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Clinical Case Studies, Vol. 5, No. 6, 522-540 (2006)
DOI: 10.1177/1534650105278456

Relapse Following Successful Intensive Treatment of Pediatric Obsessive-Compulsive Disorder

A Case Study

Stephen P. Whiteside

Mayo Clinic, whiteside.stephen{at}mayo.edu

Jonathan S. Abramowitz

Mayo Clinic

This case study describes the use of intensive exposure and response prevention (ERP) for the treatment of pediatric obsessive-compulsive disorder (OCD). The adolescent described in this report lives a long distance from treatment providers with expertise in managing severe OCD symptoms. Thus, he has to travel out of town for effective therapy. The treatment program results in substantial immediate benefits. However, gradual relapse is noted once treatment is over and the patient returns to his home environment. Obstacles to the accessibility of ERP for pediatric OCD, conducting successful treatment, and generalizing and maintaining gains are discussed with the aim of drawing attention to, and facilitating the prevention of, these difficulties. Suggestions for addressing the shortcomings highlighted by this case are presented.

Key Words: obsessive-compulsive disorder • adolescents • intensive treatment • exposure and response prevention • treatment failure


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