Open AccessParent-led Behavioral Intervention for a Treatment-refusing Adult With Obsessive-Compulsive Disorder With Poor Insight and Extreme Family Accommodation
Author(s) -
Eric B. Lee,
Wayne K. Goodman,
Sophie C. Schneider,
Eric A. Storch
Publication year - 2020
Publication title -
journal of psychiatric practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.395
H-Index - 54
eISSN - 1538-1145
pISSN - 1527-4160
DOI - 10.1097/pra.0000000000000449
Subject(s) - intervention (counseling) , anxiety , obsessive compulsive , psychology , young adult , exposure and response prevention , quality of life (healthcare) , psychiatry , accommodation , clinical psychology , medicine , psychotherapist , developmental psychology , neuroscience
Obsessive-compulsive disorder (OCD) with poor insight can contribute to the refusal to receive treatment, leaving the burden of care on parents or other caregivers. The case presented here involved a young adult with OCD with delusional levels of insight paired with extreme family-accommodating behaviors that had resulted in impaired quality of life and functioning for the young adult and his parents. A parent-led behavioral intervention [The Supportive Parenting for Anxious Childhood Emotions (SPACE)] that was developed for children with anxiety was adapted and utilized for a young adult with severe OCD. The case presents a treatment option for parents and caregivers of individuals with OCD who refuse treatment.