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LIVE OCD Lecture Series: Sessions I & II - April 15, 2022
This presentation will be an ONLINE VIRTUAL LIVE on April 15, 2022, from 1:00 pm - 4:15 PM ET. While this activity is broadcast LIVE, the evaluation will be online until May 13, 2022 The link to attend the broadcast and download the slides will be emailed to registrants.
The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.
SESSION I: How Good Do You Have to Be?: Exploring Moral Scrupulosity in OCD
Obsessive-compulsive disorder (OCD) is a condition characterized by unwanted intrusive thoughts and time-consuming ritualized behaviors. Common presentations of this disorder may include struggling with uncertainty about contamination, risk of causing harm, and unacceptable taboo thoughts, but underlying many of these symptoms is a debilitating fear of moral failure. It would be wrong to take a risk that might harm myself or others. Religious scrupulosity, or obsessions about one’s religious faith, involve excessive concern around perfectly following the rules of one’s religious tradition. In moral scrupulosity, society’s norms and values mirror religious expectations even in the absence of religion. Identifying the specific obsessions and compulsions in a person with OCD whose primary concern is that with being a “bad” person and his core fear is the same, can be a clinical challenge. This lecture will highlight the various ways morality obsessions present in OCD and how clinicians can effectively implement the same or similar evidence-based treatments that are effective for the disorder as a whole.
LEARNING OBJECTIVES
After this lecture, registrants will be able to:
- Recognize forms of moral scrupulosity in OCD.
- Identify compulsions found in moral scrupulosity.
- Explain guidelines for constructing ERP interventions for moral obsessions.
SESSION II: Shaping Motivation and Flexibility in OCD: Integrating ERP and Acceptance and Commitment Therapy
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.
LEARNING OBJECTIVES
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
Target Audience
This activity is intended for physicians, nurses, psychologists, social workers, counselors, and other mental health professionals.
SHEPPARD PRATT OCD & ANXIETY LECTURE SERIES
This series offers 9.0 contact hours.
This presentation will be an ONLINE VIRTUAL LIVE broadcast on April 15, 2022 from 1:00 PM - 4:15 PM ET. While this activity is broadcast LIVE, the evaluation will be online until May 15, 2022. The link to attend the broadcast and download the slides will be emailed to registrants.
Sessions I & II, Friday, April 15, 2022 1:00 pm – 4:15 pm, Online Broadcast
1:00 pm - Introduction of speaker by Jon Hershfield, MFT
1:00 pm – 2:30 pm Session I: How Good Do You Have to Be?: Exploring Moral Scrupulosity in OCD- Jon Hershfield, MFT
2:30 pm – 2:45 pm Break
2:45 pm Introduction of speaker by Jon Hershfield, MFT
2:45 am – 4:15 pm Session II: Shaping Motivation and Flexibility in OCD: Integrating ERP and Acceptance and Commitment Therapy - Lisa W. Coyne, PhD
Sessions III & IV, Friday, May 13, 2022, 1:00 pm – 4:15 pm, Online Broadcast
1:00 pm - Introduction of speaker by Jon Hershfield, MFT
1:00 pm – 2:30 pm Session III: Tourettic OCD: A Conceptual Framework for Treating a Common OCD Subtype- Charles S. Mansueto, PhD
2:30 pm – 2:45 pm Break
2:45 pm Introduction of speaker by Jon Hershfield, MFT
2:45 am – 4:15 pm Session IV: Obsessive-Compulsive Disorder: Standard of Care and Innovative Treatment Strategies- Chistopher Pittenger, MD, PhD
Sessions V & VI, Friday, June 10, 2021, 1:00 pm – 4:15 pm, Online Broadcast
1:00 pm - Introduction of speaker by Jon Hershfield, MFT
1:00 pm – 2:30 pm Session V: Assessing and Treating Co-existing Eating Disorders and OCD - Kimberley Quinlan, LMFT
2:30 pm – 2:45 pm Break
2:45 pm Introduction of speaker by Jon Hershfield, MFT
2:45 am – 4:15 pm Session VI: Conceptualizing and Treating OCD in Autistic Individuals- Jonathan H. Hoffman, PhD, ABPP
In the event an announced speaker is unable to present, Sheppard Pratt reserves the right to present an alternative speaker on a comparable subject.
There is no commercial support for this activity.
About these speakers
Jon Hershfield, MFT, is the director of The Center for OCD and Anxiety, Sheppard Pratt’s private pay, outpatient treatment center for individuals with obsessive-compulsive and anxiety-related disorders and director of the OCD Program at The Retreat, where Sheppard Pratt offers residential treatment for those who can benefit from a higher level of care. He is a licensed Marriage and Family Therapist in five states, and is a Maryland Approved Licensed Clinical Marriage and Family Therapist Supervisor and AAMFT Approved Supervisor. Jon is also a member of the Scientific and Clinical Advisory Board of the International OCD Foundation and on the faculty of the foundation’s Behavioral Therapy Training Institute.
