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(p. 53) The Unified Protocol for Obsessive-Compulsive and Related Disorders 

(p. 53) The Unified Protocol for Obsessive-Compulsive and Related Disorders
(p. 53) The Unified Protocol for Obsessive-Compulsive and Related Disorders

Johanna Thompson-Hollands

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date: 23 September 2021

The case of a 25-year-old male with obsessive-compulsive disorder (OCD) is presented in this chapter. The patient, “Luke,” had primary obsessions related to harm befalling his family and girlfriend, as well as fears of contamination. His primary compulsions included mental “undoing,” in his words, and repeating actions. He engaged in significant avoidance around potential contaminants. The text reviews Luke’s course of treatment with the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP), including the application of each treatment module and attention to challenging issues that arose in this case. Specific attention is devoted to the use of cognitive reappraisal in the UP for OCD, managing symptom accommodation by family members, and exposure in the context of intrusive thoughts and mental rituals.

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