Recognizing Ambivalence When Treating Hoarding Disorder

By

Michael A. Tompkins, PhD, ABPP

Co-Director of the San Francisco Bay Area Center for Cognitive Therapy

 

Ambivalence – and a great deal of it – is a typical feature of hoarding disorder. Even clients who seek treatment for this debilitating condition bring considerable ambivalence to the goals and tasks of the […]

January 6th, 2018|From OCD to Anxiety, Partner Perspectives|

Does My Loved One Have Hoarding Disorder (HD)?

By

Michael A. Tompkins, PhD, ABPP

Co-Director of the San Francisco Bay Area Center for Cognitive Therapy

 

The visible signs that a loved one has Hoarding Disorder (HD) can, in some cases, be pretty obvious.  It’s difficult to walk through rooms in your loved one’s home because of the large number possessions. […]

December 16th, 2017|From OCD to Anxiety, Partner Perspectives|

Cognitive-Behavior Therapy and Harm Reduction for Hoarding Disorder

By

Michael A. Tompkins, PhD, ABPP

Co-Director of the San Francisco Bay Area Center for Cognitive Therapy

 

Hoarding disorder (HD) is a complex condition that affects approximately two to five percent of the population. Hoarding disorder is included in the latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM5) […]

December 1st, 2017|From OCD to Anxiety, Partner Perspectives|

Addressing Family Accommodation in the Treatment of Pediatric Anxiety and OCD

By

Emily Berner, MFT

Partner, San Francisco Bay Area Center for Cognitive Therapy

As a clinician specializing in the treatment of pediatric anxiety and OCD, I am very fortunate to have access to so many effective interventions designed to treat the children suffering from these disorders. However, as anyone who works with […]

September 30th, 2017|From OCD to Anxiety, Partner Perspectives|

Responding to Ambivalence in People Who Hoard

By

Michael A. Tompkins, PhD, ABPP

Co-Director of the San Francisco Bay Area Center for Cognitive Therapy

Ambivalence – and a great deal of it – is a typical feature of hoarding disorder. Given the considerable ambivalence of most clients with this condition, clinicians want to take care to avoid inadvertently shutting […]

September 1st, 2017|Partner Perspectives|

Handling Poor Treatment Response with Adolescents

By

Michael A. Tompkins, PhD, ABPP

Co-Director of the San Francisco Bay Area Center for Cognitive Therapy

Psychotherapy with adolescents is a difficult proposition. Research suggests that adolescents do not do as well as adults in psychotherapy and that they tend to dropout or refuse treatment more often. The cognitive-behavioral […]

July 25th, 2017|Partner Perspectives|

Little Worriers

By

Michael A. Tompkins, PhD, ABPP

Co-Director of the San Francisco Bay Area Center for Cognitive Therapy

Worries and fears are a typical part of early childhood. Most children outgrow their fears with little or no impact on their social, emotional, or intellectual development. Little worriers, on the other hand, […]

July 25th, 2017|Kid Korner, Partner Perspectives|

How Families Can Help a Love One Who Hoards

By

Michael A. Tompkins, PhD, ABPP

Co-Director of the San Francisco Bay Area Center for Cognitive Therapy

If your loved one suffers from hoarding disorder, you’ve likely tried to help. You may have offered to clean her home or to hire someone to do it. You may have suggested that your loved […]

May 25th, 2017|Partner Perspectives|

Two Willingness Strategies in Cognitive-Behavior Therapy

Michael A. Tompkins, PhD, ABPP

Co-Director, San Francisco Bay Area Center for Cognitive Therapy

            Although cognitive-behavior therapy helps many clients with anxiety disorders, the exposure tasks, which are central to overcoming an anxiety disorder, are not easy. Because exposure to anxiety-evoking situations is difficult, attending to your client’s willingness throughout […]

May 9th, 2017|Partner Perspectives|

Perfectionism: When setting high standards backfires

By Joan Davidson, Ph.D.

Co-Director, San Francisco Bay Area Center for Cognitive Therapy

Striving to do well is a positive attribute as long as there are no negative consequences for doing so. A healthy desire to excel and achieve high standards is one thing. Perfectionism, though, can be problematic if you evaluate yourself […]

May 9th, 2017|Partner Perspectives|