About the Event
Cognitive Behavior Institute is excited to welcome Steven D. Tsao, Ph.D, David Yusko, Psy.D., Christina DiChiara, Psy.D., and Shannon Murphy, PhD, for a 4-Day Intensive Workshop on the topic: Exposure and Response Prevention Therapy for OCD.
Dates/Times:
June 24th, 2024 9:00am-5:00pm EST
June 25th, 2024 9:00am-5:00pm EST
June 26th, 2024 9:00am-5:00pm EST
June 27th, 2024 9:00am-4:00pm EST
Location: online via Zoom meetings
*Participants will have access to their microphone and camera and should expect to use both for participation
Cost: $139.99
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:
| DAY1 | |
|
9am-12:40pm (Break 10:50-11am) |
|
| 12:40pm-1:20pm | Lunchbreak |
| 1:20pm-5pm (Break3:30-3:40) |
|
- Break out exercise - Rationale Delivery
-
Delivering ERP (con’t)
- Self-monitoring
- Hierarchy construction
| DAY2 | |
|
9am-12:40pm (Break 10:50-11am) |
|
| 12:40pm-1:20pm | Lunchbreak |
| 1:20pm-5pm (Break3:30-3:40) |
|
| DAY3 | |
|
9am-12:40pm (Break 10:50-11am) |
|
| 12:40pm-1:20pm | Lunchbreak |
| 1:20pm-5pm (Break3:30-3:40) |
|
| DAY4 | |
|
9am-12:40pm (Break 10:50-11am) |
|
| 12:40pm-1:20pm | Lunchbreak |
| 1:20pm-4pm (Break3:30-3:40) |
Special
Topics (con’t) Consultation options Attendee Q&A Evaluations and CEUs |
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/RP
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:
Steven D. Tsao, Ph.D.: Dr. Tsao is an expert in exposure and response prevention (EXRP) for obsessive compulsive disorder (OCD), having trained under several internationally-recognized leaders in the field including Dr. Edna Foa, Dr. Michael Jenike, and Dr. Dean McKay. Dr. Tsao has treated hundreds of clients with OCD, given regional and national presentations on OCD, and been featured on several popular media outlets including ABC’s 20/20, The Philadelphia Inquirer, WBUR, WGBH, Prevention Magazine, and Health.com. Dr. Tsao also has extensive experience with prolonged exposure (PE) therapy for posttraumtaic stress disorder (PTSD) and is a certified therapist and supervisor by Dr. Edna Foa, the developer of PE. He has helped train PE therapists both nationally and internationally and provided expert consultation on PE for grants funded by the Department of Defense. Dr. Tsao received his Ph.D. in clinical psychology from Fordham University where he was the recipient of Senior Teaching Fellowship and the Alumni Dissertation Fellowship. Dr. Tsao completed his predoctoral internship at Boston University School of Medicine/Boston VA Medical Center and his postdoctoral fellowship at Harvard Medical School/McLean Hospital. He worked at a residential eating disorders program where he developed and implemented a specialized track for patients with OCD and later, focused exclusively on severe and treatment-resistant OCD and OC-spectrum disorders during his years as a Staff Psychologist at the OCD Institute at McLean Hospital. After relocating to the Philadelphia area, Dr. Tsao joined the Center for the Treatment and Study of Anxiety at the University of Pennsylvania where he most recently served as the Clinic Director. Dr. Tsao also served as the Assistant Clinical Director at Rogers Behavioral Health-Philadelphia, where he helped launch and oversee the delivery of evidence-based treatment for anxiety and mood disorders in an intensive day treatment setting.
