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Family involvement in Treatment – Katie d’Ath Ocd presentation-katie-d ath


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OCD Action

Family involvement in Treatment – Katie d’Ath

Published in: Health & Medicine
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Family involvement in Treatment – Katie d’Ath Ocd presentation-katie-d ath

  1. 1. Supporting your loved one not their OCD Family Involvement in OCD OCD Action Conference February 2010 Katie d’Ath
  2. 2. Can I fix it? (Can I be fixed?) No. But you can help. The OCD sufferer plays the most important role in their recovery but they need your support, encouragement and understanding Katie d’Ath Feb 2010
  3. 3. Supporting your loved on not their OCD • • • • Effects of OCD on family members Understanding how we often respond to OCD Finding better ways of responding to OCD Building resilience: agreeing goals and moving forward • Shifting the focus from OCD • Questions and Answers Katie d’Ath Feb 2010
  4. 4. How does OCD affect you? Depression Sadness Shame Hurt Anger Guil t Frustratio Anxiety n Concern Resentme Exhaustio nt n Katie d’Ath Feb 2010
  5. 5. Introducing the OCD snake QuickTime™ and a decompressor are needed to see this picture. Katie d’Ath Feb 2010
  6. 6. CBT: Exposure & Response Prevention - Deliberate exposures to the feared event or stimuli - then NOT engaging in the ritual (including reassurance seeking!) This promotes HABITUATION Katie d’Ath Feb 2010
  8. 8. Why do we accommodate the OCD? • Counter-Intuitive: it’s normal to reassure someone or help them when they feel bad • Quicker: Short term gain (long term pain) • Easier: Short term gain (long term pain) • Less distressing: In the short term Katie d’Ath Feb 2010
  9. 9. HOW DO WE ACCOMMODATE THE OCD SNAKE? Katie d’Ath Feb 2010
  10. 10. Accommodation Traps • • • • • • • REASSURANCE – “everything will be ok” AVOIDANCE – avoiding doing things for fear of triggering OCD RITUALS – participating in OCD rituals ASSISTANCE WITH DECISIONS AND SIMPLE TASKS MODIFYING WORK, FAMILY OR SOCIAL ROUTINES ASSUMING LOVED ONES RESPONSIBILITIES TOLERATING ABNORMAL BEHAVIOURS OR CONDITIONS Katie d’Ath Feb 2010
  11. 11. Why doesn’t accommodation work? • Inadvertently sends message it’s okay or necessary to respond to OCD in this way • Gives OCD respect it doesn’t merit • By stepping in you are modeling belief that they can’t cope and need to be protected • Unwittingly Sending the message that they are weak/vulnerable • ALL OF THESE THINGS HELP MAINTAIN THE OCD Katie d’Ath Feb 2010
  12. 12. Aims of standing up to the OCD Snake 1.To promote HABITUATION – i.e allow sufferer to feel the fear and not do anything to make it better 2.To encourage RISK TAKING – fighting against the need for certainty 3.To STARVE the OCD Snake of attention Katie d’Ath Feb 2010
  13. 13. OCD demands: Overcoming OCD: Katie d’Ath Feb 2010
  14. 14. Resisting the OCD QuickTime™ and a decompressor are needed to see this picture. Katie d’Ath Feb 2010
  15. 15. Standing up to the OCD Snake • Contract: agree what you’re working on • Help by being consistently unaccommodating • Alert to OCD’s cunning • Reward your loved one for sticking with it • Manage expectations (change rarely happens overnight, but persistence pays off) Katie d’Ath Feb 2010
  16. 16. Obstacles to Standing up to the OCD Snake Katie d’Ath Feb 2010
  17. 17. How do I know if it’s the OCD or a different concern? • 99% of anxiety experienced by the sufferer is a result of their OCD. • Magic question: Ask if they’d feel anxious if you didn’t help them. If yes: it’s an OCD thing and needs to be treated as such If no: suggest experimenting to test this out You’ll soon learn to play the OCD snake at it’s own game. Katie d’Ath Feb 2010
  18. 18. RULE OF THUMB If, in the short term, the actions: • help the sufferer to feel better • relieve anxiety • provide comfort WORK TOWARDS NOT DOING IT It’s food for the OCD Snake! Katie d’Ath Feb 2010
  19. 19. What can you do when it’s not working? TROUBLESHOOT - did you negotiate the contract according to the rules? If not renegotiate. DON’T TAKE IT PERSONALLY - it’s not your fault! DON’T JUDGE - they are trying their best. ACCEPT - if your loved one is not ready to change you can’t force them to but you can change how you respond to the OCD’s demands. STICK to the contract even if your loved one is not fulfilling their part - it’s not IF you’ll stop feeding the OCD it’s WHEN
  20. 20. WHY DON’T YOU? QuickTime™ and a decompressor are needed to see this picture. Katie d’Ath Feb 2010
  21. 21. More accommodation leads to: -More severe OCD -Greater level of family dysfunction -More negative attitude towards sufferer Reduction in accommodation leads to: -OCD sufferer does better in treatment -More functional family life -Better family relationships
  22. 22. “Life shrinks or expands in accordance with one’s courage” - Anais Nin