Addressing Obsessive-Compulsive Behavior in Autism with Functional Behavior-based CBT

The Clinician's Manual and its accompanying workbook, I Believe in Me, Not OCB! are the first known manuals to combine cognitive behavioral therapy and applied behavior analysis to treat obsessive-compulsive behavior (OCB) in children and youth with autism. The Clinician's Manual serves as a practical guide for therapists, beginning with chapters that explain the theoretical underpinnings of OCBs, adaptations for autism, and guidance on clinical and functional behavioral assessment that are key to administering the nine treatment sessions that follow. Our evidence-based treatment incorporates functional behavioral assessment, CBT skills training, caregiver coaching, and social skills activities in a nine-week progressive program. Caregiver and child report data inform progress throughout the program. Generalization and maintenance are promoted through weekly caregiver coaching modules. Treatment can be delivered in a group or individual format and focuses on reducing OCBs with the ultimate goal of increasing quality of life. The manual provides all clinician, child, and caregiver instructions as well as materials to implement functional behavior-based CBT with precision. These manuals are a vital resource for clinicians working with autistic children and youth and their families.

Tricia Vause is a professor at Brock University and a registered clinical psychologist and behavior analyst. She is internationally recognized for her work in treating OCB in young people with autism. Nicole Neil is the associate dean of research in the Faculty of Education at Western University. Her research and practice involve interdisciplinary approaches to applied behavior analysis. Brianna M. Anderson is a PhD candidate at Brock University's child and youth studies department and has teaching, research, and clinical experience in applied behavior analysis, autism, and developmental disabilities. Maurice A. Feldman is a professor emeritus at Brock University, registered clinical psychologist, and behavior analyst. He is internationally recognized for his research in parenting and developmental disabilities.

1. Obsessive Compulsive Behavior in Autism 2. Clinical Assessment 3. Functional Assessment and Function-Based Intervention 4. Embedded Social Skills Curriculum for Children with Autism 5. Considerations for Running Sessions 6. Session 1: Session Expectations, Rapport Building, and Introduction to Psychoeducation 7. Session 2: Learning About Obsessions, Being the Boss, and Mapping of OCBs 8. Session 3: CBT Skills Training and Beginning E/RP for First OCB 9. Session 4: Progress Review of First OCB and Tackling New OCBs 10. Session 5: Continued OCB Mapping and Gradually Moving Up the Hierarchy 11. Session 6: Relapse Prevention and Introducing More Flexibility with OCBs 12. Session 7: Relapse Prevention, Generalization, and Introducing More Flexibility with OCBs 13. Session 8: Relapse Prevention, Generalization, and Tackling Final OCBs 14. Session 9: Revisiting Quality of Life, Wrap-Up, and Graduation