This practical manual presents a cognitive-behavioral treatment program that has been proven effective in eliminating or alleviating OCD symptoms in children across a broad range of ages and aptitudes. Building upon and expanding their internationally acclaimed HOW I RAN OCD OFF MY LAND, the authors provide an empirically grounded guide to assessment, treatment planning, and skills-based intervention. Clinicians are taken through the four stages of treatment--psychoeducation, cognitive training, mapping OCD, and graded exposure and response prevention--in 13 to 20 clearly structured treatment sessions. The book is enriched by sample dialogues, "clinical pearls" drawn from the authors' own experience, and appendices featuring reproducible rating scales, patient handouts, and tips and resources for parents.

PHOTOCOPY RIGHTS: The publisher grants to individual purchasers nonassignable permission to reproduce handouts and forms in this book for clinical use with their clients. For details and limitations, see copyright page.

"This is a rare and wondrous book, clearly demonstrating that March and Mulle both know their subject and love their patients. The manual provides everything one needs to learn and do effective cognitive-behavioral therapy with children and adolescents with OCD, from theory to practical techniques to managing wrinkles and pitfalls in treatment. These strong collaborators and gifted writers have produced a work that ranks with the classics of the field. It is a 'must read' for clinicians working with child and adolescent OCD clients." --John H. Greist, MD, Distinguished Senior Scientist, Dean Foundation, and Clinical Professor of Psychiatry, University of Wisconsin Medical School

"This long-awaited guide builds upon proven cognitive-behavioral techniques to provide clinical strategies and metaphors designed specifically for young OCD sufferers. Balancing their programmatic treatment description with helpful anecdotes and explanations of key techniques, March and Mulle have produced a model treatment manual. Clinicians treating even one child with OCD symptoms should read this book." --Lee Baer, PhD, Associate Professor of Psychology, Department of Psychiatry, Harvard Medical School; author of Getting Control: Overcoming Your Obsessions and Compulsions

"...a comprehensive, state-of-the-art (and science) resource....Drawing from cognitive, behavioral, and narrative theory--not to mention more than 10 years of clinical experience--the authors present a creative, compelling, and empirically supported treatment approach for this debilitating disorder....The authors adopt a developmentally sensitive approach and provide helpful hints for tailoring each session to meet the needs of children and adolescents. The book is well organized, and the authors use clear and nontechnical language; this makes the text accessible to practitioners of various theoretical backgrounds and various levels of expertise. Overall, this book not only provides a wealth of up-to-date information on OCD to practitioners but significantly advances the field by presenting a model treatment program for a disorder that challenges even the best child clinician....March and Mulle's book fills an important gap in the child treatment literature and will likely be the recommended resource for treating OCD in youth for years to come." --Journal of Clinical Child Psychology

"...a very readable treatment manual about a cognitive-behavioral treatment protocol for pediatric obsessive-compulsive disorder....The book is writeen in a clear, straightforward, and organized style consistent with the treatment approach. It is really much more than a treatment manual, and it avoids the dry tone inherent in many treatment manuals....a highly informative and pragmatic how-to resource for a comprehensive, empirically supported cognitive-behavioral approach for pediatric obsessive-compulsive disorder....The book is likely to be very helpful to child therapist trainees, child mental health clinicians, and clinical supervisors interested in an effective treatment approach for children and adolescents with obsessive-compulsive disorder." --Psychiatric Services

"This is an excellent volume....To the clinician, March and Mulle offer a clinically sensitive, highly applicable, evidence-based treatment approach to pediatric OCD. In doing so they generously extend the hope of recovery to the many children and their loved ones whose lives are so tragically altered by this debilitating disorder." --The Journal of Psychotherapy Practice and Research

"This is a practical, useful and very readable book....The joy of this book is how clearly and concisely the steps of treatment and the role of parent as coach and then cotherapist is laid out, along with suggestions of how to evaluate treatment progress....What makes this book not just clear, but an excellent practical teaching guide, is the continuous case presentation of the treatment of an eight-year-old-girl with a germ phobia....It is unusual to have in one volume both an evidence-based review of the literature and a practical guide to educating the patient and family along with a comprehensive treatment manual." --The Canadian Child Psychiatry Review

"March and Mulle demonstrate that extensive clinical experience combined with systematic experimentation can lead to treatment manuals that successfully integrate both structure and flexibility. Their manual addresses the needs of both scientists and practitioners for developmentally sensitive treatments, in this instance, for children and adolescents with Obsessive Compulsive Disorder (OCD)....Unlike manuals correctly criticized for ignoring theory for the sake of technique, this manual emphasizes the importance of mastering the concepts underlying in the treatment as well as the techniques themselves. To aid understanding of key concepts, a table is provided that lists and explains important cognitive-behavioral terminology. Throughout, treatment-specific principles, such as externalizing OCD, are recurring themes." --Child & Family Behavior Therapy

"...a practical manual that presents a clinically tested, cognitive-behavioral program for treating OCD symptoms in children and adolescents. Despite the technical orientation of this book, family members can profit from reviewing its exposition (with minimum jargon) of the neurobiological basis of OCD and of appropriate treatment for it....a valuable contribution to current knowledge about helping OCD sufferers." --NAMI Advocate

"In an era when psychiatrists and mental health professionals increasingly are being pushed to medicate problems away quickly, it is a pleasure to read a book about a practical, proven psychotherapeutic approach to obsessive-compulsive disorder (OCD) in youth. It is even more enjoyable since a leading child and adolescent psychopharmacologist is co-author. This book is an excellent illustration of thoughtful and skillful integration of effective treatments based on demonstrated outcomes....The book includes plenty of practical advice and clinical wisdom....Illustrative, clinical vignettes are smoothly woven into the text. Each section and chapter contains concise summaries of the material presented." --Psychiatric Times

"...a state-of-the-art presentation of OCD-specific cognitive-behavioral psychotherapy....The manual is broad-based, extending to such supplemental interventions as anxiety management and relaxation training, and to such topics as working with families and schools....Clinicians will find this manual especially useful, as will others wishing to cover up-to-date treatment modalities." --Readings

John S. March, MD, MPH, is Director of the Program in Child and Adolescent Anxiety Disorders at Duke University Medical Center. An expert in both the cognitive-behavioral and medication management of OCD in children and adolescents, Dr. March received the 1994 Norbert and Charlotte Reiger Award from the American Academy of Child and Adolescent Psychiatry for his work on the integrated treatment of OCD. Dr. March is widely published in the areas of OCD, PTSD and pediatric psychopharmacology. His textbook, Anxiety Disorders in Children and Adolescents, is generally considered the standard work in the area. With Dr. Edna Foa, Dr. March is currently conducting a comparative study of medication, CBT and their combination in pediatric OCD funded by the National Institutes of Mental Health.

Karen Mulle, BSN, MTS, MSW, is the chief therapist in the Program in Child and Adolescent Anxiety Disorders at Duke University Medical Center.