Clinical management of obsessions related to suicide and overlap with acute suicidality

Suicide-related obsessions pose a special challenge to clinicians who treat OCD, especially when this phenomenology is present in patients suffering from depression and acute suicidality. This live, interactive webinar will first address the theoretical foundation of exposure and response prevention (ERP), the psychotherapy with the strongest empirical foundation for OCD, and the application of ERP to the treatment of various OCD subtypes based on obsessional content. Next, we will delve into the specific use of ERP in patients whose clinical presentation includes obsessions about suicide. The...Read more complicating factor of comorbid depression, acute suicidality, and suicidal behavior will then be considered, as it is critical to balance ERP’s fundamental stance of approaching obsessional content directly while reducing avoidance behavior with empirically-supported methods used to manage suicidal thoughts and behaviors, which often involves a collaborative, tailored safety plan. Strategies for assessing suicidal intent versus obsessional thoughts with corresponding treatment strategies will be discussed. This complex phenomenology can be observed in adults and adolescents; therefore, content and case presentations will span the developmental spectrum. Diversity will also be integrated throughout the program given the credible scientific evidence that experiencing microaggressions exacerbates symptom severity in OCD and depression. Ample time will be allocated for a moderated Q&A session.

The webinar’s content is specifically relevant to practicing clinicians in that it builds upon knowledge gained in training about the cognitive-behavioral treatment of OCD, depression, and suicidal thoughts and behaviors but focuses on areas of subspecialty that most clinicians have not been specifically trained to address. Methods espoused throughout the webinar will be brought through the crucial lens of sound scientific practice methods, which includes empirical grounding of theory and, by extension, the recommended clinical procedures. Less...

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Learning Objectives

  • Recognize OCD patients for whom obsessions related to suicide are a primary part of the clinical picture, and how to apply at least two of the principles and procedures of ERP in such cases.
  • Differentiate symptoms of OCD related to suicide from symptoms of depression and acute suicidality, and to list at least two situations when ERP’s tenets and procedures do and do not apply depending on clinical phenomenology.
  • Identify at least one situation when treatment should proceed in accordance with ERP protocols, and one when it needs to be modified to directly address acute suicidality and suicidal behaviors.

Learning Levels

  • Intermediate

Friday, September 22, 2023

Live Interactive Webinar

01:00 PM EDT - 02:30 PM EDT

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EARN 1.5 CE Credit Hours
After registering, you will receive a confirmation email from CE-Go (support@ceactivities.com), not Rogers. Please be sure to check your junk/spam folder for this email.

About the speaker

Martin E. Franklin, PhD

Martin E. Franklin, PhD

Executive Clinical Director of OCD and Anxiety Services
Dr. Franklin an internationally renowned expert on OCD, OC-spectrum disorders, and body-focused repetitive behaviors, as well as the study and treatment of anxiety and related conditions. In addition to providing oversight of OCD and Anxiety programs system-wide for Rogers Behavioral Health, Dr. Franklin is an associate professor emeritus of clinical psychology in psychiatry at the University of Pennsylvania Perelman School of Medicine.

Agenda

1 pm ET Welcome and speaker introduction

1:05 pm Recognition of obsessions related to suicide and clinical application of ERP in such cases

  • ERP theory and implications for practice
  • Clinical application of ERP depending on obsessional content
  • Recognizing when obsessions related to suicide are present, and treatment planning in such cases

1:25 pm Differentiation of suicidal obsessions from acute suicidality, and clinical management of both

  • Obsessions related to suicide vs. acute suicidality: differentiation
  • Clinical management of obsessions related to suicide and acute suicidality when both are present in the same patients
  • Navigating the back and forth between the approach/confrontation inherent in ERP and the recommended avoidance/distraction strategies when managing acute suicidality

1:45 pm Application of ERP and behavioral treatments for suicidality including safety planning when phenomenology of both OCD and suicidality are present

  • ERP in action when patients have both phenomenologies
  • Clinical and supervisory responsibilities in clinical management of both
  • Implications of risk factors that exacerbate both conditions such as microaggressions and other negative life events (e.g., job loss, functional impairment)

2:15 pm Moderated Q&A

2:28 pm Closure

CE Information - Earn 1.5 CE Credit Hours

CE Approvals

American Psychological Association
Rogers Behavioral Health is approved by the American Psychological Association to sponsor continuing education for psychologists. Rogers Behavioral Health maintains responsibility for this program and its content. Rogers Behavioral Health designates this live program for 1.5 continuing education credits; no partial credits will be awarded.
Association of Social Work Boards
Rogers Behavioral Health, provider number 1101, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org, through the Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory board have the final authority to determine whether an individual course may be accepted for continuing education credit. Rogers Behavioral Health maintains responsibility for this course. Approval period: October 18, 2020 – October 18, 2023. Social workers completing this course receive 1.5 clinical continuing education credits.
National Board for Certified Counselors
Rogers Behavioral Health has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6192. Programs that do not qualify for NBCC credit are clearly identified. Rogers Behavioral Health is solely responsible for all aspects of the programs. 1.5 instructional clock hours will be awarded.
Other Professionals
Rogers Behavioral Health will issue a certificate of attendance for your participation in this activity.

CE Process Info

Each professional is responsible for the individual requirements as stipulated by his/her licensing agency. Please contact your individual licensing board/regulatory agency to review continuing education requirements for licensure renewal.

Participants must be logged in for the entire program to be eligible to receive CE credit. Participants who complete the webinar will receive an email from support@ce-go.com with the link to with a link to their personal dashboard, where they may complete the evaluation form and download their CE certificate.

Disclosure

The presenter has declared that he does not, nor does his family have, any financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the presentation. The presenter has declared that he does not have any relevant non-financial relationships. Additionally, all planners involved do not have any financial relationships. Further, Rogers Behavioral Health does not accept commercial support for its CE programs.