David Yusko, Psy.D.: Dr. Yusko is nationally recognized as an expert in prolonged exposure (PE) therapy for posttraumatic stress disorder (PTSD) and is a certified PE therapist and supervisor by Dr. Edna Foa. Dr. Yusko is also an expert in anxiety disorders with particular expertise in obsessive compulsive disorder (OCD), panic disorder, social phobia, generalized anxiety disorder, and specific phobias. He is also certified as an exposure and response prevention (EXRP) therapist and supervisor for OCD by Dr. Edna Foa. He received his Psy.D. in clinical psychology from the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey. As a graduate student, Dr. Yusko was supported by a National Institute on Alcohol Abuse and Alcoholism training grant under the expert mentorship of Dr. Barbara McCrady, a national leader in the field of alcohol use disorders. Dr. Yusko completed his predoctoral internship training at Montefiore Medical Center, a part of Albert Einstein School of Medicine. Upon completing his doctoral studies, Dr. Yusko joined The Center for the Treatment and Study of Anxiety (CTSA) in the Perelman School of Medicine at the University of Pennsylvania. Dr. Yusko joined CTSA in order to coordinate a National Institute on Alcohol Abuse and Alcoholism funded clinical trial examining the sequential versus concurrent treatment of PTSD and alcohol dependence. Dr. Yusko is one of a handful of experts in the world on the concurrent treatment of PTSD and substance use disorders. Dr. Yusko is also a treating clinician for the National Football League for players that violate the league’s substances of abuse rules. He was trained in sports psychology by Dr. Charlie Maher, sports psychologist for the Cleveland Indians baseball organization, and continues to work with athletes of all levels. Dr. Yusko has presented on issues associated with OCD and PTSD at local and national professional organizations, he has appeared on television and been interviewed by multiple media outlets. 
Christina DiChiara, Psy.D.: Dr. DiChiara is an expert in evidence-based treatments for trauma, anxiety, and obsessive-compulsive disorders. She joined the Center for Anxiety & Behavior Therapy in 2016 and currently serves as the Director of Education, overseeing the local and international training and dissemination of evidence-based treatments for Obsessive-Compulsive Disorder (OCD) and Posttraumatic Stress Disorder (PTSD). Dr. DiChiara has extensive experience with Prolonged Exposure (PE) therapy for PTSD, and is a certified PE therapist and PE supervisor by Dr. Edna Foa, the developer of PE. She is similarly experienced in Cognitive Processing Therapy (CPT) for PTSD, is a certified CPT therapist by the Veteran's Administration (VA), and is a co-investigator in ongoing CPT research at the VA in Philadelphia. Dr. DiChiara developed her expertise in Exposure and Response Prevention (ERP) for OCD during her training, research, and practice at the Center for the Treatment and Study of Anxiety at the University of Pennsylvania. She also specializes in cognitive-behavioral and exposure therapies for a broad range of anxiety disorders and obsessive-compulsive related disorders. In addition to her work at CABT, Dr. DiChiara served the veteran population through the VA in Philadelphia, both as a psychologist on the PTSD Clinical Team, as well as the Military Sexual Trauma (MST) Coordinator, the Evidence-Based Psychotherapy (EBP) Coordinator, and as Telemental Health Champion. She has been dedicated to the training and supervision of psychology trainees and licensed mental health professionals worldwide through individual and group supervision and consultation. She received a master’s degree in Counseling and Clinical Health Psychology, as well as her doctoral degree in Clinical Psychology, from the Philadelphia College of Osteopathic Medicine.
Dr. Murphy is a licensed clinical psychologist in private practice at the Center for Anxiety & Behavior Therapy. She has extensive training and experience in evidence-based treatments for OCD, PTSD, and anxiety-related disorders. Her specialty in this area developed during her doctoral training at Temple University where she trained in the Adult Anxiety Clinic of Temple (AACT), under the mentorship of Dr. Richard Heimberg, as well as in the Center for the Treatment and Study of Anxiety (CTSA) in the Perelman School of Medicine at the University of Pennsylvania under Dr. Edna Foa.She completed her pre-doctoral internship at VA Boston Healthcare System in the PTSD and Women’s Trauma Recovery clinics, during which time she became certified in Cognitive Processing Therapy (CPT) for PTSD. She is also a certified therapist in Prolonged Exposure (PE) for PTSD and Exposure and Response Prevention (ERP) for OCD through CTSA. 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.
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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.
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