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Augmenting ERP With Attachment-Based Family Therapy: A Case Report in Residential OCD Treatment
Journal article - Case Report   Peer reviewed

Augmenting ERP With Attachment-Based Family Therapy: A Case Report in Residential OCD Treatment

Meredith Hettler, Elyssa Steinberg, Payne Winston-Lindeboom, Guy Diamond, Brad Riemann and Michael Roeske
Journal of cognitive psychotherapy, v 40(2), pJCP-2025-0017.R1
25 Nov 2025
DOI: https://doi.org/10.1891/JCP-2025-0017
PMID: 41290390

Abstract

residential treatment young adult obsessive–compulsive disorder Family Therapy
Obsessive-compulsive disorder (OCD) is a debilitating, often chronic condition with symptoms that are time-consuming and can cause distress or impairment. OCD can involve and have a significant impact on families. Although calls for family-inclusive treatment for OCD exist, results on its effectiveness are mixed. This case report presents Jane, a young adult with OCD in psychiatric residential treatment, and how her symptoms were profoundly affected and maintained in part by maladaptive family processes. Attachment-based family therapy is used in conjunction with exposure and response prevention to reduce Jane's symptoms, minimize family accommodations, address underlying family processes, and improve family dynamics. Treatment outcomes were assessed through standardized tools, clinician observations, and patient self-reports. By the conclusion of treatment, Jane saw reductions in OCD, anxiety, and depressive symptoms, an increase in well-being, and improved family communication. Implications and recommendations will be discussed.

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