Episode 45 Effective Treatment for OCD with ERP, with Dr. Roseann Capanna-Hodge

Do you treat patients with OCD? Why can you not treat OCD like anxiety? How does ERP work alongside CBT for effective OCD treatment?

MEET DR. ROSEANN CAPANNA-HODGE

Dr. Roseann is a mental health trailblazer, founder of The Global Institute of Children's Mental Health, and Dr. Roseann, LLC. She is known for brain-based solutions for struggling kids and her work has helped thousands reverse the most challenging conditions, such as ADHD, anxiety, mood, autism, learning disability, Lyme, and PANS/PANDAS using PROVEN holistic therapies such as neurofeedback, biofeedback, and psychotherapy.

She is the author of the first-ever book on teletherapy activities for child and adolescent therapists, "Teletherapy Toolkit" and "It's Gonna be OK!" She gives parents step-by-step solutions for their struggling kids with her books and remote neurofeedback program. A media personality, she is often featured on dozens of media outlets: Fox, CBS, NBC, PARENTS, and New York Times.

Visit her personal website and childrensmentalhealth.com.

Connect with her on Facebook, Instagram, Twitter, Youtube, and Pinterest.

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IN THIS PODCAST:

• OCD
• ERP
• CBT and OCD treatment

OCD

OCD, obsessive-compulsive disorder, is not always related to anxiety and it cannot be treated as anxiety.

OCD is about the over-activation of the nervous system, the obsessive thinking, the compulsive behaviors that are deeply rooted in behavioral habituation … people inadvertently reinforce people's OCD all the time. (Dr. Roseann Capanna-Hodge)

People may comfort others who suffer from OCD instead of reminding them that they are capable of self-regulating as well.

ERP

Exposure and response prevention is about educating the client in the neuroscience behind behavioral changes and enabling them to self-regulate based on behavioral changes.

[The clients] get the insight, they understand, then they understand how to break free from the accommodation. They learn how to talk back to their OCD and their worries or intrusive thoughts. (Dr. Roseann Capanna-Hodge)

Clients are given the tools to overcome their OCD by learning about what their triggers are.

Later in therapy, clients interact with safe exposure to those triggers and learn behavioral strategies to overcome the OCD and compulsive needs for rituals.

CBT and OCD treatment

Cognitive-behavioral therapy is an important aspect of OCD treatment. However, it needs to work in unison with behavioral strategies and not only be based on talk therapy.

You are using [CBT] in a way that is relevant to the OCD and you're really focusing on the exposure. With CBT we're doing cognitions and behaviors … but CBT alone is not as effective as when we incorporate the exposure part. (Dr. Roseann Capanna-Hodge)

If you work with clients who suffer from OCD, consider taking on training in ERP because it adds another necessary and integral dimension to their treatment.

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