Re: RPT usually called ERP

[Guest guest]

In a message dated 3/27/2006 9:43:39 P.M. Eastern Standard Time,

lynnovale@... writes:

listed in order of how much anxiety the

child reports for each one (scale of 1-10). Then the

least anxiety causing are the ones targeted first for

the ERP.

Yes - this is also what we've read in our book & online.

LT

[Guest guest]

Regarding the anxiety level (see posts below), perhaps you might be

working on a least anxiety causing #1 or #2, but when you put off the

compulsion, for example, anxiety rises up, which could reach a #7

eventually. Just thinking aloud!

>

> Hi Kris,

>

> Usually I have heard it called ERP (Exposure Response

> Prevention). The rest of it sounded about right

> except the one thing you wrote that he said:

> ____

> My son's therapist says that the anxiety must be

> experienced at a high level - like a 7 or above on a

> scale of 1 - 10, in order for these changes to occur.

> ____

>

> I've never heard it said that the level HAS to be high

> to do any good. What is commonly recommended is that

> the child's obsessions are (during the 1st few

> sessions) listed in order of how much anxiety the

> child reports for each one (scale of 1-10). Then the

> least anxiety causing are the ones targeted first for

> the ERP. This is more likely to lead to success

> followed by working on more and more difficult

> obsessions. If something too scary is attempted in

> the beginning the OC may balk and refuse to do the

> therapy.

>

> Tamar Chansky's book 'Freeing Your Child From OCD' was

> the one most recommended to begin with (by our

> therapist) and it would give you something to compare

> to what your therapist is saying.

>

> Lynn

>