Ahead of the Curve: Responses From Patients in Treatment for Obsessive-Compulsive Disorder to Coronavirus Disease 2019

Alongside concern about the physical health impacts of the coronavirus disease 2019 (COVID-19) crisis, public health officials have also raised concerns about the potential for massive mental health impact. This has led many to wonder, how are individuals with obsessive-compulsive disorder (OCD), an...

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Main Authors: Jennie M. Kuckertz, Nathaniel Van Kirk, David Alperovitz, Jacob A. Nota, Martha J. Falkenstein, Meghan Schreck, Jason W. Krompinger
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-10-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2020.572153/full
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author Jennie M. Kuckertz
Jennie M. Kuckertz
Nathaniel Van Kirk
Nathaniel Van Kirk
David Alperovitz
David Alperovitz
Jacob A. Nota
Jacob A. Nota
Martha J. Falkenstein
Martha J. Falkenstein
Meghan Schreck
Meghan Schreck
Jason W. Krompinger
Jason W. Krompinger
author_facet Jennie M. Kuckertz
Jennie M. Kuckertz
Nathaniel Van Kirk
Nathaniel Van Kirk
David Alperovitz
David Alperovitz
Jacob A. Nota
Jacob A. Nota
Martha J. Falkenstein
Martha J. Falkenstein
Meghan Schreck
Meghan Schreck
Jason W. Krompinger
Jason W. Krompinger
author_sort Jennie M. Kuckertz
collection DOAJ
description Alongside concern about the physical health impacts of the coronavirus disease 2019 (COVID-19) crisis, public health officials have also raised concerns about the potential for massive mental health impact. This has led many to wonder, how are individuals with obsessive-compulsive disorder (OCD), and especially those with contamination fears, doing in the era of COVID-19? We present data from eight patients in our residential treatment program for OCD who were admitted prior to any COVID-19 restrictions and continued in treatment at the facility during the pandemic. Much like the general population, our patients varied in the ways they were impacted by COVID-19, yet the majority experienced improvements in OCD symptoms despite the context. This is not to downplay the many ways in which our patients were personally affected by COVID-19. Rather our patients’ relatively resilient responses mirror our program’s treatment model, which emphasizes exposure and response prevention (ERP) within the complementary framework of acceptance and commitment therapy (ACT). The intention of this article is to challenge the notion that by definition this population will fare worse than the general public or that ERP cannot proceed effectively during this time. In contrast, we underscore that effective OCD treatment can and should continue in the era of COVID-19.
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spelling doaj.art-cf31cf9f26024d1185405d2cc2916a442022-12-22T03:47:20ZengFrontiers Media S.A.Frontiers in Psychology1664-10782020-10-011110.3389/fpsyg.2020.572153572153Ahead of the Curve: Responses From Patients in Treatment for Obsessive-Compulsive Disorder to Coronavirus Disease 2019Jennie M. Kuckertz0Jennie M. Kuckertz1Nathaniel Van Kirk2Nathaniel Van Kirk3David Alperovitz4David Alperovitz5Jacob A. Nota6Jacob A. Nota7Martha J. Falkenstein8Martha J. Falkenstein9Meghan Schreck10Meghan Schreck11Jason W. Krompinger12Jason W. Krompinger13Obsessive Compulsive Disorder Institute, McLean Hospital, Belmont, MA, United StatesDepartment of Psychiatry, Harvard Medical School, Boston, MA, United StatesObsessive Compulsive Disorder Institute, McLean Hospital, Belmont, MA, United StatesDepartment of Psychiatry, Harvard Medical School, Boston, MA, United StatesObsessive Compulsive Disorder Institute, McLean Hospital, Belmont, MA, United StatesDepartment of Psychiatry, Harvard Medical School, Boston, MA, United StatesObsessive Compulsive Disorder Institute, McLean Hospital, Belmont, MA, United StatesDepartment of Psychiatry, Harvard Medical School, Boston, MA, United StatesObsessive Compulsive Disorder Institute, McLean Hospital, Belmont, MA, United StatesDepartment of Psychiatry, Harvard Medical School, Boston, MA, United StatesObsessive Compulsive Disorder Institute, McLean Hospital, Belmont, MA, United StatesDepartment of Psychiatry, Harvard Medical School, Boston, MA, United StatesObsessive Compulsive Disorder Institute, McLean Hospital, Belmont, MA, United StatesDepartment of Psychiatry, Harvard Medical School, Boston, MA, United StatesAlongside concern about the physical health impacts of the coronavirus disease 2019 (COVID-19) crisis, public health officials have also raised concerns about the potential for massive mental health impact. This has led many to wonder, how are individuals with obsessive-compulsive disorder (OCD), and especially those with contamination fears, doing in the era of COVID-19? We present data from eight patients in our residential treatment program for OCD who were admitted prior to any COVID-19 restrictions and continued in treatment at the facility during the pandemic. Much like the general population, our patients varied in the ways they were impacted by COVID-19, yet the majority experienced improvements in OCD symptoms despite the context. This is not to downplay the many ways in which our patients were personally affected by COVID-19. Rather our patients’ relatively resilient responses mirror our program’s treatment model, which emphasizes exposure and response prevention (ERP) within the complementary framework of acceptance and commitment therapy (ACT). The intention of this article is to challenge the notion that by definition this population will fare worse than the general public or that ERP cannot proceed effectively during this time. In contrast, we underscore that effective OCD treatment can and should continue in the era of COVID-19.https://www.frontiersin.org/articles/10.3389/fpsyg.2020.572153/fullobsessive compulsive disorderanxietyCOVID-19coronavirusacceptance and commitment therapyexposure and response prevention
spellingShingle Jennie M. Kuckertz
Jennie M. Kuckertz
Nathaniel Van Kirk
Nathaniel Van Kirk
David Alperovitz
David Alperovitz
Jacob A. Nota
Jacob A. Nota
Martha J. Falkenstein
Martha J. Falkenstein
Meghan Schreck
Meghan Schreck
Jason W. Krompinger
Jason W. Krompinger
Ahead of the Curve: Responses From Patients in Treatment for Obsessive-Compulsive Disorder to Coronavirus Disease 2019
Frontiers in Psychology
obsessive compulsive disorder
anxiety
COVID-19
coronavirus
acceptance and commitment therapy
exposure and response prevention
title Ahead of the Curve: Responses From Patients in Treatment for Obsessive-Compulsive Disorder to Coronavirus Disease 2019
title_full Ahead of the Curve: Responses From Patients in Treatment for Obsessive-Compulsive Disorder to Coronavirus Disease 2019
title_fullStr Ahead of the Curve: Responses From Patients in Treatment for Obsessive-Compulsive Disorder to Coronavirus Disease 2019
title_full_unstemmed Ahead of the Curve: Responses From Patients in Treatment for Obsessive-Compulsive Disorder to Coronavirus Disease 2019
title_short Ahead of the Curve: Responses From Patients in Treatment for Obsessive-Compulsive Disorder to Coronavirus Disease 2019
title_sort ahead of the curve responses from patients in treatment for obsessive compulsive disorder to coronavirus disease 2019
topic obsessive compulsive disorder
anxiety
COVID-19
coronavirus
acceptance and commitment therapy
exposure and response prevention
url https://www.frontiersin.org/articles/10.3389/fpsyg.2020.572153/full
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