OCD in Children and Adolescents

Katherine McKenney, PhD, is a staff psychologist with the Provincial OCD Program at BC Children’s Hospital (BCCH) in Vancouver, British Columbia, Canada, as well as Adjunct Professor in the Department of Psychology at the University of British Columbia and a director at Cornerstone Child and Family Psychology Clinic. At BCCH, Dr. McKenney provides assessment and group treatment to youth with obsessive–compulsive disorder (OCD) and their families. She also consults and trains clinicians around the province, is actively involved in research and program development, and has coauthored numerous peer-reviewed publications. Dr. McKenney has developed several group therapy manuals for the treatment of OCD and maintains a busy private practice. Annie Simpson, PhD, is a director at Cornerstone Child and Family Psychology Clinic in Vancouver and a clinical associate in the Department of Psychology at Simon Fraser University in Burnaby, British Columbia, Canada. She previously worked as a staff psychologist with the Provincial OCD Program at BC Children’s Hospital (BCCH). Dr. Simpson was actively involved in research and program development in her role at BCCH and coauthored numerous publications. She has worked as a consultant for Anxiety Canada, providing lectures and workshops and developing self-help materials for children and adolescents. S. Evelyn Stewart, MD, is Full Professor in the Department of Psychiatry at the University of British Columbia, in Vancouver, Canada, and Founding Director of the Provincial OCD Program at BC Children’s Hospital (BCCH), the first integrated clinic and research program for pediatric OCD in Canada. Dr. Stewart spent her early career as a psychiatrist within the pediatric and adult obsessive–compulsive disorder (OCD) clinic teams at Massachusetts General Hospital, as Research Director of the OCD Institute at McLean Hospital, and as Assistant Professor at Harvard Medical School. She has authored over 100 original papers, reviews, and book chapters on family, genetic, neuroimaging, and treatment aspects of OCD and related illnesses throughout the lifespan.

I. Preparing to Initiate ERP Exposure and Response Prevention
1. An Overview of Pediatric Obsessive–Compulsive Disorder and Its Treatment
2. ERP Preparation and Delivery
3. Fine-Tuning ERP Delivery
4. Complementary Approaches to ERP
II. Providing Treatment: 10 Nuts-and-Bolts Modules
- Module 1. Treatment Preparation with the Child or Youth and Their Parents
- Module 2. Explaining ERPs, Building an OCD Ladder, and Implementing Rewards
- Module 3. Foundational Treatment Tools: Breaking Free of OCD’s Traps, Bossing Back OCD, and Identifying Family Accommodation
- Module 4. Breaking OCD’s Rules: The Four S’s, Exposure Games, and Limiting Family Accommodation and Reassurance Seeking
- Module 5. Tools to Help with OCD “Bad Thoughts”: Imaginal Exposures and Dealing with OCD-Related Rage
- Module 6. Tools to Help with ERPs: Coping Cards, Floating On By, Coping with Doubt Scripts, and Reducing Stigma
- Module 7. Troubleshooting ERPs: Suboptimal Response, Therapist Pitfalls, and Barriers to Treatment Success
- Module 8. Self- and Family Care: Boosting Self-Esteem, Attending to Personal Needs, and Managing OCD in Schools
- Module 9. Preparing for the Future: Relapse Prevention and Consolidating Gains
- Module 10. Graduation: Celebration and Maintenance of Gains
References
Index