Status: Strong Research Support

Description

The underlying premise of cognitive therapy assumes that anxious patients experience distorted, dysfunctional thoughts about themselves, the world, and the future, which produce and maintain their anxiety. OCD has been hypothesized to relate to an inflated sense of personal responsibility related to events that may cause harm to either the self or others; Cognitive therapy aims to help the person identify, challenge, and modify these dysfunctional ideas. This is often achieved through Socratic dialogue with the therapist, and through homework assignments in which the patient is instructed to identify and challenge negative automatic thoughts. Cognitive therapy techniques are often used in conjunction with exposure and response prevention.

 

Key References (in reverse chronological order)

  • Abramowitz, J. S. (1997). Effectiveness of psychological and pharmacological treatments for obsessive-compulsive disorder: A quantitative review. Journal of Consulting and Clinical Psychology, 65, 44-52.
  • Van Oppen, P., de Haan, E., Van Balkom, A. J. L. M., & Spinhoven, P. (1995). Cognitive therapy and exposure in vivo in the treatment of obsessive compulsive disorder. Behaviour Research and Therapy, 33, 379-390.
  • Emmelkamp, P.M.G. & Beens. H. (1991). Cognitive therapy with obsessive-compulsive disorder: A comparative evaluation. Behaviour Research and Therapy, 18, 61-66.
  • Van Oppen, P., de Haan, E., Van Balkom, A. J. L. M., & Spinhoven, P. (1995). Cognitive therapy and exposure in vivo in the treatment of obsessive compulsive disorder. Behaviour Research and Therapy, 33, 379-390.
  • van Blakom, A. J. L. M., van Oppen, P., Vermeulen, A. W. A., & van Dyck, R. (1994). A meta-analysis on the treatment of obsessive compulsive disorder: A comparison of antidepressants, behavior, and cognitive therapy. Clinical Psychology Review, 14, 359-381.

 

Clinical Resources

  • Clark, D.A. (2006). Cognitive-Behavioral Therapy for OCD. New York: Guilford.
  • Beck, A.T., Emery, G., & Greenberg, R.L. (1990). Anxiety Disorders and Phobias: A Cognitive Perspective. New York: Basic Books.

 

Training Opportunities