title: Imagery Rescripting for Obsessive Compulsive Disorder: A single case experimental design in 12 cases.
abstract: OBJECTIVE
  Some individuals with Obsessive Compulsive Disorder (OCD) may experience recurrent intrusive distressing images, which may be emotionally linked to past aversive memories. Our aim was to investigate whether Imagery Rescripting was an effective intervention for such individuals with OCD.
  
  
  METHODS
  Twelve cases who experienced intrusive distressing images are presented in a A1BA2CA3 single case experimental design. After a baseline of symptom monitoring (A1), participants had a control intervention of talking about the memory related image (B), followed by symptom monitoring (A2), a single session of Imagery Rescripting (C) and further monitoring for up to 3 months (A3).
  
  
  RESULTS
  Minimal change was seen following the control intervention. However, at 3 months following ImRs, there was a drop in the Yale-Brown Obsessive Compulsive Scale, with a decrease from a mean of 24.1 to 10.7. Reliable improvement was achieved in 9 out of the 12 cases and clinically significant change in 7 out of 12 at 3-month follow up. The limitations are that all cases were selected on the basis that they had an aversive memory linked to their imagery.
  
  
  CONCLUSIONS
  Imagery Rescripting is a promising therapeutic technique for OCD as an adjunct to CBT where intrusive images are linked to aversive memories.
authors: The Institute of Psychiatry, Psychology and Neurosciences, King's College London, UK; The South London and Maudsley NHS Foundation Trust, SE5 8AF, UK. Electronic address: David.Veale@kcl.ac.uk.
authors: David
authors: D
authors: Veale
authors: The Institute of Psychiatry, Psychology and Neurosciences, King's College London, UK; The South London and Maudsley NHS Foundation Trust, SE5 8AF, UK.
authors: Nicholas
authors: N
authors: Page
authors: The Institute of Psychiatry, Psychology and Neurosciences, King's College London, UK; The South London and Maudsley NHS Foundation Trust, SE5 8AF, UK.
authors: Elizabeth
authors: E
authors: Woodward
authors: Department of Psychology, University of Bath, Claverton Down, Bath, BA2 7AY, UK.
authors: Paul
authors: P
authors: Salkovskis
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D019018:Imagery, Psychotherapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000534:rehabilitation*; D011569:Psychiatric Status Rating Scales; D016896:Treatment Outcome
keywords: Anxiety; Imagery; Imagery Rescripting; Obsessive Compulsive Disorder; Traumatic memories