title: Treatment of a Child With Obsessive-Compulsive Disorder With Limited Motivation: Course and Outcome of Cognitive-Behavior Therapy.
abstract: Motivation is a key ingredient in the successful treatment of pediatric obsessive-compulsive disorder (OCD). As a first-line treatment, cognitive-behavior therapy (CBT) requires extensive client engagement, including participating in exposures and doing homework tasks. A lack of motivation to comply with these tasks may seriously affect treatment outcome. This case study identifies factors interfering with motivation and illustrates motivational strategies to enhance compliance of a child with OCD. The patient was an 11-year-old boy with severe OCD and symptoms of oppositional defiant disorder (ODD). He had extensive OCD-related avoidance behavior but denied the presence of symptoms or did not acknowledge them as a problem. In this article, we discuss the different techniques used to enhance motivation, which subsequently led to a favorable outcome.
authors.affiliation: Norwegian University of Science and Technology, Regional Centre for Child and Youth Mental Health and Child Welfare. b-weidle@online.no.|Department of Child and Adolescent Psychiatry, St. Olavs University Hospital, Trondheim, Norway. b-weidle@online.no.
authors.forename: Bernhard
authors.initials: B
authors.lastname: Weidle
authors.affiliation: Regional Center for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP) Oslo, Norway.
authors.forename: Gudmundur
authors.initials: G
authors.lastname: Skarphedinsson
mesh_terms: D019958:Attention Deficit and Disruptive Behavior Disorders / Q000628:therapy; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D009042:Motivation; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D016896:Treatment Outcome
keywords: children and adolescents; cognitive-behavior therapy; motivation; obsessive-compulsive disorder; treatment