Re: how soon should a therapist start ERPs?

[Guest guest]

We did about 3 or 4 sessions of prep work then started.

[Guest guest]

Hmmm, therapy before. Well, generally, with the first time therapy,

parents/others have said to give it a 5 visit " trial " and they should be

starting on CBT/ERP, by then you should know if the therapist understands OCD

treatment.

>

>

> Hi everyone,

>

> Second question for the night: We just started with a new CBT therapist for

our 10-year-old son, and she told us in our first session that she doesn't want

to start ERPs right away. To improve the chances of success, she told us, he

needs to review and relearn the strategies (he's had therapy before) because

he's at a different stage of cognitive development. Does this make sense, or

should he be able to start ERPs right away?

>

> Thanks very much for your feedback.

>

> Sincerely,

> .

>

[Guest guest]

Hi ,

My son recently started seeing a new therapist, after not having therapy for

over two years. The therapist met with me and my husband first, to learn about

my son and his issues, etc. When my son had his first appt with her, she asked

him what things make him anxious/cause thoughts (he has intrusive thoughts and

excessive worrying), and she started to build his hierarchy. His ERP is

listening to loop tapes that cause him anxiety. He received his first loop tape

a few days after his first meeting with her. So she really jumped right into

things, which I was really happy about. But I would think a therapist would

need just one or two sessions to be able to start ERP, unless the child just

isn't opening up about what needs to be worked on.

[Guest guest]

My ds is 14 yrs old. Dtr gave him erp homework on the third visit. Son has

contamination issues. First two visits were explaining ocd, erp to us and him

talking to my son. By the third visit, they had a heirarchy of items, and dtr

told us what to do at home for erp.

[Guest guest]

Sorry I don't know about that. My daughter is on her 3rd go round with treatment

now & since she's a teen the treatment is more centered on her & making her

responsible, rather than having parents supervise it all. When my daughter was

11 (our 1st treatment), we were much more involved. Our basic treatment is the

same (CBT/ERP)...it is what it is. My daughter started ERPs right away (very

limited), due to end of school issues & to allow time to make a hierarchy list

to work on.

You may want to ask more questions to find out what the therapist is thinking.

Good luck & I hope your son's treatment goes well.

Dot

>

>

> Hi everyone,

>

> Second question for the night: We just started with a new CBT therapist for

our 10-year-old son, and she told us in our first session that she doesn't want

to start ERPs right away. To improve the chances of success, she told us, he

needs to review and relearn the strategies (he's had therapy before) because

he's at a different stage of cognitive development. Does this make sense, or

should he be able to start ERPs right away?

>

> Thanks very much for your feedback.

>

> Sincerely,

> .

>

[Guest guest]

Actually speaking as a teacher that does make sense....just don't delay CBT too

long...

> >

> >

> > Hi everyone,

> >

> > Second question for the night: We just started with a new CBT therapist for

our 10-year-old son, and she told us in our first session that she doesn't want

to start ERPs right away. To improve the chances of success, she told us, he

needs to review and relearn the strategies (he's had therapy before) because

he's at a different stage of cognitive development. Does this make sense, or

should he be able to start ERPs right away?

> >

> > Thanks very much for your feedback.

> >

> > Sincerely,

> > .

> >

>

[Guest guest]

Thanks for your advice, everyone. It's much appreciated.

Sincerely,

.

>

>

> Hi everyone,

>

> Second question for the night: We just started with a new CBT therapist for

our 10-year-old son, and she told us in our first session that she doesn't want

to start ERPs right away. To improve the chances of success, she told us, he

needs to review and relearn the strategies (he's had therapy before) because

he's at a different stage of cognitive development. Does this make sense, or

should he be able to start ERPs right away?

>

> Thanks very much for your feedback.

>

> Sincerely,

> .

>

[Guest guest]

Our son had been through a lot of therapy before we found someone who understood

OCD and used ERP. None of helped prior to doing ERP.

He did not need to review and relearn strategies. He had two appointments where

we went over his history, but by the third appointment he was making his

hierarchy list. By the fourth, he was working on the lowest thing on his list.

BJ

>

>

> Hi everyone,

>

> Second question for the night: We just started with a new CBT therapist for

our 10-year-old son, and she told us in our first session that she doesn't want

to start ERPs right away. To improve the chances of success, she told us, he

needs to review and relearn the strategies (he's had therapy before) because

he's at a different stage of cognitive development. Does this make sense, or

should he be able to start ERPs right away?

>

> Thanks very much for your feedback.

>

> Sincerely,

> .

>