Extended Outpatient Program

I have developed an extended outpatient program for Obsessive Compulsive Disorder.  This program was specifically designed to help the client with moderate to severe symptoms.  If you are not able to obtain impatient treatment simply because a program may not be available in your area or is cost prohibitive, this program may be for you.

I have been trained by OCD experts and I am a graduate of the Behavior Therapy Training Institute, the country’s authority in OCD Training, sponsored by the International OCD Foundation.

If you or your child is suffering from OCD, I am ready to teach you the skills that can give you the opportunity to enjoy life despite having OCD.  The requisite for treatment is that you or your child are willing to do work during sessions and most importantly the assignments at home.

Treatment Summary

  • Two-hour sessions twice a week
  • Assessment Session
    • Complete the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)
    • Complete the Obsessive Concerns Checklist
    • Complete the Compulsive Activities Checklist
    • Complete the Obsessional Beliefs Questionnaire (OBQ-44)
    • Other scales as needed
    • Complete Interview
    • Medication Review
  • Psychoeducation is an important part of therapy.  I will teach you how the brain is affected by OCD and how you can change your brain pathways.
  • Psychoeducation continues throughout treatment
  • Implementation of metaphors and stories to help client understand treatment
  • Cognitive-Behavioral Therapy will include:
    • Recognition of Cognitive Distortions that apply to OCD
    • Cognitive techniques for OCD and how to properly use them
  • ACT and Mindfulness skills
  • Exposure and Response Prevention Program.  Treatment is personalized according to your symptoms and circumstances.  Guidelines are given as you practice the exposures in sessions and during your assigned home exercises.
    • Case Formulation
    • Hierarchy
    • Scripts are written according to exposures assigned.
    • Writing exercises
    • Imaginal exposures
    • Actual exposures (one step at a time)
  • Relapse Prevention Skills

This program is designed so that clients can have ownership and accountability for their treatment.  Even though we will be meeting twice a week, I will expect a daily email reporting your home exercise and progress that day.

If you live with someone (spouse, relative, friend), it’s a good idea that they participate in some sessions if not all the sessions so that they can learn how to help you and support you during treatment.

If your child is the client, it is expected to have a parent or both parents present at most sessions as you will be your child’s coaches at home and you’ll need to learn what to do and not to do during your child’s treatment.