The Nature of OCD
- Diagnosis of OCD, common symptoms, prevalence
- Brain areas implicated
- Limitations of the research on causes and treatment of OCD
- Importance of therapeutic relationship
Teaching Clients Where Their Anxiety Comes From
- Explaining Neuroplasticity
- Amygdala and cortex pathways to anxiety
- Help clients recognize both pathways: Useful examples
- Assessing when anxiety is initiated in the amygdala vs. cortex
- Shifting from anxiety reduction to changing the brain
Explaining the Amygdala in OCD Treatment
- Explanation of Fight/Flight/Freeze Response and physical symptoms
- Survey to assess F/F/F tendencies
- The amygdala as protector and its limitations
- Promoting mindfulness in responding to the amygdala
- Helping clients see how the amygdala blocks their goals
- Helping client develop personal goals
- Evidence-based strategies for reducing amygdala activation
Exposure as Teaching the Amygdala
- Worksheets for trigger selection and hierarchy development
- Agreement on tasks is essential
- General guidelines for exposure
- Tips for exposure effectiveness
- Use of imagery in exposure
- Resisting compulsions with response prevention
- Risks, limitations, and concerns
- Case examples
Neurologically-Informed Interventions for Cortex Pathway
- Relationship of cortex to amygdala
- How the cortex activates the amygdala
- The problem of cognitive fusion in OCD
- Surveys to identify amygdala-activating cognitions
- Explanations that motivate clients
- Mindfulness to combat amygdala-activating cognitions
- Distraction, including limitations
- When cognitions interfere with Exposure
- Case examples