Tic Disorders
Give an example of a simple tic
eye-blinking
OCD is characterized by the presence of ______ and/or _________.
Obsessions and compulsions
Name 3 sites of the body in which hair pulling could occur
scalp, eyelashes, eyebrows, pubic hair
Name one of the nine measurement scales in the Worden et. al (2017) article
SIHD, DIAMOND, SCID2, CIR, CGI-HDS, SI-R, Readiness Ruler, CSQ-8, MINI
Name 2 co-morbid disorders associated with OCD and tic-related disorders
anxiety, depression, bi-polar, substance use
Give an example of a complex tic
tapping, straightening objects, multiple word vocalizations
What is the most common and empirically supported intervention for OCD?
exposure and response prevention therapy
What two components of the 4 term contingency are most likely manipulated in treatment for Trichotillomania?
Antecedents and consequences
Why was HD (hoarding disorder) recently differentiated from OCD in the DSMV?
Hoarding had a relatively poor response to traditional OCD therapy (exposure and response prevention) and medication.
Name a commonly picked site for those diagnosed with Excoriation
face, arms, hands
Evidence suggests that most tics are maintained by what
Automatic negative reinforcement
Provide another name (in ABA terms) for response prevention
escape extinction
Name two reasons why direct observation of antecedents and consequences of TTM is problematic
A behavior that is often not performed in the presence of others
Functional antecedents and consequences are often private events
Describe the contingency management for the participants in the Worden et. al (2017) article.
Received GCR (money) contingent upon reductions in points on the CIR scale.
Name two other obsessive-compulsive related disorders
Body dysmorphic disorder and Excoriation
Name three categories of tic disorders
Tourettes, persistent motor/vocal tic disorder, provisional tic disorder, unspecified tic disorders
What percentage of people diagnosed with OCD experience suicidal thoughts?
50%
Trichotillomania is more likely to occur when _____
The individual is alone and not engaged in activities
Where did Worden and colleagues conduct this study?
(It's close to home!)
IOL, Hartford Hospital
Patients using exposure and response prevention therapy will likely be ready to discontinue treatment when:
They recognize the importance of not suppressing obsessive thoughts and are able to reframe from ritualizing.
Give an example of how you would provide a behavior-analytic intervention for an individual with a tic disorder
CBIT, habit reversal, functional analysis, mindfulness, self-monitoring, DRI
Give an example of when you would use imaginal exposure
There are a number of feared consequences that one is not able to expose the participant to in vivo.
Explain why response blocking would not be an effective intervention for hair-pulling. Be sure to include EO's in your answer.
It doesn't address the EO (anxiety) or SD (rule-governed verbal behavior) that precedes the hair pulling. It also doesn't teach any coping skills and/or replacement behaviors
Name two myths from the Worden et. al (2017) study and explain why
-CM bribes patient using external reinforcement and minimizes internal reinforcement
-CM doesn't provide lasting skills
-Cost and burden is too high
Using the four-term contingency, explain how you would provide an effective intervention for someone with Body Dysmorphic Disorder
EO
SD
Response
Consequence