Cognitive and behavioral case conceptualization report of a case with obsessive-compulsive disorder / 中国心理卫生杂志

ABSTRACT

To explore how to formulate the case conceptualization of obsessive-compulsive disorder (OCD) in the perspective of cognitive theory and behavioral theory. The current study utilized the cognitive behavioral conceptualization model to account for the development and maintenance of obsessive-compulsive symptoms of a college student with OCD. An intervention strategy combining exposure and reaction prevention (ERP) with cognitive techniques was implemented within a 17-session individual counseling in 13 weeks. Client's anxious, depressive and obsessive-compulsive symptoms were assessed at baseline and after 13-week intervention with the Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Yale-Brown Obsessive Compulsive Scale (Y-BOCS), respectively. Results showed a significant decrease in anxiety and depressive symptoms. The score of Y-BOCS decreased from 25 to 11 after intervention, which indicated normal social functioning. These findings suggested that the cognitive theory and behavioral theory of OCD could effectively guide the process of case conceptualization and the counselling practice.