Cognitive behavioral therapy for pediatric obsessive-compulsive disorder: Development of expert-level competence and implications for dissemination |
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| Institution: | 1. University of Pennsylvania School of Medicine, United States;2. Brown University Medical School, United States;3. Duke University Medical Center, United States;1. Department of Pediatrics and Psychiatry, University of South Florida, USA;2. Department of Psychiatry, University of Florida, USA;3. School of Aging Studies, University of South Florida, USA;4. Department of Psychiatry, Mt. Sinai Hospital, USA;1. University of British Columbia, Canada;2. University of North Carolina at Chapel Hill, USA;1. Griffith Health Institute, Griffith University, Gold Coast Campus, Gold Coast, Australia;2. Griffith Health Institute, Griffith University, Mount Gravatt Campus, Brisbane, Australia;1. Department of Clinical Psychology, University of Bergen, Norway;2. Haukeland University Hospital, OCD-team, Bergen, Norway;3. Øyane Outpatient Clinic for Child and Adolescent Psychiatry, Haukeland University Hospital, Bergen, Norway;4. Department of Clinical Neuroscience, The Karolinska Institute, Stockholm, Sweden;5. Department of Psychology, Stockholm University, Sweden;1. Department of Psychology, University of Texas at Austin, United States;2. Department of Psychology, University of Wyoming, United States |
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| Abstract: | Pediatric obsessive-compulsive disorder (OCD) is associated with substantial morbidity, comorbidity, family difficulties, and functional impairment. Fortunately, OCD in youth has also been found responsive to cognitive behavioral therapy (CBT) both alone and in combination with medication. This paper highlights key areas a treatment provider must be highly knowledgeable in to be considered an expert in cognitive behavioral therapy (CBT) for pediatric obsessive-compulsive disorder (OCD). We describe the areas of knowledge that must be mastered to gain expertise, as well as the more difficult to quantify personal qualities that may allow a clinician to convey this knowledge in an expert manner. We provide detailed discussions of CBT theory, assessment strategies, implications of the treatment outcome literature for clinical decision-making, and how best to navigate CBT. We also discuss what the expert needs to accomplish by engaging youth and families throughout the evaluation and treatment process. |
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| Keywords: | Pediatric obsessive-compulsive disorder Cognitive behavioral therapy |
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