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4-Day Intensive Workshop: Exposure and Response Prevention Therapy for OCD (March 2024)

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About the Event


Cognitive Behavior Institute is excited to welcome Thea Gallagher, PsyD, LPC, for a 4-Day Intensive Workshop: Exposure and Response Prevention Therapy for OCD.

Dates/Times:
March 7th, 2024 9:00am-5:00pm EST
March 8th, 2024 9:00am-5:00pm EST
March 21st, 2024 9:00am-5:00pm EST
March 22nd, 2024 9:00am-4:00pm EST
Location: online via zoom meeting
*Participants will have access to their cameras/microphones for participation
Cost: $99.99
Level: Intermediate
Credit Hours: 27 Clinical CEs

***Participants are strongly encouraged to purchase the manual to get the most out of the training, but purchasing the manual is not required.

Here is a link to the manual on the publisher website:
https://academic.oup.com/book/1134

It can also be purchased through Amazon:
https://www.amazon.com/Exposure-Response-Prevention-Obsessive-Compulsive-Disorder/dp/0195335287

Description:
Both medication and therapy can be effective courses of treatment for OCD. CBT is considered a gold standard of treatment for OCD (Wu, Lang, & Zhang, 2016), and has been found to have similar effectiveness to SSRIs (Öst, Riise, Wergeland, Hansen, & Kvale, 2016). CBT for OCD also has a lower attrition rate than SSRIs (Öst, Riise, Wergeland, Hansen, & Kvale, 2016). In addition, exposure-based interventions trend towards greater effect sizes (Carpenter et al., 2018) and lower attrition than other CBT interventions (Johnco, McGuire, Roper, & Storch, 2020). In this training, participants will learn the psychopathology of OCD, how diagnose OCD, and how to treat OCD using Exposure and Response Prevention (EX/RP). EX/RP is a manualized CBT based intervention for OCD that has five main components: in vivo exposure, imaginal exposure, ritual prevention, processing, and home visits (Foa, Yadin, & Lichner, 2012). In learning EX/RP, participants will learn the theory underlying the intervention and the empirical support for it. Participants will learn the basic techniques in EX/RP and how to apply these to adults, adolescents and children. Participants will learn how and when to modify these techniques based on patient needs. Participants will learn through a variety of instructional methods, including through practice, videotaped sessions, case vignettes, and discussion. While researchers have identified that there is no meaningful difference between face-to-face treatment and remote treatment on outcomes for OCD (Wootton, 2016), issues related to delivering EX/RP remotely will be discussed.

Agenda:
WORKSHOP AGENDA
DAY 1 THURSDAY
9am-12:30pm
(Break
10:50-11am)
Diagnosis of OCD
Subtypes of OCD
Differential diagnosis
Emotional Processing Theory
Empirical support for ERP
12:30pm-1:10pm Lunch break
1:10pm-5pm (Break 3:30-3:40) Assessment - Yale-Brown Obsessive Compulsive Scale
(YBOCS) First-line treatment options
DAY 2 FRIDAY
9am-12:30pm
(Break
10:50-11am)
Psychoeducation
Overall Treatment Rationale for ERP
Break out exercise - Rationale Delivery
Self-monitoring of compulsions
12:30pm-1:10pm Lunch break
1:10pm-5pm (Break 3:30-3:40) Hierarchy construction
Break out exercise - Hierarchy development
First exposure
DAY 3 THURSDAY
9am-12:30pm
(Break
10:50-11am)
12:30pm-1:10pm
Post-exposure processing
Ritual Prevention
Between-session practice Imaginal exposure
Lunch break
1:10pm-5pm (Break 3:30-3:40) Imaginal exposure (con’t)
Advanced treatment components Out-of-office exposure
Home visits
DAY 4 FRIDAY
9am-12:30pm
(Break
10:50-11am)
Advanced treatment components (con’t)
Considerations with COVID-19
Family accommodation Relapse prevention
Termination Special Topics:
Formal vs. informal exposure
Enhancing motivation
12:30pm-1:10pm Lunch break
1:10pm-4pm (Break 2:30-2:40) Special Topics (con’t)
Higher levels of care
Intrusive violent/sexual thoughts Scrupulosity
Consultation options
Attendee Q&A

