Family Based Treatment for Young Children With OCD

Therapist Guide

Jennifer B Freeman and Abbe Marrs Garcia

Treatments That Work

Obsessive-compulsive disorder (OCD) can develop at a young age and when it does, it can cause significant distress for the child and the family. Parents may be unclear on the nature of OCD symptoms and how to best respond to their child. Family involvement in the child's symptoms may be making the situation worse for the whole family. When treating young children with OCD, it is important to recognize the family component and directly involve parents in treatment. It is also essential to tailor the treatment to a child's age and developmental level. This therapist guide presents a family-based treatment for OCD specifically designed for children ages 5-8.

Family Based Treatment for Young Children With OCD

Therapist Guide

Jennifer B Freeman and Abbe Marrs Garcia

Treatments That Work

Description

Obsessive-compulsive disorder (OCD) can develop at a young age and when it does, it can cause significant distress for the child and the family. Parents may be unclear on the nature of OCD symptoms and how to best respond to their child. Family involvement in the child's symptoms may be making the situation worse for the whole family. When treating young children with OCD, it is important to recognize the family component and directly involve parents in treatment. It is also essential to tailor the treatment to a child's age and developmental level.

This therapist guide presents a family-based treatment for OCD specifically designed for children ages 5-8. Using a cognitive-behavioral approach, it provides psychoeducation for the family and a set of tools for the management of OCD. "Parent tools" involve differential attention, modeling, and scaffolding techniques. "Child tools" include cognitive strategies such as "bossing back" and using a feelings thermometer to rate anxiety. Treatment centers on exposure with response prevention (E/RP), in which the patient faces feared situations without avoidance or rituals until anxiety decreases. The therapist works with the family to create a hierarchy of E/RP tasks that will be conducted in session and practiced at home. A reward plan helps motivate the child to complete tasks and cooperate with parents. The program ends with relapse prevention to maintain gains and prepare for future symptoms. Therapy process issues are addressed throughout treatment to help families improve life at home.
With helpful tips for adapting the program to a child's developmental level and family situation, this guide is a "must-have" for clinicians working with childhood-onset OCD. The corresponding workbook for families reinforces the skills introduced in session and provides forms for homework. Children, their parents, and their families will all benefit from this comprehensive treatment package.

Family Based Treatment for Young Children With OCD

Therapist Guide

Jennifer B Freeman and Abbe Marrs Garcia

Treatments That Work

Reviews and Awards

"This excellent book presents an evidence-based treatment program that is easy for the therapist to use, and children with OCD and their parents can benefit from the practical ideas. This book will appeal to all clinicians who treat young children, but novice therapists will especially benefit from the well organized information. New graduates often will have some anxiety about their ability to manage treatment, but this wonderful guide will give them confidence."--Doody's Health Sciences Review, a 4-star review!