Metacognitive Therapy for Obsessive Compulsive Disorder
Metacognitive therapy (MCT) does not rely on traditional methods in which the content of thoughts and schemas are challenged and repeated exposure is required. MCT for OCD is based on a model in which metacognitive beliefs about the power and significance of thoughts underpin the development of a specific biased and counterproductive relationship with mental experiences. The individual with OCD engages in worry and rumination in response to mental events that maintains negative affect and contributes a sense of threat. One of the challenges for the MCT therapist is to step-up to the metacognitive level of conceptualisation and maintain the appropriate meta-level change process. In this workshop participants will learn the metacognitive model of OCD and how to use it to generate a meta-level case formulation. The nature of treatment and the method of maintaining appropriate level change will be described. MCT uses a set of specific techniques to alter the style of relations with thoughts and modify metacognitive beliefs, these include detached mindfulness, ritual commission, and experiments aimed at challenging metacognitive beliefs. These techniques will be described and illustrated with video and case examples. The workshop will involve didactic presentation, role plays and illustrations using patient-based material.