Abstract
Although several studies have shown behavioral treatment to be effective for adults with OCD, there are relatively few reports of this treatment in younger populations. This paper describes a standardized outpatient program for the behavioral treatment of child and adolescent OCD. Three case reports are presented to illustrate several unique features of the treatment, including a built-in reward program and concurrent family treatment sessions. Two patients responded well to the treatment and maintained their gains over a one-year follow-up interval, but the third patient, whose treatment was complicated by severe familial dysfunction, showed only minimal to moderate improvement. The importance of expanding available treatments to address the specific needs of OCD youngsters and the need for standardized treatments to facilitate systematic comparison of different treatment modalities are addressed.
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