Learning Objectives:
1. Participants will describe the psychopathology of OCD
2. Participants will describe the diagnosis of OCD.
3. Participants will discuss empirically-supported treatments for OCD,
4. Participants will discuss psychotherapeutic treatments for OCD.
5. Participants will discuss psychopharmacologic treatments for OCD.
6. Participants will compare the efficacy of these treatment approaches: empirically-supported, psychotherapeutic and psychopharmacologic treatments for OCD
7. Participants will discuss the theory underlying for EX/RP
8. Participants will discuss the empirical support for EX/RP8. Implement psychoeducational treatment components of EX/RP for OCD
9. Participants will construct an in-vivo exposure hierarchy that includes a range of situations that effectively promote learning
10. Participants will implement in-vivo exposure
11. Participants will conduct imaginal exposure to feared consequences
12. Participants will discuss how to modify EX/RP techniques to tailor the therapy to the individual (e.g., developmental issues, co-morbid conditions)
13. Participants will discuss when to modify EX/RP techniques to tailor the therapy to the individual (e.g., developmental issues, co-morbid conditions)
14. Participants will discuss the basic techniques of EX/RP for treatment of adults
15. Participants will discuss the basic techniques of EX/RP for treatment of adolescents
16. Participants will discuss the basic techniques of EX/RP for treatment of children
17. Participants will implement imaginal role-plays in a mock treatment session
18. Participants will assess OCD symptoms
19. Participants will design an appropriate OCD treatment plan
20. Participants will discuss OCD presentations in youth and adolescents

Instructor Bios:

Thea Gallagher, PsyD, is a nationally recognized psychologist and anxiety specialist and is an associate professor and director of wellness programs in the Department of Psychiatry at NYU Langone Health.

Dr. Gallagher previously held several positions at the Perelman School of Medicine at the University of Pennsylvania, including assistant professor in the Department of Psychiatry, clinic director, media coordinator, and counseling psychologist at the Center for the Treatment and Study of Anxiety and clinical director of COBALT, a digital wellness platform for employees at the University of Pennsylvania.

Dr. Gallagher specializes in prolonged exposure therapy for post-traumatic stress disorder (PTSD), exposure and response prevention for obsessive compulsive disorder (OCD), and cognitive-behavioral treatments for other mental health illnesses such as social anxiety, panic disorder, specific phobias, generalized anxiety, eating disorders, self-harm, and depression.
In addition to her clinical work, Dr. Gallagher serves as the digital mental health, outcomes, and wellness coordinator. In this role, she is enhancing mental health support and resources for NYU Langone’s health care workers through digital content, particularly during this critical time when so many healthcare workers have suffered various levels of burnout due to the strains of the COVID pandemic.

Dr. Gallagher obtained her PsyD in clinical psychology at Philadelphia College of Osteopathic Medicine. She then completed her postdoctoral fellowship in the Department of Psychiatry at the Perelman School of Medicine at the University of Pennsylvania before joining the faculty where she has worked for the past seven years.

Over the course of her career, Dr. Gallagher has presented at several national and international conferences, led dozens of cognitive behavioral therapy trainings, and published numerous research papers, review articles, and book chapters. She is regularly featured in national media outlets and hosts a mental health-focused podcast, Mind in View.

Course bibliography:
Carpenter, J. K., Andrews, L. A., Witcraft, S. M., Powers, M. B., Smits, J., & Hofmann, S. G. (2018). Cognitive behavioral therapy for anxiety and related disorders: A meta-analysis of randomized placebo-controlled trials. Depression and anxiety, 35(6), 502–514. https://doi.org/10.1002/da.22728

Feusner, J. D., Farrell, N. R., Kreyling, J., McGrath, P. B., Rhode, A., Faneuff, T., Lonsway, S., Mohideen, R., Jurich, J. E., Trusky, L., & Smith, S. M. (2022). Online video teletherapy treatment of obsessive-compulsive disorder using exposure and response prevention: Clinical outcomes from a retrospective longitudinal observational study. Journal of Medical Internet Research, 24(5). https://doi.org/10.2196/36431

Foa, E. B., Simpson, H. B., Gallagher, T., Wheaton, M. G., Gershkovich, M., Schmidt, A. H., Huppert, J. D., Imms, P., Campeas, R., Cahill, S. P., Dichiara, C., Tsao, S. D., Puliafico, A. C., Chazin, D., Asnaani, A., Moore, K. R., Tyler, J., Steinman, S. A., Sanches-LaCay, A., . . . Rosenfield, D. (2022). Maintenance of Wellness in Patients With Obsessive-Compulsive Disorder Who Discontinue Medication After Exposure/Response Prevention Augmentation. JAMA Psychiatry, 79(3), 193. https://doi.org/10.1001/jamapsychiatry.2021.3997

Foa, E., Yadin, E., & Lichner, T. (2012-03). Exposure and Response (Ritual) Prevention for Obsessive Compulsive Disorder: Therapist Guide. New York, NY: Oxford University Press. Retrieved 14 Dec. 2020, from https://www.oxfordclinicalpsych.com/view/10.1093/med:psych/9780195335286.001.0001/med-9780195335286.

