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

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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]
Copyright of Journal of Cognitive Psychotherapy is the property of Springer Publishing Company, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Augmenting ERP With Attachment-Based Family Therapy: A Case Report in Residential OCD Treatment.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Cognitive+Psychotherapy%22">Journal of Cognitive Psychotherapy</searchLink>. 2026, Vol. 40 Issue 2, p184-196. 13p.
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– Name: Abstract
  Label: Abstract
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  Data: 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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  Data: <i>Copyright of Journal of Cognitive Psychotherapy is the property of Springer Publishing Company, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=193955497
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1891/JCP-2025-0017
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 184
    Subjects:
      – SubjectFull: Anxiety prevention
        Type: general
      – SubjectFull: Prevention of mental depression
        Type: general
      – SubjectFull: Family psychotherapy
        Type: general
      – SubjectFull: Patients' families
        Type: general
      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: Attachment behavior
        Type: general
      – SubjectFull: Patient-family relations
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Psychological well-being
        Type: general
      – SubjectFull: Family relations
        Type: general
      – SubjectFull: Obsessive-compulsive disorder
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Health outcome assessment
        Type: general
      – SubjectFull: Psychological tests
        Type: general
      – SubjectFull: Acceptance & commitment therapy
        Type: general
      – SubjectFull: Therapeutic alliance
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      – SubjectFull: Residential care
        Type: general
      – SubjectFull: Biopsychosocial model
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      – SubjectFull: Adults
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Augmenting ERP With Attachment-Based Family Therapy: A Case Report in Residential OCD Treatment.
        Type: main
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            NameFull: Hettler, Meredith
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            NameFull: Steinberg, Elyssa
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            NameFull: Winston-Lindeboom, Payne
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            NameFull: Diamond, Guy
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            NameFull: Riemann, Brad
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            NameFull: Roeske, Michael
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            – D: 01
              M: 05
              Text: 2026
              Type: published
              Y: 2026
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              Value: 08898391
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              Value: 40
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            – TitleFull: Journal of Cognitive Psychotherapy
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