Treating OCD in Children and Adolescents

Martin E. Franklin, PhD, is Associate Professor of Clinical Psychology in Psychiatry at the University of Pennsylvania School of Medicine, where he is also Director of the Child and Adolescent Obsessive–Compulsive Disorder (OCD), Tic, Trichotillomania, and Anxiety Group. Since the 1990s, Dr. Franklin has conducted research on psychopathology and treatment response in individuals with anxiety and related conditions across the developmental spectrum. He has lectured nationally and internationally on OCD, trichotillomania, Tourette syndrome, and related disorders. Dr. Franklin is also Clinical Director of Rogers Behavioral Health–Philadelphia, where he oversees partial hospitalization and intensive outpatient programs for anxiety/OCD and depression in youth. Jennifer B. Freeman, PhD, is Director of Research and Training at the Pediatric Anxiety Research Center at Bradley Hospital and Associate Professor (Research) of Psychiatry and Human Behavior at the Warren Alpert Medical School of Brown University. Her research focuses on child and adolescent anxiety disorders, with particular interests in obsessive–compulsive disorder, cognitive-behavioral family interventions, and developmental psychopathology. Dr. Freeman's current research focuses on dissemination of treatment and training programs for treatment providers in the area of exposure therapy. John S. March, MD, MPH, is former Director of the Division of Neurosciences Medicine at the Duke Clinical Research Institute. He has extensive experience developing and testing treatments for pediatric mental disorders and has published widely on obsessive-compulsive disorder, posttraumatic stress disorder, anxiety, depression, attention-deficit/hyperactivity disorder, and pediatric psychopharmacology.

I. What Do We Know about OCD?
1. Clinical Presentation and Comorbidity
2. Theoretical Underpinnings--Conceptual Models
3. What Does the Empirical Literature Tell Us about Treatment?
4. Being the Best Guide You Can Be
II. Setting Up Treatment
5. Psychoeducation for Patients and Families
6. Hierarchy Development and Functional Analysis
7. Involving Families in Treatment: A Developmentally Sensitive Approach
8. Thinking about Thinking
9. Response Prevention Instructions
III. The Exposure Hierarchy
10. Early Exposures
11. Intermediate Exposures
12. Summiting: Peak Exposures
13. Relapse Prevention
14. Boosters/Fading
IV. Special Issues
15. Specific Family Issues
16. Partial Response and Nonresponse: What's a Therapist to Do?
17. OCD Treatment and Engaging Schools, with David McConville
Appendix. Reproducible Handouts