Cognitive Treatment of Obsessive Compulsive Disorder in Online Format: a Case Report
DOI:
https://doi.org/10.33898/rdp.v32i120.1074Keywords:
cognitive therapy, obsessive compulsive disorder, online therapyAbstract
This is a case report of a student who comes to the Psychological Care Service of the University of Cadiz due to high anxiety and low mood related to the presence of obsessions and compulsions. The contents of the obsessions are mainly related to doubt. The most frequent compulsions were cleaning, checking and ordering.The main goals of the treatment were to reduce the occurrence of obsessions and compulsions, modifying the maintaining dysfunctional beliefs and reducing the associated distress. Obsessive-compulsive symptomatology was assessed with the Y-BOCS-Gravity, OCI-R, ICO-R, INPIOS and OC-TCDQ instruments. The diagnosis of obsessive-compulsive disorder (OCD) is established. A cognitive therapy intervention is planned and applied based on the protocol proposed by Belloch, Cabedo and Carrió (2011) for OCD of questioning the dysfunctional beliefs that maintain the patient's obsessions and the strategies she uses to cope with them. 18 weekly sessions have been delivered in online format, each lasting 1 hour. Cognitive techniques (analysis of evidence for and against, pros and cons, advantages and disadvantages, downward arrow or probability estimation) and behavioural experiments aimed at questioning beliefs were used to modify obsessive beliefs. There has been a decrease in the intensity of dysfunctional beliefs and a considerable decrease in obsessive symptomatology and distress.
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