Programs

Back
Oval Hall - Bulgarian Red Cross

Doctor is he the right one for me? Assessment and Treatment of Relationship Obsessive Compulsive Disorder (ROCD)

Danny Derby Speaker

Doctor is he the right one for me?  Assessment and Treatment of Relationship Obsessive Compulsive Disorder (ROCD) Workshop Leader(s): Danny Derby & Lee Tibi Target Audience: Cognitive Behavioral therapist or trainees with moderate level of experience Abstract Relationship Obsessive Compulsive Disorder (ROCD) is a debilitating presentation of OCD centering on interpersonal relationships. ROCD symptoms include doubts regarding one's feelings towards a relationship partner, the partner’s feelings towards oneself, and the "rightness" of the relationship experience (relationship-centered). Another ROCD presentation involves intense preoccupation with the perceived physical (e.g., nose, body proportion, hair) and character flaws (e.g., morality, intelligence) of the relationship partner (partner-focused obsessions). ROCD symptoms have been linked with other OCD symptoms, negative affect, low self-esteem, low relationship satisfaction, attachment insecurities, and impaired sexual functioning. Further, ROCD symptoms significantly affect both individuals of the dyad. For instance, ROCD symptoms of one partner may increase ROCD symptoms in the other partner as well as fear of infidelity and jealousy in both partners. In addition to maladaptive beliefs associated with other presentations of OCD, ROCD symptoms were linked with specific vulnerability factors including particular relationships related catastrophic beliefs, extreme romantic beliefs, self-vulnerabilities and attachment vulnerabilities. In this workshop, we will describe common ROCD presentations and delineate its main features. We will present a model of ROCD and the supporting research. We will then present our modular treatment approach, using assessment to identify client-relevant maladaptive beliefs, self-perceptions and attachment representations, and propose ways to treat them using the modular approach.   Learning objectives Identify and assess ROCD symptoms Understand underlying processes involved in ROCD Address and challenge general and specific ROCD maintaining processes Fit therapeutic intervention to the specific ROCD clients The presentation will include a power point presentation, discussions, and role plays to promote understanding of ROCD-tailored assessment and treatment procedures and tools.   Implications for everyday clinical practice of CBT Assessment and Treatment guidelines, common challenges to treatment and examples of major techniques used in the modular treatment approach Dr Danny Derby Clinical Psychologist, Co-Founder of the Relationship Obsessive Compulsive Research Unit (ROCD-RU); Director of Cognetica - The Israeli Center For Cognitive and Behavioral Therapies Chair of the Israeli Association for Cognitive and Behavioral therapy (ITA); Past member of the Clinical Psychology Committee at the Israeli Ministry of Health. Lee Tibi, PhD student in clinical psychology at Ben Gurion university, Israel; She is a member of the Relationship Obsessive Compulsive Research Unit (ROCD-RU) research team and a cognitive behavioral therapist at Cognetica - The Israeli Center for Cognitive and Behavioral Therapies.   Relevant background readings Doron, G., & Derby, D. (2017). Assessment and treatment of relationship-related OCD symptoms (ROCD): A modular approach. In J. Abramowitz, D. McKay, & E. Storch (Ed.), Handbook of obsessive-compulsive disorder across the lifespan. Hoboken, NJ: Wiley. Doron, G., Derby, D. S., & Szepsenwol, O. (2014). Relationship obsessive compulsive disorder (ROCD): A conceptual framework. Journal of Obsessive-Compulsive and Related Disorders, 3(2), 169-180. Doron, G., Derby, D. S., Szepsenwol, O., & Talmor, D. (2012a). Flaws and all: Exploring partner-focused obsessive-compulsive symptoms. Journal of Obsessive-Compulsive and Related Disorders, 1(4), 234-243. Doron, G., Derby, D. S., Szepsenwol, O., & Talmor, D. (2012b). Tainted love: Exploring relationship-centered obsessive compulsive symptoms in two non-clinical cohorts. Journal of Obsessive-Compulsive and Related Disorders, 1(1), 16-24.