Year 12 DO NOW: January 2012: Identify two symptoms of obsessive-compulsive disorder. (2 marks) Mark scheme: Up to 2 marks for description of both obsessions – recurrent/persistent thoughts/ideas/images/impulses and compulsions – repetitive behaviours/ritual acts/behaviour that reduces anxiety. Accept physiological symptoms of anxiety.

Learning Objective: to explore and evaluate cognitive treatments for OCD ALL will be able to describe key features of cognitive treatment for OCD MOST will be able to analyse and apply cognitive treatments for OCD SOME will evaluate and compare cognitive treatments for OCD

Today’s progress measure: January 2010 Describe and evaluate two therapies for obsessive-compulsive disorder. (10 marks) What do you know ALREADY which you could use to help you to plan this question? Write down the question and bullet point what you COULD already write down for this question

Mark Scheme for this question: creating our recipe for success AO1 Up to 5 marks for description of two of the following possible therapies. Drug therapy – treatment of anxiety by use of drugs that increase serotonin levels, eg SSRIs, MAOIs, mode of action Cognitive therapy – procedures: describing misinterpretation of thoughts, counterproductive thoughts, counterstatments Combined behaviour and cognitive therapy described O’Kearney (1993). Credit description of evidence up to 1 mark. AO2 Up to 5 marks for discussion and evaluation of the therapies. Likely discussion points include: Drug therapy: reduction of symptoms not elimination, relapse when drugs not taken, dual approach with other therapy Cognitive therapy: how cognitive strategies work, effectiveness Rufer et al (2005) Credit use of evidence. Maximum 6 marks if only one therapy Maximum 6 marks if no explicit link to OCD

How does it work? It aims to replace fearful thoughts (obsessions) with more realistic ones Patients are taught to challenge counterproductive thoughts with counterstatements Counterproductive thought: a thought that is not productive / helpful Counterstatement: a statement that goes against a thought and challenges it

Example counterproductive thoughts and counterstatements: ‘If I do not wash my hands after touching a door handle I will die of contamination’ (counterproductive thought) ‘No one I know has died from touching a door handle, it is very unlikely to happen’ (counterstatement) YOUR TURN: think of one counter-productive thought and one counterstatement that a therapist could use with an obsessive checker of locked windows / doors EXTENSION: go back to the case studies we looked at together when we learnt about ‘obsessions’ and ‘compulsions’ to consider what types of thoughts these people might be having

Other aspects of cognitive therapies: Habituation Training Habituation training (Franklin et al 2000) this is when the client is asked to think repeatedly about their obsessive thoughts By thinking about their obsessions deliberately they will become less anxiety raising Because there is less anxiety compulsive behaviour will not be required to reduce anxiety

Supporting Evidence: Rufer et al 2005 Research has shown that cognitive therapy is successful in reducing the frequency with which people have obsessive thoughts It has also been found to be effective in reducing both the frequency and duration of compulsive behaviours

Evaluative Comments: (+) this is a very effective treatment of OCD (+) works well alongside other therapies e.g. behavioural and drug treatment (-) it is not clear exactly which part of the cognitive therapy is effective in changing cognitions and it could be that any cognitive change is a consequence of another factor, e.g. Medication or lifestyle change, and not the intervention by the therapist WHAT COMPARISONS can you think of with the other treatment of OCD that we have covered? Sketch a table to summarise these now!

Today’s progress measure: January 2010 Describe and evaluate two therapies for obsessive-compulsive disorder. (10 marks) What do you know NOW which would help you to answer this question? Complete your recipe for success, you have until the end of the lesson to get as far as you can answering this question, we will mark what you have done in class at the end

Mark Scheme for this question: creating our recipe for success AO1 Up to 5 marks for description of two of the following possible therapies. Drug therapy – treatment of anxiety by use of drugs that increase serotonin levels, eg SSRIs, MAOIs, mode of action Cognitive therapy – procedures: describing misinterpretation of thoughts, counterproductive thoughts, counterstatments Combined behaviour and cognitive therapy described O’Kearney (1993). Credit description of evidence up to 1 mark. AO2 Up to 5 marks for discussion and evaluation of the therapies. Likely discussion points include: Drug therapy: reduction of symptoms not elimination, relapse when drugs not taken, dual approach with other therapy Cognitive therapy: how cognitive strategies work, effectiveness Rufer et al (2005) Credit use of evidence. Maximum 6 marks if only one therapy Maximum 6 marks if no explicit link to OCD

Learning Objective: to explore and evaluate cognitive treatments for OCD ALL will be able to describe key features of cognitive treatment for OCD MOST will be able to analyse and apply cognitive treatments for OCD SOME will evaluate and compare cognitive treatments for OCD What do you know now that you didn’t know when you walked in the room?