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 down the client’s motivation to work on the problem. Here are typical ways clinicians shut down motivation when treating hoarding disorder.
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 treatment for obsessive-compulsive disorder (OCD) is no exception.
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, do not outgrow their fears and over time experience a myriad of problems.
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 one meet with a therapist or talk about the problem with a doctor; you may have purchased books on the […]
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 treatment is essential to a good outcome. Here are two standard cognitive-behavioral strategies to enhance willingness.
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 based on self-imposed, highly demanding standards, especially in areas of life that are important to […]
Self-help reading is often assigned as an extra-therapy activity and, like any homework assignment, thoughtful planning on the part of the therapist can mean the difference between a homework assignment that is completed or not. The following guidelines can improve the likelihood that clients will understand and complete self-help readings.
Never assign a self-help reading that […]
The signs of someone with a significant hoarding problem are obvious. Floorboards rot and sag under the weight of tons of paper and garbage. Food containers litter the home and the smells of rotting food and mildew permeate the air. Every nook and cranny is filled with stuff and what paths there are in the […]
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 […]
Exposure therapy is often a primary treatment component when working on anxiety. Whether an individual is coming to treatment for a specific fear, social anxiety, OCD, or another type of anxiety presentation, exposure can be a critical aid in reducing distress. It can also significantly change our relationship with anxiety and the role it plays […]