Treatment of a Child With Obsessive-Compulsive Disorder With Limited Motivation: Course and Outcome of Cognitive-Behavior Therapy

Motivation is a key ingredient in the successful treatment of pediatric obsessive‐compulsive disorder (OCD). As a first‐line treatment, cognitive‐behavior therapy (CBT) requires extensive client engagement, including participating in exposures and doing homework tasks. A lack of motivation to comply...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical psychology 2016-11, Vol.72 (11), p.1139-1151
Main Authors: Weidle, Bernhard, Skarphedinsson, Gudmundur
Format: Article
Language:English
Subjects:
Attention Deficit and Disruptive Behavior Disorders - therapy
Child
children and adolescents
Clinical outcomes
Clinical psychology
Cognitive Therapy - methods
cognitive-behavior therapy
Humans
Male
Motivation
Obsessive compulsive disorder
Obsessive-Compulsive Disorder - therapy
Pediatrics
Psychotherapy
treatment
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Motivation is a key ingredient in the successful treatment of pediatric obsessive‐compulsive disorder (OCD). As a first‐line treatment, cognitive‐behavior therapy (CBT) requires extensive client engagement, including participating in exposures and doing homework tasks. A lack of motivation to comply with these tasks may seriously affect treatment outcome. This case study identifies factors interfering with motivation and illustrates motivational strategies to enhance compliance of a child with OCD. The patient was an 11‐year‐old boy with severe OCD and symptoms of oppositional defiant disorder (ODD). He had extensive OCD‐related avoidance behavior but denied the presence of symptoms or did not acknowledge them as a problem. In this article, we discuss the different techniques used to enhance motivation, which subsequently led to a favorable outcome.
ISSN:0021-9762
1097-4679
DOI:10.1002/jclp.22394