Jon founded The OCD and Anxiety Center of Greater Baltimore in 2015; the practice joined Sheppard Pratt in 2020. Prior to founding The OCD and Anxiety Center of Greater Baltimore, Jon served as the Associate Director of the UCLA Pediatric OCD Intensive Outpatient Program at Resnick Neuropsychiatric Hospital, and was a psychotherapist at the OCD Center of Los Angeles. He is the author of six books on the treatment of OCD using mindfulness and cognitive-behavioral therapy, is a regularly featured speaker at mental health conferences and webinars, and is the curator and moderator of Sheppard Pratt’s OCD and Anxiety Lecture Series.
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.
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.
Jon Hershfield, MFT, reports that he receives royalties from New Harbinger. He will not discuss any products, services, or off-label uses in 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, 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, 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.
This series offers 9.0 contact hours for attending all three dates.
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 live activity for a maximum of 3.0 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 an approved provider of continuing nursing education by 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 3.0 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 3.0 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 continuing education activity. This activity is approved for 3.0 contact hours in Category I 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 3.0 NBCC clock hours.
Available Credit
- 3.00 ACEP NBCC clock hours
- 3.00 AMA PRA Category 1 Credit™
- 3.00 Category I credits for Social Workers
- 3.00 Psychologists
- 3.00 MNA Contact Hours for Nurses
- 3.00 Participation
Price
This presentation will be an ONLINE VIRTUAL LIVE broadcast on April 15, 2022 from 1:00 PM - 4:15 PM ET. While this activity is broadcast LIVE, the evaluation will be online until May 15, 2022. The link to attend the broadcast and download the slides will be emailed to registrants.
Sessions I & II, Friday, April 15, 2022 1:00 pm – 4:15 pm, Online Broadcast
1:00 pm - Introduction of speaker by Jon Hershfield, MFT
1:00 pm – 2:30 pm Session I: How Good Do You Have to Be?: Exploring Moral Scrupulosity in OCD- Jon Hershfield, MFT
2:30 pm – 2:45 pm Break
2:45 pm Introduction of speaker by Jon Hershfield, MFT
2:45 am – 4:15 pm Session II: Shaping Motivation and Flexibility in OCD: Integrating ERP and Acceptance and Commitment Therapy - Lisa W. Coyne, PhD
Sessions III & IV, Friday, May 13, 2022, 1:00 pm – 4:15 pm, Online Broadcast
1:00 pm - Introduction of speaker by Jon Hershfield, MFT
1:00 pm – 2:30 pm Session III: Tourettic OCD: A Conceptual Framework for Treating a Common OCD Subtype- Charles S. Mansueto, PhD
2:30 pm – 2:45 pm Break
2:45 pm Introduction of speaker by Jon Hershfield, MFT
2:45 am – 4:15 pm Session IV: Obsessive-Compulsive Disorder: Standard of Care and Innovative Treatment Strategies- Chistopher Pittenger, MD, PhD
Sessions V & VI, Friday, June 10, 2021, 1:00 pm – 4:15 pm, Online Broadcast
1:00 pm - Introduction of speaker by Jon Hershfield, MFT
1:00 pm – 2:30 pm Session V: Assessing and Treating Co-existing Eating Disorders and OCD - Kimberley Quinlan, LMFT
2:30 pm – 2:45 pm Break
2:45 pm Introduction of speaker by Jon Hershfield, MFT
2:45 am – 4:15 pm Session VI: Conceptualizing and Treating OCD in Autistic Individuals- Jonathan H. Hoffman, PhD, ABPP
In the event an announced speaker is unable to present, Sheppard Pratt reserves the right to present an alternative speaker on a comparable subject.
REGISTRATION FEES
General Registration: Activity fee to attend each activity $75.
Sheppard Pratt Registration: Activities are free to attend for all Sheppard Pratt Employees
REGISTER AND MAKE PAYMENT
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Follow the prompts until the payment and registration process is complete.
WITHDRAWAL DEADLINES & REFUND POLICY
April 15th: Friday, April 1, 2022, is the deadline to request a refund for withdrawal from the April 15, 2022, event.
May 13th: Friday, April 29, 2022, is the deadline to request a refund for withdrawal from the May 13, 2022, event.
June 10th: Friday, May 27, 2022, is the deadline to request a refund for withdrawal from the June 10, 2022, event.
Refunds are subject to a $20 administrative charge.
No refunds or credits will be issued for withdrawal after the listed deadlines. All purchases are non-transferable.
WATCH THE BROADCAST AND PRINT THE HANDOUT
An email with the link to view the broadcast and handout attachments will be sent to registrants on September 16, 2021.
EARN CONTINUING EDUCATION CREDIT FOR YOUR ATTENDANCE
PRIOR TO THE EVENT: Log into your Sheppard Pratt Ethos account and register by taking the pretest. Select the activity by series, title or speaker name. Go to the last tab, REGISTER and select the GREEN RECTANGLE, TAKE COURSE, and follow the prompts. Complete the Pretest and select attendance and you will be registered for this activity. You will not be able to work further until you are marked attended by an administrator.
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AFTER THE LECTURE: Select the activity by series, title or speaker name. Select the last tab, TAKE COURSE, and select the GREEN RECTANGLE, TAKE COURSE and follow the prompts. Please use the navigation button located in the lower right corner to continue throughout the course for best results. Complete the evaluation and credit designation to earn continuing education hours or credits. Your transcript will reflect all completed events.
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Required Hardware/software
Optimal System Configuration
Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher
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.