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Murderers, Pedophiles, & Other Harm Concerns: Living with Possibilities

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Recorded on May 12, 2017

Murderers, Pedophiles, & Other Harm Concerns: Living with Possibilities
Jonathan Grayson, PhD, The Grayson LA Treatment Center of Anxiety & OCD

In working with OCD, the goal of treatment is to help the individual living with uncertainty. By definition, this means that the sufferer decides to accept that their worst fears may come true and to live with such possibilities. Among the most difficult presentations of OCD to treat are those in which the sufferer is concerned that s/he may harm another. Can we really ask individuals to live with the possibility that they may be responsible for another’s injury, e.g. potentially killing their spouse or molesting one of their own children? The answer is yes. Like all of OCD treatment, designing an exposure and response prevention (ERP) treatment plan is relatively easy, convincing the sufferer to follow through with treatment is another story.

This webinar will focus on the many different types of harm OCD, from hit and run to preventing potential accidents to fears of actively harming/molesting others. For each manifestation, the rationale/reasons to risk treatment will be discussed. This will be followed by designing treatment for the different types of harm OCD. This will not only include descriptions of ERP protocols, but how to develop therapeutic scripts to accompany exposure and when and how to incorporate ACT components into treatment.

At the end of this session, participants will be able to:

  1. Describe a minimum of three different manifestations of harm OCD that differ in the intentionality and responsibility experienced by the sufferer.
  2. Convince sufferers from harm OCD to risk and cope with the possibility of their worst fears coming true.
  3. Design and implement an ERP protocol for different forms of harm OCD.

This webinar is approved by the American Psychological Association, NBCC (ACEP No. 6872), and the New York State Education Department's State Board for Social Work for 1 continuing education contact hour. ADAA is solely responsible for all aspects of the programs.