Treating the Family: Addressing Family Accommodation in the Treatment of OCD - PART 2
Featuring: Jami Socha, PhD and Laura Lokers, LMSW
Dr. Jami Socha, PhD is a licensed clinical psychologist at the Anxiety and OCD Treatment Center of Ann Arbor where she specializes in the treatment of anxiety disorders, OCD and obsessive-compulsive spectrum disorders. Dr. Socha received her doctorate in clinical psychology from Rosalind Franklin University of Medicine and Science, and completed her internship and postdoctoral fellowship at the University of Michigan. Dr. Socha has extensive experience and training in a variety of empirically supported treatments for anxiety and mood disorders, including Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP). She works with individuals across the lifespan, having specialized training in treating anxiety in both pediatric and adult populations. Dr. Socha is also a clinical supervisor at the University of Michigan’s Mary A. Rackham Institute. Dr. Socha was a 2016 recipient of ADAA’s Career Development Leadership Program Award. She is also an ADAA member since several years.
Laura Lokers, LMSW is a licensed clinical social worker and worked in the University of Michigan’s Department of Psychiatry, Anxiety Disorders Program for 10 years before co-founding the Anxiety and OCD Treatment Center of Ann Arbor. Ms. Lokers received her Master’s degree from the University of Michigan School of Social Work in 2005 and has specialized training in Cognitive Behavioral Therapy for a variety of anxiety, mood disorders and OCD. Ms. Lokers has had advanced training and experience working with Obsessive Compulsive Disorder, including intensive outpatient exposure and response prevention for aggressive OCD symptoms. In addition to clinical treatment and clinical training, Ms. Lokers has also been involved in clinical research, primarily in the area of Obsessive Compulsive Disorder and OCD.
This is the second part of a professional webinar series focused on helping clinicians address family accommodation in the treatment of OCD. Part 1 provided an overview of family accommodation and the many forms it can take (e.g. permitting avoidance, modifying routines to accommodate rituals), and discussed the main steps involved in helping families end the cycle of accommodation. Emphasis was placed on helping family members redefine the meaning of “support” so they become able to consistently implement behavioral strategies that do not indulge their loved one’s OCD. Unsurprisingly, however, many patients become highly distressed, manipulative, and/or resistant when the accommodating family dynamic begins to shift.
In the second part of this webinar, we will discuss how to respond to patient resistance, including disruptive and aggressive behavior. Case examples will be provided to illustrate how patient’s disruptive resistance can be effectively dealt with through consistent, non-accommodating behaviors from therapists and family members. Examples will also be provided that illustrate clinical decision making regarding sequencing of ERP with other approaches such as DBT.
At the end of this webinar, attendees will be able to:
1. List at least one key ingredient in effectively setting the stage before implementing a plan to reduce family accommodation
2. Describe coercive/disruptive behaviors in the context of family accommodation of OCD
3. Identify useful language to use in response to patient’s disruptive resistance to plans to reduce family accommodation
Intermediary / Advanced
This webinar is eligible for 1 CE / Credit Hour.