Danger Ideation Reduction Therapy (DIRT)

Danger Ideation Reduction Therapy treatment, clinic in Brisbane

DIRT [Danger Ideation Reduction Therapy] for Obsessive Compulsive Washers

DIRT [Danger Ideation Reduction Therapy] for Obsessive Compulsive WashersDIRT for washers is a unique evidence-based program and an anxiety treatment to treat people suffering from obsessive–compulsive disorder (OCD) specifically, OCD washers whose behaviour is characterised by expectancies of danger. Unlike many traditional OCD treatments, DIRT is based on the rationale that the therapist should provide as much factual information as possible to decrease the expectancy of illness or disease and thus reduce the high dropout rate seen in conventional OCD exposure and response prevention programs. The program consists of six discrete treatment components aimed at reducing the number of intrusive thoughts experienced and concurrently allowing the client to successfully change the remaining thoughts and beliefs related to illness and contamination. The components may be used selectively or concurrently, as and how a therapist decides is appropriate for individual clients. The treatment components are attentional focusing, cognitive restructuring, corrective information, microbiological experiments, filmed interviews and the probability of catastrophe task. Included in the program is a DVD of 8 filmed interviews about risk assessment.

Outcome

DIRT has been shown to be a highly successful treatment, able to shift even the most intractable of cases. Randomised control studies have established that DIRT represents a viable alternative to the standard behavioural approach.

DIRT [Danger Ideation Reduction Therapy] for Obsessive Compulsive Checkers

DIRT [Danger Ideation Reduction Therapy] for Obsessive Compulsive Checkers

DIRT for Checkers is a unique new evidence-based treatment program designed to specifically reduce expectancies of danger or threat in those with Obsessive Compulsive Disorder (OCD) with predominant checking concerns. Unlike many traditional OCD treatments, DIRT is based on the rationale that the therapist should provide as much factual information as possible to decrease the expectancy that harmful events such as the fear of fire, damage, theft, harm to others and other physical losses will follow any failure to check and thus reduce the high dropout rate seen in conventional OCD exposure and response prevention programs. DIRT consists of six discrete treatment components aimed at reducing the number of intrusive thoughts experienced and concurrently allowing the client to successfully change the remaining thoughts and beliefs. The treatment includes attentional focusing, cognitive restructuring, double-checking experiments, corrective information, filmed interviews, probability of catastrophe task.

Outcome

DIRT has been shown to be a highly successful treatment package for OCD, able to shift even the most intractable of cases. Randomised control studies have established that DIRT represents a viable alternative to the standard behavioural approach.

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