Johnco, C., McGuire, J. F., Roper, T., & Storch, E. A. (2020). A meta-analysis of dropout rates from exposure with response prevention and pharmacological treatment for youth with obsessive compulsive disorder. Depression and anxiety, 37(5), 407–417. https://doi.org/10.1002/da.22978

Öst, L. G., Riise, E. N., Wergeland, G. J., Hansen, B., & Kvale, G. (2016). Cognitive behavioral and pharmacological treatments of OCD in children: A systematic review and meta-analysis. Journal of anxiety disorders, 43, 58–69. https://doi.org/10.1016/j.janxdis.2016.08.003

Simpson, H. B., Foa, E. B., Wheaton, M. G., Gallagher, T., Gershkovich, M., Schmidt, A. B., Huppert, J. D., Campeas, R. B., Imms, P. A., Cahill, S. P., DiChiara, C., Tsao, S. D., Puliafico, A. C., Chazin, D., Asnaani, A., Moore, K., Tyler, J., Steinman, S. A., Sanchez-LaCay, A., Capaldi, S., … Wang, Y. (2021). Maximizing remission from cognitive-behavioral therapy in medicated adults with obsessive-compulsive disorder. Behaviour research and therapy, 143, 103890.

Song, Y., Li, D., Zhang, S., Jin, Z., Zhen, Y., Su, Y., ... & Li, X. (2022). The effect of exposure and response prevention therapy on obsessive-compulsive disorder: A systematic review and meta-analysis. Psychiatry Research, 114861.

Wootton B. M. (2016). Remote cognitive-behavior therapy for obsessive-compulsive symptoms: A meta-analysis. Clinical psychology review, 43, 103–113. https://doi.org/10.1016/j.cpr.2015.10.001

Wu, Y., Lang, Z., & Zhang, H. (2016). Efficacy of Cognitive-Behavioral Therapy in Pediatric Obsessive-Compulsive Disorder: A Meta-Analysis. Medical science monitor : international medical journal of experimental and clinical research, 22, 1646–1653. https://doi.org/10.12659/msm.895481


Approvals:
Cognitive Behavior Institute, #1771, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 06/30/2022-06/30/2025. Social workers completing this course receive 27 clinical continuing education credits.

Cognitive Behavior Institute, LLC is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0098 and the State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0646 and the State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0216.

Cognitive Behavior Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7117. Programs that do not qualify for NBCC credit are clearly identified. Cognitive Behavior Institute is solely responsible for all aspects of the programs.

Cognitive Behavior Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Cognitive Behavior Institute maintains responsibility for content of this program.

Social workers, marriage and family therapists, and professional counselors in Pennsylvania can receive continuing education from providers approved by the American Psychological Association. Since CBI is approved by the American Psychological Association to sponsor continuing education, licensed social workers, licensed marriage and family therapists, and licensed professional counselors in Pennsylvania will be able to fulfill their continuing education requirements by attending CBI continuing education programs. For professionals outside the state of Pennsylvania, you must confirm with your specific State Board that APA approved CE's are accepted towards your licensure requirements. The Association of Social Work Boards (ASWB) has a process for approving individual programs or providers for continuing education through their Approved Continuing Education (ACE) program. ACE approved providers and individual courses approved by ASWB are not accepted by every state and regulatory board for continuing education credits for social workers. Every US state other than New York accepts ACE approval for social workers in some capacity: New Jersey only accepts individually approved courses for social workers, rather than courses from approved providers. The West Virginia board requires board approval for live courses, but accepts ASWB ACE approval for other courses for social workers. For more information, please see https://www.aswb.org/ace/ace-jurisdiction-map/. Whether or not boards accept ASWB ACE approved continuing education for other professionals such as licensed professional counselors or licensed marriage and family therapists varies by jurisdiction. To determine if a course can be accepted by your licensing board, please review your board’s regulations or contact them. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.


Accommodation Information: Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function. For those that require it, please contact us at info@cbicenterforeducation.com for more information on and/or to request closed-captioning.

TICKETS TO THIS WEBINAR ARE NON-REFUNDABLE/NON-TRANSFERABLE. ALL SALES ARE FINAL. REFUNDS WILL NOT BE ISSUED FOR ANY REASON OTHER THAN THE EVENT’S CANCELLATION BY CBI

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Process for Receiving Continuing Education Credit:
  1. Register
  2. Attend the Training
  3. Complete the Evaluation Survey
  4. Receive Continuing Education Certificate
All items listed above will be available in your Blue Sky account
*Courses remain open for 2 weeks following the end of the training