Collaborative Approach for Adolescents with Obsessive-Compulsive Disorder

• Published in: Japanese Journal of Behavior Therapy Vol. 39; no. 2; pp. 111 - 120
• Main Authors: KOBAYASHI, Naomi, IGARASHI, Toko
• Format: Journal Article
• Language: Japanese
• Published: Japanese Association for Behavioral and Cognitive Therapies( JABCT ) 31.05.2013; 一般社団法人 日本認知・行動療法学会
• Subjects: adolescent; collaborative approach; exposure and response prevention; home visits; obsessive-compulsive disorder (OCD); チーム; 強迫性障害; 思春期; 曝露反応妨害法; 自宅訪問
• ISSN: 0910-6529; 2424-2594
• DOI: 10.24468/jjbt.39.2_111

Treatment of obsessive-compulsive disorder in childhood and adolescence requires cognitive behavior therapy (CBT) alone and/or the combination of medication with cognitive behavior therapy. The present case study describes psychotherapy for a high school girl with obsessive-compulsive disorder using a collaborative approach that included the client, her mother, and the therapist. The client had a history of unsuccessful medical and psychiatric single visits due to her resistance to share her symptoms and distress. The psychotherapy employed the treatment program of March & Mulle (2006/2008) ; the client was actively and spontaneously involved in her own treatment. Her symptoms successfully improved after 8 sessions within 4.5 months. Several key issues, such as establishing a trustful therapeutic relationship, as well as a "team" relationship, providing client-focused psycho-education to the client and her mother as her key person, and the clients daily based intervention including home visits are described. Especially, the importance of a collaborative approach for adolescent clients was discussed.