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Advanced Cognitive Behavioral Interventions for OCD 3-video Series
How can you provide effective and lasting relief for clients who feel defeated in their battle against OCD? Discover groundbreaking strategies for giving your OCD clients the courage and self-help skills needed to get their lives back.
Clients with OCD have an intentional bias towards threat, ever scanning their bodies and outside world for signs and signals of threat, uncertainty and danger; living diminished lives. They cleave to their irrational beliefs and paralyzing rituals for warding off anxiety, leaving even the most experienced therapist frustrated. Learn how to help clients overcome OCD by embracing their uncertainty and anxiety rather than attempting to ritualize it away. Equip them with strategies to break repetitious patterns using exposure, pattern disruption, ritual modification and other brief cognitive behavioral interventions for OCD.

A leading authority in the treatment of obsessive-compulsive disorders known for his innovative, counterintuitive, and highly effective methods, Reid Wilson knows that these clients don’t spontaneously recover, and that medication has limited efficacy. From decades of experience, he will teach you to help shift their frame of reference from escaping uncertainty through ritual and obsession to embracing the discomfort of exposure — CBT’s gold standard approach with Wilson's groundbreaking twist. By implementing small in-session cognitive experiments and integrating mastery-oriented homework assignments, Wilson will show you how to help clients access their courage, confront their fears, and live fully, free from the grip of OCD.

Live demonstrations of his approach with three challenging OCD clients, Wilson’s running voiceover commentaries, and pre- and post-session analyses with Psychotherapy.net’s founder Victor Yalom, offer added depth to increase your confidence and skill when working with these most challenging clients.   

To order an individual title in this series separately, click on the title of your choice in the list below.

In this Series…

What therapists are saying…

“This is a unique opportunity to look behind the scene at how one of the pioneers in the field of OCD treatment actually goes about doing therapy. You will be able to understand the principles behind how Wilson makes choices from moment to moment as he actively pushes his patients to relate to their inner experience with an entirely different attitude. Even if you learned CBT for anxiety disorders years ago and have been seeing obsessive patients all along, you will see why this particular innovation is a breakthrough.”

— Sally Winston, PsyD, Co-Director, Anxiety and Stress Disorders Clinic of Maryland
“There is nothing more satisfying than watching a master use his skills, and Dr. Wilson does that wonderfully here. While other therapists may become exasperated with clients who appear unmotivated to change, Dr. Wilson brings that to the forefront of the session, challenging where he can, and also knowing where to pick his battles. Listening to Dr. Wilson give the reasons why he has made the choices he has made allows for the viewer to get an insight on how to manage challenging clients and still get results in just a few sessions. This course is a must for anyone wanting to work with OCD clients.”

— Patrick B. McGrath, PhD, Director, Alexian Brothers Center for Anxiety and Obsessive Compulsive Disorders
“Dr. Wilson does a masterful job working creatively with a clients suffering from persistent, treatment-resistant OCD. By adapting a cognitive approach to each client’s unique strengths and attitudes, Dr. Wilson helps them to develop an aggressive, paradoxical stance against OCD, which proves to be remarkably effective in only a few sessions. A beautiful demonstration of how tailoring treatments to the individual client can make all the difference.”

— Victoria Lemle Beckner, PhD, Clinical Faculty, University of California San Francisco; Author, Conquering Post-Traumatic Stress Disorder
“An excellent teaching tool for both new and experienced therapists. Wilson skillfully leads the clinician step by step through his unique approach to OCD, an invaluable alternative to traditional ERP treatment. He introduces clear, insightful approaches to helping clients externalize their OCD-related thoughts and accept distress and uncertaintyI highly recommended it to anyone supporting clients with OCD.”

— Fugen Neziroglu, PhD, ABPP, Clinical Director of the Bio-Behavioral Institute, Great Neck, NY; Author, Overcoming Body Dysmorphic Disorder
In Depth
Reid Wilson’s groundbreaking work in the treatment of obsessive-compulsive disorder is by traditional CBT standards, unconventional, even provocative; especially for clinicians who have neither been trained in exposure therapy or have been resistant to using the approach. However, by watching him at work with these three clients, you will quickly understand the nature of the disorder, and how to harness his powerful methods for helping these clients develop new and healthy ways of living with uncertainty and more fully engaging with their recovery.

