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T-OCD chapter 9 designing E/RP rexcercise (š 9.4. what progress have Iā¦
T-OCD chapter 9 designing E/RP rexcercise
š
9.2. E/RP excercise
9.3. OCD ladder
9.1. How to break my OCD rule
9.4. what progress have I made
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true recovery will only sratrt when child is able to tolerate anxiety without compulsion
essential atht not others rituals are intorduced to amange obsession , suhc as menatl counting etc
E/ Rp must be continued until anxiety is has disapperaed
parise any change however small
deliberaty exokes anxiety
scores are unlikely to change unless the child has focused on E/RP exercise
Rational fro E/RP
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fully support child, even if it causes anxiety to yourself
fully understand and communicate rational
ensure right task is chosen- not too hard
keep child exposed to excercise
watch out for new rituals to mange anxiety
reward changes however small
ensure probelm solving and planning in place
what does e- RP mean?
Exposure
facing OCD fera until it naturally goes down
response P
not enagging in compulsion or avoidance when facing fear
habituation
getting used to it through repeated exposure
bungee jump
cinema
designing E/RP excercise
9.2. exposure RP excercise
š step by step E/RP
rate anxiety
decide parents role
complete 9.2
start excercise
rate feelings every few minutes
repeat unil anxiety goes down
rerate anxiety levels
rate how you are feeling about what OCD wants you to do
what can your carer do to help?
what exercise will you do
record trial
trial no:
Excercise:
1min
5min
15 min
what is OCD telling you
how to break the rule, if doing it straight too difficult
doing it differenrtly
doing it in a different place
shortening ritual
delaying ritual
example fork out of drawer without washing
wash once
wash with water only
wash twice
wipe with damp cloth
wash 3 times only, taking max to 5 mins
no washing at all
š 9.4. what progress have I made?
did I do another ritual in its place
what did not go that well, could I change something
did anxiety decrease over time
what did I leran
have I rewarded myself
what went well
what do I need to do next ?
what was the excercise?
š
coduct E/RP excecise and record anxiety
might take 1 week
repeat until anxiet 0 or very low
design E/RP exercise, learning to break OCD rules
once completed update OCD ladder
decide on OCD difficulty
review leaning
plan next E/RP excercise
what is E/RP