Treating trauma-driven OCD with narrative exposure therapy alongside cognitive behavioural therapy

Airdrie, J.N. ORCID: https://orcid.org/0000-0002-1619-3172, Lambe, S. and Cooper, K. 2023. Treating trauma-driven OCD with narrative exposure therapy alongside cognitive behavioural therapy. The Cognitive Behaviour Therapist 16 , e2. 10.1017/s1754470x22000605

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Abstract

When post-traumatic stress disorder (PTSD) co-occurs with obsessive compulsive disorder (OCD), symptoms of the former can interfere with evidence-based treatment of the latter. As a result, exposure-based treatments are recommended for both OCD and PTSD, potentially facilitating a concurrent treatment approach. This case study describes the application of concurrent cognitive behaviour therapy (CBT including exposure and response prevention; ERP) for OCD and narrative exposure therapy to treat a patient whose PTSD symptoms of intrusive images of memories and hyperarousal were interfering with standard CBT (including ERP) treatment for OCD. Following this concurrent approach, the patient’s symptoms of OCD reduced to non-clinical levels and showed reliable improvement in PTSD symptoms. Whilst further methodologically robust research is required, this case study highlights that this approach may be beneficial to the treatment of OCD where PTSD symptoms are impacting on treatment.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Medicine
Publisher:	Cambridge University Press
ISSN:	1754-470X
Date of Acceptance:	7 November 2022
Last Modified:	03 Nov 2023 15:30
URI:	https://orca.cardiff.ac.uk/id/eprint/163641

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