The program is a unique opportunity to get intensive training in cognitive-behavior therapy – and specifically exposure and response prevention (ERP) therapy to help reduce OCD symptoms. ERP is an empirically validated form of cognitive-behavioral therapy in which prolonged and direct contact with fearful stimuli without engaging in compulsive behaviors or avoidance in order to diminish anxiety and other distressing emotions. There is considerable research support for the effectiveness of ERP in significantly reducing OCD symptoms.
Patients attend the OCD Intensive Treatment Program Monday-Friday for 6 weeks, from 9am-1pm. Each day, they have 1 hour of therapy, 1 hour of group therapy and 2 hours of exposure practice. The psychology extern would be trained to conduct exposure/response prevention practices. Based on extern availability, the psychology extern could also assist in one weekly group therapy session (we run 5 different groups).
We have clinic rooms for exposure sessions (rooms 2303, 2305, 2207,2209, 2214), two conference rooms (2214 & 2216), and a trainee room with a computer and internet access and phone (2210). Trainees will not be required to use a pager and because primary therapeutic care is provided by lead therapists and not by the externs, patients are instructed to contact primary therapists and not the externs.
Delineation of supervisory responsibilities:
Supervision involves group supervision for 1 hour, twice a week provided by a licensed clinical psychologist (S. Motivala, Ph.D. lic # PSY21159), with mandated supervision training. Supervision includes didactics, readings and journal discussion as well as clinical review. Extern will also be required to attend weekly team meetings. Documentation includes a supervision log, written feedback by supervisor of strengths, areas to work on and overall review. At the end of rotation, extern will fill out an extern evaluation form (modeled after UCLA Semel Institute teaching evaluation form).
Training occurs during initial 2 weeks of exposure therapy session observation, one-on-one role playing and review (conducted by Dr. Motivala) and subsequent observation of extern conducting exposure sessions by Dr. Motivala. Based on progress, extern can then conduct exposures on their own.