Augmenting ERP With Attachment-Based Family Therapy: A Case Report in Residential OCD Treatment.

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Bibliographic Details
Title: Augmenting ERP With Attachment-Based Family Therapy: A Case Report in Residential OCD Treatment.
Authors: Hettler, Meredith, Steinberg, Elyssa, Winston-Lindeboom, Payne, Diamond, Guy, Riemann, Brad, Roeske, Michael
Source: Journal of Cognitive Psychotherapy. 2026, Vol. 40 Issue 2, p184-196. 13p.
Subjects: Anxiety prevention, Prevention of mental depression, Family psychotherapy, Patients' families, Medical personnel, Attachment behavior, Patient-family relations, Questionnaires, Treatment effectiveness, Psychological well-being, Family relations, Obsessive-compulsive disorder, Communication, Cognitive therapy, Health outcome assessment, Psychological tests, Acceptance & commitment therapy, Therapeutic alliance, Residential care, Biopsychosocial model, Adults
Geographic Terms: United States
Abstract: Obsessive-compulsive disorder (OCD) is a debilitating, often chronic condition with symptoms that are time-consuming and can cause distress or impairment. OCD can involve and have a significant impact on families. Although calls for family-inclusive treatment for OCD exist, results on its effectiveness are mixed. This case report presents Jane, a young adult with OCD in psychiatric residential treatment, and how her symptoms were profoundly affected and maintained in part by maladaptive family processes. Attachment-based family therapy is used in conjunction with exposure and response prevention to reduce Jane's symptoms, minimize family accommodations, address underlying family processes, and improve family dynamics. Treatment outcomes were assessed through standardized tools, clinician observations, and patient self-reports. By the conclusion of treatment, Jane saw reductions in OCD, anxiety, and depressive symptoms, an increase in well-being, and improved family communication. Implications and recommendations will be discussed. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Obsessive-compulsive disorder (OCD) is a debilitating, often chronic condition with symptoms that are time-consuming and can cause distress or impairment. OCD can involve and have a significant impact on families. Although calls for family-inclusive treatment for OCD exist, results on its effectiveness are mixed. This case report presents Jane, a young adult with OCD in psychiatric residential treatment, and how her symptoms were profoundly affected and maintained in part by maladaptive family processes. Attachment-based family therapy is used in conjunction with exposure and response prevention to reduce Jane's symptoms, minimize family accommodations, address underlying family processes, and improve family dynamics. Treatment outcomes were assessed through standardized tools, clinician observations, and patient self-reports. By the conclusion of treatment, Jane saw reductions in OCD, anxiety, and depressive symptoms, an increase in well-being, and improved family communication. Implications and recommendations will be discussed. [ABSTRACT FROM AUTHOR]
ISSN:08898391
DOI:10.1891/JCP-2025-0017