On Demand OCD Lecture Series: Shaping Motivation and Flexibility in OCD: Integrating ERP and Acceptance and Commitment Therapy
This presentation was originally reviewed on April 19, 2022, and broadcast live online on April 15, 2022, from 1:oo PM – 2:30 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.
Epidemiological studies have estimated a lifetime prevalence rate of 28.8% for anxiety disorders (Kessler et al, 2005), and a recent meta-analysis of 87 studies across 44 countries estimated the global current prevalence of anxiety disorders at 7.3% (4.8–10.9%, adjusted for methodological differences across studies; Baxter, Scott, Vos, & Whiteford, 2012). While exposure-based treatment for anxiety and OCD in youth and adult populations has robust empirical support, there is room for improvement. In terms of outcomes, intent-to-treat analyses suggest that approximately 1 in 5 individuals drop out of exposure treatment (Hofmann and Smits, 2008; Ong et al. 2016), and a significant of proportion of youth either do not improve or relapse (eg Ginsburg et al., 2013; 2018). Moreover, clinicians are unlikely to use exposure-based treatment even when it is needed (Freihart et al, 2004; Deacon et al., 2013; Sars & Van Minnen, 2015), due to their own experiential avoidance (Meyer et al., 2014; Scher, Herbert & Forman 2015). To complicate matters, simply adding ACT to ERP does not lead to demonstrably improved outcomes (Twohig et al., 2018). So, while exposure works, it could work better, and clinicians could get much more skilled and flexible in its use. Very likely, this will take a patient-centered “microanalytic approach” (Twohig et al., 2018) to improve outcomes of exposure-based approaches for individual clients in their specific contexts.
This workshop for clinicians with some experience with either Acceptance and Commitment Therapy (ACT) or Exposure and Response Prevention (ERP) will explore how to use ACT to enhance exposure-based treatment through supporting curiosity, willingness, and flexibility. Specifically, the presenter will discuss how to incorporate specific ACT strategies into exposure to strengthen inhibitory learning in exposure-based treatment. Clinical examples will be used to illustrate therapeutic techniques, in addition to the workshop’s didactic content.
After this lecture, registrants will be able to:
- Describe how an approach to exposure based on ACT differs from exposure conducted from a traditional habituation rationale
- Discuss engaging clients using valuing as action and direction to “contextualize” exposure and place exposure-based tasks under appetitive control
- Identify the DNA-V model and the three functional classes of behavior it addresses
This activity is intended for physicians, nurses, psychologists, social workers, counselors, and other mental health professionals.
There is no commercial support for this activity.
About the speaker
Dr. Lisa Coyne is the Founder and Senior Clinical Consultant of the McLean OCD Institute for Children and Adolescents at McLean Hospital and is an Assistant Professor at Harvard Medical School. She is the Founder and Executive Director of the New England Center for OCD and Anxiety (NECOA) and is Past President of the Association of Contextual Behavioral Science (ACBS). She is member of the Clinical and Scientific Advisory Board and is on the Faculty of the Behavior Therapy Training Institute (BTTI) of the International OCD Foundation (IOCDF). She is also a licensed psychologist, a peer-reviewed ACT trainer, and author.
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 (or a partner or spouse) has with any entity producing, marketing, 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.
Lisa W. Coyne, PhD reports being a lecturer for Praxis and receiving royalties from New Harbinger, Academic Press, and Little Brown. She will not discuss any products, services, or off-label uses in this presentation.
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, 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, Briana Riemer, MD, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PhD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Laura Webb, RN-BC, MSN, Bruce Boxer, PhD, MBA, MA, MSN, RN, NPD-BC, NEA-BC, MCHES, CPHQ, Stacey Garnett, RN, MSN, Heather Billings, RN, and Jennifer Tornabene.
Physician Statement: Sheppard Pratt is accredited by The Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. Sheppard Pratt designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurse Statement: Sheppard Pratt is approved as a provider of nursing continuing professional development by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity provides 1.5 contact hours for nurses.
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 continuing education 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 continuing education 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.
- 1.50 ACEP NBCC clock hours
- 1.50 AMA PRA Category 1 Credit™
- 1.50 Psychologists
- 1.50 MNA Contact Hours for Nurses
- 1.50 Participation
ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME
OCD Lecture Series: Shaping Motivation and Flexibility in OCD: Integrating ERP and Acceptance and Commitment Therapy
Lisa W. Coyne, PhD
Senior Clinical Consultant
Child & Adolescent OCD Institute
Assistant Professor of Psychology
Harvard Medical School
Originally reviewed April 19, 2022.
Originally broadcast live April 15, 2022, from 2:45 PM – 4:15 PM ET
Enduring Activity Credit Expiration Date: September 19, 2024
Activity Time: Ninety-minute 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 ninety-minute 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.
There is no commercial support for this activity.
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