title: Intensive Treatment of Pediatric OCD: The Case of Sarah.
abstract: While cognitive behavior therapy (CBT) either alone or in combination with pharmacotherapy (e.g., selective serotonin reuptake inhibitor) has received strong empirical support for obsessive-compulsive disorder (OCD; Geller & March, 2012), this treatment is often inaccessible for children and their families. Barriers to accessing CBT include a lack of trained therapists, clinician and patient beliefs about CBT, and geographical and financial barriers (Goisman et al., 1993; Marques et al., 2010; Turner, Heyman, Futh, & Lovell, 2009). Furthermore, while the majority of therapists endorse a CBT orientation, exposure therapy is rarely used in routine clinical practice (Whiteside, Deacon, Benito, & Stewart, 2016). This case study therefore describes an intensive 2- or 3-session treatment of childhood OCD (e.g., Farrell et al., 2016) to improve efficient and rapid delivery of evidence-based treatment. The case of Sarah illustrates this intensive treatment model and highlights clinical considerations for therapists when delivery a concentrated, time-limited treatment.
authors.affiliation: School of Applied Psychology and Menzies Health Institute QLD, Griffith University. l.farrell@griffith.edu.au.
authors.forename: Lara J
authors.initials: LJ
authors.lastname: Farrell
authors.affiliation: School of Applied Psychology and Menzies Health Institute QLD, Griffith University.
authors.forename: Rachel
authors.initials: R
authors.lastname: Sluis
authors.affiliation: School of Applied Psychology and Menzies Health Institute QLD, Griffith University.
authors.forename: Allison M
authors.initials: AM
authors.lastname: Waters
mesh_terms: D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007171:Implosive Therapy / Q000379:methods*; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*
keywords: CBT; OCD; exposure therapy; intensive treatment