A Guide in the Process of Cognitive Behavioral Therapy in Obsessive Compulsive Disorder: Formulation
Introduction: The implementation of effective treatment depends on thorough understanding of disorder and its presentation. Treatment strategies must depend on the individual formulation of the patient. In this paper an Obsessive Compulsive Disorder(OCD) patient treated with Cognitive Behavioral T...
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| Format: | Article |
| Language: | English |
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Kare Publishing
2012-03-01
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| Series: | Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi |
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| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=18848 |
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| author | Nergis LAPSEKİLİ Mehmet AK |
| author_facet | Nergis LAPSEKİLİ Mehmet AK |
| author_sort | Nergis LAPSEKİLİ |
| collection | DOAJ |
| description | Introduction: The implementation of effective treatment depends on thorough understanding of disorder and its
presentation. Treatment strategies must depend on the individual formulation of the patient. In this paper an Obsessive
Compulsive Disorder(OCD) patient treated with Cognitive Behavioral Therapy (CBT) methods is presented. It is discussed
that in the therapy, formulation is an ongoing dynamic process and necessarily required for the effectiveness of therapy.
Case: Y.B. was 32 years old, single male patient graduated from university. He applied because of his obsessions and
compulsions. He was diagnosed OCD after the psychiatric evaluation according to Diagnostic and Statistical Manual of
Mental Disorders-IV(DSM-IV). In treatment following strategies were applied: 1) Cognitive restructuring of the thoughtaction-
fusion, anxiety intolerance, overestimated threat appraisals, 2) exposure and response prevention techniques
aimed to test if catastrophic expectations would occur.
Discussion: When planning CBT for the treatment of OCD, the first and most important step is a good formulation
created with the data obtained from a good evaluation process. Treatment planning in our case was planned on using
cognitive restructing techniques for thought-action-fusion, anxiety intolerance and overestimated threat appraisals but
the formulation was completed in the course of treatment when the patient could talk about his early experiences. As
a result, the formulation is a roadmap that should be taken into consideration at every stage of therapy. Its presence is
essential to reach the correct destination and it is a dynamic process needed to be updated according to the information
from the patient |
| format | Article |
| id | doaj-art-32ac01d765074e99829d7d7e509c698b |
| institution | Kabale University |
| issn | 2146-9490 2146-9490 |
| language | English |
| publishDate | 2012-03-01 |
| publisher | Kare Publishing |
| record_format | Article |
| series | Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi |
| spelling | doaj-art-32ac01d765074e99829d7d7e509c698b2025-02-03T06:14:14ZengKare PublishingBilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi2146-94902146-94902012-03-01112127A Guide in the Process of Cognitive Behavioral Therapy in Obsessive Compulsive Disorder: FormulationNergis LAPSEKİLİ0Mehmet AK1Uzm. Dr. Çorlu Asker Hastanesi Psikiyatri Kliniği Yrd.Doç.Dr. Gülhane Askeri Tıp Akademisi Tıp Fak. Psikiyatri Anabilim DalıIntroduction: The implementation of effective treatment depends on thorough understanding of disorder and its presentation. Treatment strategies must depend on the individual formulation of the patient. In this paper an Obsessive Compulsive Disorder(OCD) patient treated with Cognitive Behavioral Therapy (CBT) methods is presented. It is discussed that in the therapy, formulation is an ongoing dynamic process and necessarily required for the effectiveness of therapy. Case: Y.B. was 32 years old, single male patient graduated from university. He applied because of his obsessions and compulsions. He was diagnosed OCD after the psychiatric evaluation according to Diagnostic and Statistical Manual of Mental Disorders-IV(DSM-IV). In treatment following strategies were applied: 1) Cognitive restructuring of the thoughtaction- fusion, anxiety intolerance, overestimated threat appraisals, 2) exposure and response prevention techniques aimed to test if catastrophic expectations would occur. Discussion: When planning CBT for the treatment of OCD, the first and most important step is a good formulation created with the data obtained from a good evaluation process. Treatment planning in our case was planned on using cognitive restructing techniques for thought-action-fusion, anxiety intolerance and overestimated threat appraisals but the formulation was completed in the course of treatment when the patient could talk about his early experiences. As a result, the formulation is a roadmap that should be taken into consideration at every stage of therapy. Its presence is essential to reach the correct destination and it is a dynamic process needed to be updated according to the information from the patienthttp://www.scopemed.org/fulltextpdf.php?mno=18848Obsessive Compulsive DisorderFormulation |
| spellingShingle | Nergis LAPSEKİLİ Mehmet AK A Guide in the Process of Cognitive Behavioral Therapy in Obsessive Compulsive Disorder: Formulation Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi Obsessive Compulsive Disorder Formulation |
| title | A Guide in the Process of Cognitive Behavioral Therapy in Obsessive Compulsive Disorder: Formulation |
| title_full | A Guide in the Process of Cognitive Behavioral Therapy in Obsessive Compulsive Disorder: Formulation |
| title_fullStr | A Guide in the Process of Cognitive Behavioral Therapy in Obsessive Compulsive Disorder: Formulation |
| title_full_unstemmed | A Guide in the Process of Cognitive Behavioral Therapy in Obsessive Compulsive Disorder: Formulation |
| title_short | A Guide in the Process of Cognitive Behavioral Therapy in Obsessive Compulsive Disorder: Formulation |
| title_sort | guide in the process of cognitive behavioral therapy in obsessive compulsive disorder formulation |
| topic | Obsessive Compulsive Disorder Formulation |
| url | http://www.scopemed.org/fulltextpdf.php?mno=18848 |
| work_keys_str_mv | AT nergislapsekili aguideintheprocessofcognitivebehavioraltherapyinobsessivecompulsivedisorderformulation AT mehmetak aguideintheprocessofcognitivebehavioraltherapyinobsessivecompulsivedisorderformulation AT nergislapsekili guideintheprocessofcognitivebehavioraltherapyinobsessivecompulsivedisorderformulation AT mehmetak guideintheprocessofcognitivebehavioraltherapyinobsessivecompulsivedisorderformulation |