Exposure therapy for OCD from an acceptance and commitment therapy (ACT) framework

This paper is part of a case series illustrating the application of different therapies to a case of obsessive-compulsive disorder (OCD). It describes the hypothetical application of Acceptance and Commitment Therapy (ACT). This paper covers the philosophy and basic research on language and cognition that inform ACT. It also provides an ACT-based case conceptualization of this case and examples of therapeutic procedures. The goal of this paper is to familiarize clinicians with the use of ACT for OCD.

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Journal of Modern Psychology

The present study aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on improving symptoms and increasing quality of life among the patients with obsessive-compulsive disorder (OCD) in interacting with OCD Family History: This is a quasi-experimental and pretest-posttest study with control and follow-up groups. The study population entirely consisted of over-18-years of age OCD patients referred to private consultation centers, and rural and urban healthcare centers in Rasht city during2014. The sample selected through purposive sampling consisted of 60 OCD patients who were randomly included in two experimental(ACT with and without OCD Family History) and two control (control with and without OCD Family History) groups. The experimental groups received eight ACT 45-minute sessions of Yale-Brown Obsessive Compulsive Scale was used to determine the severity of OCD. In addition, the brief version of WHO Quality of Life Scale was used to measure life qual.

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Behavioural and Cognitive Psychotherapy

Thirty-five outpatients (25 women, 10 men) with a DSM-III-R principal diagnosis of OCD accepted exposure treatment at a psychiatric outpatient clinic. They were randomly assigned to one of two individual treatments for a 6-week exposure therapy treatment based on a treatment manual or to a 6-week waiting list condition. The 12 patients assigned to the waiting list were subsequently randomly assigned to one of the active treatments. Both treatment groups received in vivo or imaginal exposure in each of the 10 twice-weekly treatment sessions held after two assessment sessions. One group (n=16) received cognitive therapy interventions for comorbidity problems or to alter beliefs underlying patients' OCD. The other group (n=19) received relaxation training as an attention placebo control. Both groups received relapse prevention follow-up contacts. Twenty-seven patients completed intensive treatment. Both treatments overall showed satisfactory levels of clinical improvement and large.

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