Abstract
This report describes the effective outpatient treatment of a severely debilitated elderly woman with a primary diagnosis of obsessive-compulsive disorder. Her seemingly intractible disorder, of 55 years' duration, had remained unremitted after numerous hospitalizations and a wide range of treatments, including antidepressants, neuroleptics, electroconvulsive therapy, and psychotherapy. An intensive behavioral treatment program, consisting of exposure and response prevention, was conducted on an outpatient basis using undergraduate college students as paraprofessional aides. The client's obsessive-compulsive symptomatology and her overall life quality showed dramatic and enduring improvement. College students serving as paraprofessionals represent a valuable resource for the implementation of intensive behavioral treatments.
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