Cognitive Behavioral Therapy for Pediatric OCD

Cognitive behavioral therapy (CBT) is a first-line treatment for pediatric obsessive-compulsive disorder (OCD) that is associated with large reductions in OCD symptoms as well as improvements in functional outcomes. Over the past decades, a number of different treatment manuals have been developed to address pediatric OCD, each demonstrating efficacy for addressing this type of concern. Although these interventions vary in scope and format, they also share many of common elements that can be applied flexibly to allow youth to gain control of their OCD and improve their overall functioning. The goal of this chapter is to highlight the core components of CBT for youth with OCD. Specifically, thorough assessment, psychoeducation, cognitive restructuring, exposure, and response prevention strategies are reviewed. In addition, family involvement strategies and maintenance programming are also covered. Examples of therapeutic dialogue and useful therapy worksheets are also provided to facilitate successful treatment delivery.