Category: Obsessive Compulsive and Related Disorders

Clinical Roundtable

Clinical Round Table 5 - Do All Roads Lead to Rome? Examining the Treatment of OCD From Different Theoretical Perspectives

Saturday, November 18
10:15 AM - 11:15 AM
Location: Indigo Ballroom A, Level 2, Indigo Level

Keywords: OCD (Obsessive Compulsive Disorder) | CBT | ACT (Acceptance & Commitment Therapy)
Presentation Type: Clinical Roundtable

CBT treatments are considered the first line treatment for individuals with OCD (Deacon & Abramowitz, 2004; NICE, 2006). To date, the number of studies supporting the efficacy of exposure and responsive prevention (ERP) is far greater than those supporting the efficacy of other CBT treatments. However, many patients remain symptomatic after treatment, or demonstrate poor motivation or compliance, suggesting the need for continued research (Abramowitz et al., 2002; Ong et al. 2016). Individuals with pure obsessions and covert compulsions may also be harder to treat using ERP, and disgust, guilt, and shame may not respond as well to ERP.


Other CBT therapies also demonstrate promise for the treatment of OCD. Cognitive therapy and Acceptance and Commitment therapy both aim to modify the believability of thoughts observed in OCD, albeit using different strategies (e.g., Cognitive restructuring versus cognitive defusion). Newer cognitive treatments also target metacognitive processes in treatment. Research indicates that cognitive treatments are not only effective in improving symptoms and reducing emotional distress, but may also be effective in improving treatment adherence and reducing treatment drop-out (McKay et al., 2015).  Emerging research also demonstrates the efficacy of ACT (Hayes, 1987; Twohig et al. 2010). A recent meta-analysis also showed that CBT outperformed controls in all 16 studies used in the meta-analysis and that the type of CBT used did not affect the strength of the treatments (Olatunji et al, 2013).


Given these findings, is it possible that these treatments share common factors? Using a series of clinical cases, this clinical roundtable will discuss the treatment of OCD from multiple theoretical approaches, including BT, CT, CBT, and ACT, and present their purported mechanisms of change. These internationally renowned panelists will engage in a theoretically driven and clinically focused discussion to (a) demonstrate how different types of patients may be treated with these different approaches, used individually or in combination; (b) compare the differences between treatments; (c) tease apart the active ingredients of each treatment, (d) and examine the possibility that these treatments share a common mechanism of action. 

Learning Objectives:

Send Email for Lata McGinn

Jonathan S. Abramowitz

Professor of Psychology and Neuroscience
University of North Carolina at Chapel Hill

Presentation(s):

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Adam S. Radomsky

Professor and Research Chair in Anxiety and Related Disorders
Concordia University

Presentation(s):

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Michael P. Twohig

Professor
Utah State University

Presentation(s):

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Send Email for Lata McGinn


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