As therapists we have all experienced the painful difficulty of seeing sufferers in extreme distress and having difficulty functioning, who are refusing to follow through with treatment at any level. When confronted with a treatment refusing child, the stakes seem even higher because we know that with each passing year of dysfunction, the odds that child will recover begin to decrease. Sending the treatment refusing child to an intensive OCD inpatient program may seem like a viable solution, but such programs can be defeated by the treatment refusing child, because legally, they can’t force anyone to do treatment. We consider Strategic Pressure to be the treatment of last resort, when all else has failed.
Strategic Pressure is a treatment approach that can be used by therapists to work with the parents of treatment refusing children to pressure them into treatment. It takes into account the difficulty the parents have had with enabling and focuses as much upon helping them to gradually change their behaviors as much as the child’s. It can be used for any dependent child living at home, whether 4 or 36.
The presentation will discuss identifying clients for whom Strategic Pressure is suitable and how to educate your partners who are the parents of the treatment resistant/refusing child, in their new role. The steps to institute Strategic Pressure will be presented and illustrated with case illustrations. There are a number of phases in treatment from initial presentation to the gradual transition of the treatment refuser to a treatment user. This presentation will help therapists to navigate all of the pitfalls for each of these.
a. Be able to identify patients for whom Strategic Pressure is suitable.
b. Be able to design and implement a program of Strategic Pressure.
c. Be able to identify potential treatment pitfalls and to implement strategies to overcome them.
Audience level: Intermediate/Advanced
This webinar is eligible for 1 CE / CE Hour by APA, NBCC, the New York State Education Department's State Board for Social Work, and the California Association of Marriage and Family Therapists. This webinar meets the qualifications for 1 hour of continuing education credit for LMTs, LCSWs, LPCCs, and /or LEPs as required by the California Board of Behavioral Sciences.
Jonathan B. Grayson, Ph.D. is a licensed psychologist (PSY26643), director of the Grayson Center and Adjunct Clinical Assistant Professor of Psychiatry & the Behavioral Sciences at the University of Southern California where he lectures and supervises residents.
Dr. Grayson has been specializing in the treatment of obsessive compulsive disorder (OCD) for more than 35 years and is a nationally recognized expert and author of Freedom from Obsessive Compulsive Disorder: a Personalized Recovery Program for Living with Uncertainty, a self-help guide for sufferers.
In 2010, the International OCD Foundation awarded Dr. Grayson the Patty Perkins Lifetime Achievement Award for his devotion and contributions to the treatment of those with OCD. In October of 2010, the Association of Behavioral and Cognitive Therapies gave his book, Freedom from Obsessive Compulsive Disorder, the Self Help Book of Merit Award, recognizing his book as providing sufferers with the highest level of information about the best practices treatment for OCD.
Dr. Grayson has presented workshops and written numerous articles and book chapters for both professional and lay audiences, including two manual/ videotape sets made for the International OCD Foundation (The GOAL Handbook: R Dr. Grayson has presented workshops and written numerous articles and book chapters for both professional and lay audiences, including two manual/ videotape sets made for the International OCD Foundation (The GOAL Handbook: Running a Successful Support Group for OCD and How to Recognize and Respond to Obsessive-Compulsive Disorder in School Age Children). His work and expertise has been featured in national media.
Jonathon Grayson is an ADAA Clinical Fellow.