Author Archive for: Bio1234

Neziroglu Hoarding Presentation – Part 5

Applying the Intervention Technique The proposed Intervention differs from interventions aimed at addressing addictive behaviors: This is more of an opportunity for family members to assertively communicate their feelings and urge the hoarder to participate in treatment The hoarder is not necessarily kept ignorant of the meeting before arriving at it. While boundaries are discussed in this meeting, family members

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Neziroglu Hoarding Presentation – Part 4

ERP for Acquisition Compulsion STEP 1: Construct an Exposure Hierarchy Create hierarchy of anxiety-producing situations Rate items in terms of how much anxiety you anticipate each of them will create (SUDS 1 to 100) STEP 2: Begin with the Lowest SUDS Item Begin with the item at the bottom of the list (lowest SUD) In vivo exposure, resist all urges

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Neziroglu Hoarding Presentation – Part 3

How likely is a Hoarder to Engage in Treatment N=40 9 entered hoarding treatment   (22.5%) 10 came for 5 or less sessions and never engaged in hoarding treatment (25%) 21 came for over 25 sessions but never engaged in hoarding treatment   (52.5%) Number of people engaging increases when hoarding is due to OCD, ADD, Depression.  These individuals improve with treatment.

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Neziroglu Hoarding Presentation – Part 2

Hoarding Behavior vs. Normal Behavior Process of Hoarding Acquire item Use the item Consider discarding the item: evaluate its use Obsessional Thoughts Anxiety Save the item Anxiety Relief Normal Pattern of Use for Disposable Objects Acquire item Use the item Consider discarding the item: evaluate use Discard or save the item Comorbidity 75% of individuals with hoarding disorder have a

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Neziroglu Hoarding Presentation – Part 1

Evidence Based Treatment of Complex Hoarding Disorder Part 1 Fugen Neziroglu, Ph.D ABBP, ABPP, Leah Frenkiel,B.A., Claudio Clavadetscher,B.A, & Douglas Fabian,B.A Hoarding Disorder Hoarding is the acquisition of, and failure to discard, large numbers of possessions that have little use or value Compulsive Hoarding: A disorder in which a person fails to throw away worn-out or useless items, and may

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Neziroglu Presentation on OCD – Part 4

Evidence Based Treatment of Complex Obsessive-Compulsive Disorder PART 4 Fugen Neziroglu, Ph.D ABBP, ABPP, Leah Frenkiel,B.A., Claudio Clavadetscher,B.A, & Douglas Fabian,B.A Obstacles to Intensive Finances Difficult transition from weekly therapy model May appear to be overwhelming Difficult to make long term commitment Develop dependency on therapists Struggle for out of town individuals to receive adequate follow-up care Abrupt shift from

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Neziroglu Presentation on OCD Part 3

Evidence Based Treatment of Complex Obsessive-Compulsive Disorder PART 3 Fugen Neziroglu, Ph.D ABBP, ABPP, Leah Frenkiel,B.A., Claudio Clavadetscher,B.A, & Douglas Fabian,B.A CBT vs. Pharmacotherapy: Rates of Response and Remission After receiving treatment consisting of ▫         ERP alone, SRI (clompiramine), ERP and SRI (clompiramine), or Placebo Treatment responders were assessed for OCD symptoms at 12 week follow up. ERP alone or

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Neziroglu Presentation on OCD Part 2

Evidence Based Treatment of Complex Obsessive-Compulsive Disorder PART 2 Fugen Neziroglu, Ph.D ABBP, ABPP, Leah Frenkiel,B.A., Claudio Clavadetscher,B.A, & Douglas Fabian,B.A Sample Hierarchy of AIDS Contamination 95              Being in a hospital ER 90              Shaking hands with homeless person 80              Using a public bathroom 75              Getting sick (flu, vomiting, weak, bruise etc.) 70              Going to a bar in NYC 60              Touching items

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Neziroglu Presentation on OCD – Part 1: 2015 Presentation on Treatment of OCD

Evidence Based Treatment of Complex Obsessive-Compulsive Disorder Part 1 Fugen Neziroglu, Ph.D ABBP, ABPP, Leah Frenkiel,B.A., Claudio Clavadetscher,B.A, & Douglas Fabian,B.A Obsessive-Compulsive Disorder (OCD) Presence of obsessions and/or compulsions ▫         Obsessions are unwanted, intrusive, forceful thoughts/images/sounds that cause anxiety.  They cannot be suppressed or rejected ▫         Compulsions are the motor or mental acts that people feel compelled to do in

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