title: Case study: behavioral treatment of obsessive-compulsive disorder in a boy with comorbid disruptive behavior problems.
abstract: Comorbid psychiatric conditions often complicate the treatment of childhood obsessive-compulsive disorder (OCD). Behavioral treatment of OCD using exposure plus response prevention for a boy with disruptive behavior disorders and two previous unsuccessful medication trials is described. Treatment was adapted to his developmental level, his mother was highly involved in treatment, and a contingency management program contained his disruptive behavior so that he could participate in therapy. Posttreatment and 2- and 6-month follow-up measures indicated marked improvement in OCD symptoms. The possibility of successful behavioral treatment of OCD in medication-free children with disruptive behavior problems is highlighted.
authors.affiliation: Clinical Psychology, University of Pittsburgh, USA.
authors.forename: E B
authors.initials: EB
authors.lastname: Owens
authors.forename: J
authors.initials: J
authors.lastname: Piacentini
mesh_terms: D019958:Attention Deficit and Disruptive Behavior Disorders / Q000150:complications / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000150:complications / Q000628:therapy*