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Obsessive-Compulsive Disorders Treatment Program
Program description: Adolescent & Adult Programs
The Menninger Obsessive-Compulsive Disorder (OCD) Treatment Program provides a hospital treatment program for adolescents, 12 to 17, and a program for adults, age 18 and older, who have severe OCD, anxiety disorders or OCD spectrum disorders, as well as coexisting conditions.
The treatment team collaborates with patients and provides evidence-based treatment 24 hours a day, seven days a week.
The centerpiece of The Menninger Clinic’s approach is supporting each patient to do the difficult work needed for the treatment to be effective. Treatment integrates behavioral, milieu and medication therapies aimed at reducing OCD symptoms and coexisting conditions. Together, the patients and treatment team create an atmosphere for change to reduce obsessions and compulsions. Patients benefit from treatment tailored to their needs, as well as from participating in groups with peers.
Upon admission, the team conducts an assessment of OCD symptoms and aids the patient in creating a hierarchy of the symptoms, which leads to the development of a behavior plan. A behavior plan specifies what the treatment team will support the patient in addressing on a weekly basis and starts at a manageable level of anxiety.
The cognitive behavior therapist works closely with the patient to create a flexible plan to tackle OCD. Both the members of the treatment team and the patient are responsible for the integrity of the exposure-ritual prevention group. Every effort is made to capitalize on each opportunity.
In addition to behavior planning, the staff and patients review treatment goals weekly in the areas of symptom management, healthy living and aftercare. Patients receive feedback about their progress toward the goals from fellow patients and staff. These feedback sessions provide powerful motivation for the patient to change and to accept increasing amounts of control over their treatment and recovery.
Treatment features at least two hours of daily exposure and ritual prevention, as well as self-directed exposure at least three times a week.
Symptom- and diagnosis-specific treatment is available based on needs of the patient population.
Comprehensive services
The program features flexibility for individual support, skill building and education about OCD and symptom management. Lengths of stay vary according to a person’s clinical needs and goals.
Services include:
- Intensive treatment and support in a safe, comfortable environment
- Medication management
- Individual cognitive-behavior therapy
- Psychotherapy, as prescribed
- Family therapy and education
- Treatment for coexisting disorders, such as eating problems or history of trauma, through the hospital’s other programs
- Therapeutic activities and recreation
- Cultural and spiritual values
Specialized groups in the program enable patients to focus on:
- Exposure and ritual prevention
- Daily and weekly treatment goal setting and review
- Cognitive-behavior therapy skills
- Motivation
- Social skills and assertiveness
- Health management
- Family and relationship issues
- Relapse prevention
- Stress management
- Life skills management
Follow-up services are available, including the opportunity to return to Menninger for a therapeutic booster session and supervision for the primary therapist in the patient’s home area.
Treatment team
A multidisciplinary treatment team is assembled for each patient, including cognitive-behavior therapists, the psychiatrist, nursing staff and an activity therapist. Involvement of a chemical dependency counselor, neuropsychologist and other specialists will vary in time and intensity based on the patient’s clinical status and intensity of care.
As a teaching hospital, Menninger treatment teams include psychiatry residents and other mental health trainees. The residents and trainees work closely with senior clinical staff and assist the treatment team rather than serving in a primary treatment role.
Initial assessments and evaluations are provided by the cognitive-behavioral therapist, who designs the behavior treatment plan with the patient.
Additional support is provided by other members of the treatment team, as well as by behavior therapists and other staff. The behavior therapists are trained to help patients with OCD and to implement behavior therapy techniques.
Family support
Family members are encouraged to increase their understanding of OCD through the program’s family support and education activities. Family may be involved in the treatment process and participate in family therapy sessions when appropriate.
The treatment team offers a full-day family workshop to provide support and psychoeducation and allow families to share resources with one another. Family members are encouraged to participate. Staff members provide psychoeducation about OCD and the effect it has on family relationships. They also coach family members on how to work with loved ones to fight their illness and help them boost their recovery.
Ongoing communication
Communication with family members and referring professionals is a priority. With consent of the patient, the treatment team updates family members and referring professionals with requested progress reports. This communication also helps ensure effective planning for follow-up treatment after discharge from Menninger.
For help & information
Please call our Admissions staff. They offer assistance with admission, insurance benefits and payment for services.
- 800-351-9058 and 713-275-5000
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