How to manage safety behaviours during exposure therapy
Breaking the Rules: A Clinician's Guide to Treating OCDShow Notes
Dr Brett Deacon is an Associate Professor of Psychology and convenor of the clinical psychology program at the University of Melbourne. Brett has worked in the field of psychology for over 15 years with a focus on exposure therapy for anxiety and OCD. He has published many papers on therapist barriers to exposure therapy and strategies for overcoming them and is a co-author of ‘Exposure Therapy for Anxiety: Principles and Practice’. Throughout the next three episodes, Brett explores the role of clinicians in exposure therapy and how their feelings could be holding back the client. In today’s episode, Brett addresses safety behaviours. He digs into what they are, the safety behaviours we all engage in, and how to manage safety behaviours when treating OCD.
Resources and links: Purchase ‘Exposure Therapy for Anxiety: Principles and Practice’ here Dr Brett Deacon at the University of Melbourne Dr Brett Deacon on LinkedIn
Connect: https://www.melbournewellbeinggroup.com.au/ http://www.drcelingelgec.com.au/
This show is produced in collaboration with Wavelength Creative. Visit wavelengthcreative.com for more information. Hosted on Acast. See acast.com/privacy for more information.
More from Breaking the Rules: A Clinician's Guide to Treating OCD
This one's for the parents. In this episode of Breaking the Rules, Dr Celin Gelgec and Dr Tori Miller tackle one of the most common questions they hear from families - I think my child might have OCD. Where do I even start?
OCD or Anxiety? It's Not a Black and White Question
ERP is the gold standard for OCD. But what happens when it's not enough on its own? In this episode of Breaking the Rules, Dr Celin Gelgec and Dr Tori Miller explore one of the most important — and least talked about — questions in OCD treatment: when and how to bring in other therapeutic modalities, and how to do it without abandoning the principles that make ERP work. Tori shares what traditional manualized ERP actually looked like in the early days of her career — rate your SUDS, watch the clock, wait for the anxiety to come down — and how the field has shifted since the inhibitory learning model changed the way we think about exposure. Celin reflects on her experience of always working in an integrated way, and why the principles of ACT have always felt like ERP to her — because they are. They also get honest about the moments when ERP becomes a battle. When the exposure menu turns into a war. When a client has every reason in the world not to engage — and what to do instead. Whether you're a clinician looking to expand your toolkit or someone living with OCD who's wondered why their therapist keeps talking about values and mindfulness - this episode will change how you think about what treatment can look like.
Four years in, and we're going back to basics. In this episode of Breaking the Rules, Celin and Tori walk through the full OCD assessment process from the ground up - because with new listeners joining and so much focus on treatment in recent episodes, it felt like the right time to start at the beginning.
When Therapists Spiral Too: What OCD Taught Us About Ourselves