor and vocal tics can be quite complex, such as a girl who repeatedly and violently thrusts her index finger up a […]

9 09, 2016

The Many Faces of Bullying Part 1: Face-to-face exclusion

By | September 9th, 2016|Kid Korner, Teen Topics|

In an age of parents sticking up for their children regardless of how wrong their children’s behavior is, Leslie Blanchard’s post “4th grader comes home with disturbing news – then mom realizes her ‘worst nightmare’ is coming true” is refreshingly honest. Rather than candy-coating the situation of her daughter leaving a well-meaning peer out “just […]

19 08, 2016

From Kazoos to Spider Rings: Prolonged Exposure with Kids

By | August 19th, 2016|From OCD to Anxiety, Kid Korner|

Exposure appears to be the key change-producing procedure in the cognitive-behavioral treatment of anxiety and phobic disorders in children. Successful exposures depend on the clinician’s ability to engage the child in anxiety-provoking tasks. Successful exposures are both developmentally appropriate and fun for the child. Developing exposures for anxious children can be fun for the clinician […]

5 08, 2016

Nuts and Bolts of Imaginal Exposure

By | August 5th, 2016|From OCD to Anxiety|

Imaginal exposure involves the client imagining the feared object or situation to evoke fear and anxiety. Research has demonstrated that direct in vivo exposure to feared objects or situations is more effective than imaginal exposure to the same circumstance. However, the combination of both exposure strategies has produced excellent outcomes and, at times, imaginal exposure […]

29 06, 2016

Separation, Panic and School Refusal

By | June 29th, 2016|Kid Korner, Teen Topics|

Separation anxiety disorder (SAD) is a relatively common disorder in children and adolescents and panic disorder (PD) is a relatively common disorder in adults. Investigators have suggested that SAD and PD may be related in several ways:

  • The symptoms that children with SAD exhibit when separated from their parents look much like symptoms of panic […]
1 06, 2016

Nocturnal Enuresis: Augmenting the Bell-and-Pad

By | June 1st, 2016|Kid Korner|

While most pediatricians favor pharmacologic treatments for nocturnal enuresis, there is growing interest in other treatment strategies, in part because of the limited effectiveness of medications (less than 50% increase in dry nights) and high relapse rates (most children return to their previous wetting frequency) after discontinuing the medication (Moffat, et al., 1993). A well-studied […]

17 05, 2016

Children and Sleep

By | May 17th, 2016|Kid Korner, Sleep Sense|

Parents tend to sleep well when their children sleep well. Fortunately, things work out just fine for most kids and parents because sleep is hard wired. That is, your child’s brain will get the sleep necessary to help him or her develop into a vital and healthy human being. However, that is not to say […]

4 05, 2016

What Does OCD Mean Anyway? A Quick Guide for Kids and Families

By | May 4th, 2016|From OCD to Anxiety, Kid Korner|

What Does the D in OCD Mean?

Obsessions (the thoughts, images, and doubts that bother and scare you) and compulsions (the things you do and think to decrease your fear and discomfort) are upsetting enough but for some kids, the D in OCD can be pretty upsetting too. So what does the D in OCD mean […]