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On Demand OCD & Anxiety Lecture Series: Effective and Respectful Treatment for Scrupulous Obsessive-Compulsive Disorder
This presentation was last reviewed on May 13, 2024, and broadcast live online on November 12, 2021, from 9:00 AM- 10:15 AM ET.
The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.
Scrupulosity refers to OCD as manifest with religious or moral fears. Although exposure and response prevention (ERP) is an effective first-line treatment for OCD, scrupulosity is associated with several clinical challenges and poorer outcomes. Patients often feel trapped between choosing their faith on the one hand and their mental health on the other. Scrupulous patients may either abandon religion altogether because they cannot reconcile religion and mental health, or reject potentially effective treatment options after being encouraged by clinicians to violate basic requirements of their faith. Both are particularly unfortunate because they are not necessary. Instead of pitting religion against mental health, ERP can be tailored for scrupulosity in a way that respects patient values without sacrificing treatment efficacy. This talk will review modifications related to assessment, the therapeutic stance, motivation and treatment rationale, addressing uncertainty and risk related to sin, and ways to collaborate effectively with clergy, as well as specific adjustments in the execution of cognitive-behavioral techniques.
Target Audience
This activity is intended for psychologists, social workers, counselors, and other mental health professionals.
Learning Objectives
After this lecture, registrants will be able to:
- Identify unique features, considerations, and challenges that arise when treating scrupulosity.
- Identify strategies to enhance exposure and response prevention for scrupulosity.
- Recognize approaches to fighting scrupulosity in a manner consistent with their religious and moral values.
There is no commercial support for this activity.
About the speaker
Jedidiah Siev, PhD, is associate professor of psychology at Swarthmore College, and a licensed clinical psychologist. Previously, he directed the Anxiety Treatment Center and founded the OCD and Related Disorders Program at Nova Southeastern University, after completing training at the Massachusetts General Hospital and the University of Pennsylvania. Jed's research focuses on meta-cognition, information processing, and judgment and decision-making processes involved in the maintenance and reduction of OCD, hoarding, and anxiety, and he has a particular interest in unacceptable thoughts and especially scrupulosity. He is currently writing a book for Oxford University Press on how to treat scrupulosity.
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.
Jedidiah Siev, 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 May 13, 2024. 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: Jon Hershfield, MFT, Todd Peters, MD, Elizabeth Ryznar, MD, MSc, Louis J. Marino, 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 CE activity. Sheppard Pratt designates this educational activity for a maximum of 1.5 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 1.5 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 1.5 NBCC clock hours.
Available Credit
- 1.50 ACEP NBCC clock hours
- 1.50 Category II credits for Social Workers
- 1.50 Psychologists
- 1.50 Participation
ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME
OCD & Anxiety Lecture Series: Effective and Respectful Treatment for Scrupulous Obsessive-Compulsive Disorder
Jedidiah Siev, PhD
Associate Professor, Swarthmore College Department of Psychology
Swarthmore, PA
Last reviewed on May 13, 2024
Originally broadcast live November 12, 2021, from 9:00 am - 10:30 am ET
Enduring Activity Credit Expiration Date: May 19, 2026.
Activity Time: Ninety-minute recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:45
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
There is no commercial support for this activity.
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Required Hardware/software
Optimal System Configuration
Flash Player: Adobe Flash Player 10.1+
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Operating System: Windows XP+ or Mac OS X 10.4+
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Minimum Requirements
Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit
Hardware/Software Specifications
This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.