ACT for OCD: Control as the Problem
Key Points
- Review their home practice and their reactions to the previous session.
- Session 2 begins with the ACT concept of control as the problem.
- Through exercises and metaphors, practice attempting to control internal experiences.
- Normalize the problem-solving mindset.
- This mindset is less effective in managing our internal world.
Materials Downloads
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Transcript

Welcome! We are going to start talking about session 2 now.

At the beginning of session 2, you’re going to want to review homework with the client and then also discuss the reaction that they had to the last session. You can do this by prompting with reminders as you need to.
Twohig, M. P. (2004). ACT for OCD: Abbreviated treatment manual [Unpublished treatment manual]. University of Nevada.,Twohig, M. P., Hayes, S. C., Plumb, J. C., Pruitt, L. D., Collins, A. B., Hazlett-Stevens, H., & Woidneck, M. R. (2010). A randomized clinical trial of acceptance and commitment therapy versus progressive relaxation training for obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 78(5), 705–716.

You can ease into this conversation regarding the topic for the day, which is regarding their attempts to control obsessions, pulling from what they learned and noticed in the last session as well as from their week. And it can be helpful to review this with them before going into new content.
Twohig, M. P. (2004). ACT for OCD: Abbreviated treatment manual [Unpublished treatment manual]. University of Nevada.,Twohig, M. P., Hayes, S. C., Plumb, J. C., Pruitt, L. D., Collins, A. B., Hazlett-Stevens, H., & Woidneck, M. R. (2010). A randomized clinical trial of acceptance and commitment therapy versus progressive relaxation training for obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 78(5), 705–716.
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