Monthly Archives: October 2016

Dr David Veale, The Maudsley Hospital  & Institute of Psychiatry, Psychology and Neuroscience, King’s College London

20^th of October 2016 in the Regency Hotel, Swords Road, Drumcondra,  Dublin 9

This conference is suitable for all those who are interested in working with patients suffering from Obsessive-Compulsive Disorder (OCD).

David will present ways of maximising the effectiveness of CBT techniques in treating OCD. Common difficulties which therapists encounter and ways of resolving these will be discussed and practised. Factors which complicate OCD treatment and ways of modifying standard CBT treatments in order to meet the needs of severe or treatment resistant clients will be presented.

Participants will be encouraged to actively contribute to the workshop case presentations, exercises, role plays and discussion, in order to maximise the applicability of the workshop to their clinical work. He will focus on practical aspects including case histories, formulation, how to do behavioural experiments/ exposure, stuck-points etc.

There are four main dimensions in the phenomenology of OCD

1) contamination and compulsion washing;

2) checking for harm;

3) unacceptable thoughts and images;

4) a need for order and symmetry.

OCD is motivated by a fear of being responsible for harm to self or others; avoidance of disgust and avoidance of incompleteness/ feeling “not just right”. We will also focus in this workshop on a specific phobia of vomiting (which has many similarities to OCD contamination).

 Learning Objectives:
By the end of the workshop, participants will

• Be knowledgeable about the phenomenology of OCD, diagnosis, its’ measurement and recommended treatments
• Understand the nature of less common obsessions including relationship OCD, homosexuality OCD, paedophilia OCD, existentialism OCD, completeness OCD and sensori-motor OCD.
• Understand a cognitive behavioural model of OCD and how intrusive thoughts, images, doubts or urges are appraised and responded to by avoidance and compulsions
• Understand the nature of family accommodation and reassurance seeking
• Be able to conduct a risk assessment in OCD
• Be able to conduct a formulation of factors that maintain OCD including a functional analysis of responses and family context
• Understand latest findings in research on conducting behavioural experiments/ exposure by inhibitory learning in OCD
• Use imagery rescripting for past aversive memories in OCD
• Develop alternatives for reassurance seeking
• Assess and treat a specific phobia of vomiting.

Workshop leader

David Veale is a Consultant Psychiatrist at the South London and Maudsley NHS Foundation Trust and a Visiting Reader in Cognitive Behavioural Psychotherapies at the Institute of Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London. He is past President of The British Association of Behavioural and Cognitive Psychotherapies. He is co-director at the Centre for Anxiety Disorders and Trauma at the Maudsley and the Anxiety Disorders Residential Unit at the Bethlem. He is a member of the group revising the diagnostic guidelines for ICD11 for Obsessive Compulsive and Related Disorders for the World Health Organization. He was a member of the group that wrote the NICE guidelines on OCD and BDD in 2006 and chaired the NICE Evidence Update on OCD in 2013. He has published about 80 peer-reviewed articles (mainly in OCD and BDD) and four self-help books. He is a Trustee of OCD Action and the BDD Foundation. His website is www.veale.co.uk.

References

Rachman, S. (2006) The Fear of Contamination: Assessment and treatment. Oxford University Press

Veale, D (2009) Treating a Specific Phobia of Vomiting. The Cognitive Behaviour Therapist, 2, 272–288.

Veale, D, Willson, R, (2006) Overcoming Obsessive Compulsive Disorder. Robinson.

Veale, D, Page, N, Woodward, E., Salkovskis, P (2015). Imagery re-scripting in obsessive compulsive disorder: A single case experimental design in 12 cases. Journal of Behavior Therapy and Experimental Psychiatry. 49 (Special Issue)  230-236.

Veale, D, Freeston, M, Salkovskis, P (2009) Risk assessment in Obsessive Compulsive Disorder. Advances in Psychiatric Treatment, 15; 332-343