On Demand Grand Rounds: Keys To Maximizing The Effects Of Exposure And Response Prevention For Obsessive-Compulsive Disorder

This presentation was last reviewed on November 17, 2023, and broadcast live online on February 5, 2020, from 12:00 PM - 1:00 PM ET.

The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.

Exposure and response prevention (ERP) is clearly the treatment of choice for obsessive-compulsive disorder (OCD; Foa & McLean, 2016).  However, mere exposure to a feared stimulus does not guarantee anxiety will be reduced.  Tactical miscues in the delivery of ERP oftentimes leaves clients with less than optimal results.  This presentation will focus on three keys to maximizing response to exposure therapy with OCD clients: prolonged; repetitive; and graduated exposure.  The role of habituation will be discussed as well as exposure concepts related to inhibitory learning theory (Craske, Treanor, Conway, Zbozinek, & Vervliet, 2014).
Foa EB, McLean CP. The efficacy of exposure therapy for anxiety-related disorders and its underlying mechanisms: The case of OCD and PTSD. Annu Rev Clin Psychol. 2016;12:1–28. [PubMed] [Google Scholar]
Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10–23. https://doi.org/10.1016/j.brat.2014.04.006

Target Audience

This activity is intended for psychologists, social workers, counselors and other mental health professionals. 

Learning Objectives

At the conclusion of this activity, attendees will be able to:

  1. Define what prolonged exposure is and what impact it has on treatment response.
  2. Define what repetitive exposure is and what impact it has on treatment response. 
  3. Describe the need for graduated exposure and the benefits of using it.
Course summary
Available credit: 
  • 1.00 ACEP NBCC clock hours
  • 1.00 Category II credits for Social Workers
  • 1.00 Psychologists
  • 1.00 Participation
Course opens: 
04/15/2024
Course expires: 
04/13/2026

Sheppard Pratt’s Professional Education Program is pleased to provide Wednesdays at Sheppard Pratt free of charge as a public service to the mental health community.  Your tax-deductible donations will help maintain the outstanding quality of this service. 

Sheppard Pratt is dedicated to improving quality of life through mental health, special education, and addiction services for children, adolescents, adults and older adults.  Our patient-centered treatment approach, combined with our legacy of clinical excellence, sets us apart from other health systems on both a local and national level.  We have been ranked among the nation’s top psychiatric hospitals for 24 consecutive years by U. S. News & World Report.  Founded in 1853 by philanthropist Moses Sheppard, Sheppard Pratt Health System still abides by its Quaker traditions and values.

Sheppard Pratt regularly hosts renowned speakers from across the country at our headquarters in Towson. We provide educational opportunities on subjects including psychiatric disorders, issues of behavioral health, systems-based change, mental and somatic co-morbidities, psychiatric effects on health and health outcomes, advances in neurobiology, and clinical developments in concepts underlying drug treatment of psychiatric disorders. We are accredited by the Accreditation Council of Continuing Medical Education, the Maryland Nurses’ Association, the Maryland Board of Psychology, the Maryland Board of Social Work, and the National Board of Certified Counselors.

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Sheppard Pratt Professional Education Program
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There is no commercial support for this activity.

About The Speaker

Brad Riemann, PhD, serves as Chief Clinical Officer for Rogers Behavioral Health. Dr. Riemann is a leading expert in the assessment and treatment of obsessive-compulsive disorder (OCD) and anxiety disorders. Dr. Riemann is also the clinical director of OCD and Anxiety Adult Residential Program, one of the leading residential treatment programs for OCD and anxiety in the country. He also directs Cognitive Behavioral Therapy Services at Rogers.

Dr. Riemann supervises the training of graduate and post-graduate students from around the country for CBT in anxiety disorders and collaborates with colleges and universities on research projects investigating OCD and anxiety disorders. Dr. Riemann has authored over 100 scientific papers and eight treatment manuals on obsessive-compulsive disorder and anxiety and has spoken at national and international conventions.  Dr. Riemann received his doctorate in clinical psychology from the Chicago Medical School. He is also a clinical professor in the department of psychology at the Rosalind Franklin School of Medicine, Marquette University, and the University of Wisconsin–Milwaukee and sits on the scientific advisory board of the International OCD Foundation

Disclosure Statements

Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.

Bradley C. Riemann, PhD, reports having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. He will not discuss any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients in this presentation. This presentation was initially planned and recorded prior to January 1, 2023; therefore, the financial disclosure statement from the speaker reflects only the preceding 12 months, as was the standard at the time. This enduring activity was last reviewed for content validity on November 17, 2023. All conflicts have been mitigated through review.

Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Todd Peters, MD, Deepak Prabhakar, MD, Elizabeth Ryznar, MD, MSc, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PsyD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Stacey Garnett, RN, MSN, Stephanie M. Robinson, MSN, RN, PMH-BC, NPD-BC, NE-BC , Heather Billings, RN, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.

Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity.  Sheppard Pratt designates this educational activity for a maximum of 1.0 contact hours for Psychologists.

Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity is approved for 1.0 contact hours in Category II credits for Social Workers.

Counselor Statement:  Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098.  Programs that do not qualify for NBCC credit are clearly identified.  Sheppard Pratt is solely responsible for all aspects of the program.  This activity is available for 1.0 NBCC clock hours.

 

Available Credit

  • 1.00 ACEP NBCC clock hours
  • 1.00 Category II credits for Social Workers
  • 1.00 Psychologists
  • 1.00 Participation
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ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME

Wednesday Lecture Series: Keys to Maximizing the Effects of Exposure and Response Prevention for Obsessive-Compulsive Disorder

Bradley C. Riemann, PhD

Chief Clinical Officer

Rogers Behavioral Health System

Oconomowoc, Wisconsin

Last reviewed on November 17, 2023.
Originally broadcast live February 5, 2020, from 12:00 pm - 1:00 pm ET.
Enduring Activity Credit Expiration Date: April 13, 2026.

Activity Time: One-hour recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:15

TO EARN CONTINUING EDUCATION CREDIT FOR YOUR ATTENDANCE
On the OVERVIEW or REGISTER/TAKE COURSE tab, select the GREEN RECTANGLE, TAKE COURSE to begin.
Complete the Pretest and select NEXT in the bottom right corner of the screen. Use the NEXT button for best results.
The PowerPoint handout will be available for download.
After downloading the handout, select NEXT to begin and watch the video. 
You may need to select play for the video to begin.
After the video follow the prompts to complete the posttest, evaluation, and attestation of credit. 
Once you have completed all the components of the Course Progress bar, the certificate will be immediately downloadable.

FINANCIAL SUPPORT
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Required Hardware/software

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Hardware/Software Specifications

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