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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

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.