Dr. Wilson begins his demonstrations with Kathleen, who struggles with anxiety and uncertainty around two main issues: accidentally setting her house on fire and contaminating loved ones with germs and illness. Controlled by the need for absolute certainty, pervasive self-doubt, and time-consuming cleaning and checking rituals, and deep ambivalence, she repeatedly checks to make sure her stove is turned off and washes her hands up to 30 times a day. In two live sessions with Kathleen, Wilson shows us how a pragmatic assessment, clear protocols for exposure experiments, and a thorough briefing about the insidious nature of OCD can alleviate, rather than validate, the need for reassurance that drives Kathleens’s obsessions and compulsions. With humor and clarity, he passionately encourages Kathleen to rise above the content of her obsessive thoughts and practice moving towards that which she fears, supporting her in learning to tolerate uncertainty. With practice and patience, Kathleen’s checking behavior decreases significantly.

Next, we meet Bob, a young, fit personal trainer who exhibits pervasive “repeater” behaviors and a history of multiple failed past treatments that lead him to exclaim to Wilson, “I want my mind back.” Bob lacks real-world tools to manage his anxiety and has nearly given up hope for change. Obsessed with the worry that his debilitating anxiety and fear-based thoughts will remain until he takes repetitive corrective action, he spends much of his time mired in dressing and sleep-preparation rituals that rob him of freedom to live. In these live two sessions, Wilson demonstrates the core concepts of his innovative approach to exposure with response prevention and leverages Bob’s innate fighting spirit to support him in “moving toward” the anxiety that drives his compulsive behaviors, helping him more fully engage with his discomfort and wrestle his life back from OCD.

Finally, we meet Rita, a middle-aged mother, and marathoner, who, after receiving a medical report of cardiac irregularities, becomes preoccupied with her health. Trying to avoid any situation that triggers her fear of having a heart attack, Rita is now missing out on living the active lifestyle she longs to live and barely enjoys time with her family and friends. She spends much of her time seeking reassurance that she’s “okay” and becomes paralyzed by obsessional thinking. Over the course of two sessions with Rita, Dr. Wilson demonstrates the core concepts underlying his paradoxical approach to treating anxiety disorders, encouraging her through humor, compassion, and mild provocation to rise above the content of her fears and instead move towards them. Calling upon her courage and urging her to want her symptoms as opposed to trying to get rid of them, he turns everything upside down, and points Rita squarely on the track to freedom and a return to her active life.

So, if you’re looking for a fresh understanding of OCD and effective ways to treat its self-reinforcing and destructive, all-consuming grip on clients, you’ll find it and more in these riveting demonstrations of Wilson’s engaging, lively, and highly effective approach.

Learning Objectives

After watching these videos, you will...
  • Apply the core concepts of Wilson’s approach to treating clients suffering from OCD
  • Use paradoxical interventions to increase the OCD client's tolerance for uncertainty and discomfort
  • Design interventions that utilize clients' existing strengths and personalities  

Length of Series: 8:31:00

English subtitles available

R. Reid Wilson, PhD is a licensed psychologist who directs the Anxiety Disorders Treatment Center in Chapel Hill and Durham, North Carolina. He is also Clinical Associate Professor of Psychiatry at the University of North Carolina School of Medicine. Wilson specializes in the treatment of anxiety disorders and is the author of Don’t Panic: Taking Control of Anxiety Attacks (Harper Perennial, 1996), Facing Panic: Self-Help for People with Panic Attacks (Anxiety Disorders Association of America, 2003), and is co-author with Edna Foa of Stop Obsessing! How to Overcome Your Obsessions and Compulsions (Bantam, 2001). Wilson served on the Board of Directors of the Anxiety Disorders Association of America for twelve years and was Program Chair of the National Conferences on Anxiety Disorders from 1988-1991. In 2014 The Anxiety and Depression Association of America honored Wilson for a lifetime of service in treating anxiety disorders, awarding him the Jerilyn Ross Clinician Advocate Award at its annual conference in Chicago.

See all Reid Wilson videos.
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