PCH Treatment Center is one of a handful of programs in the country that offers an evidence-based approach to treating Obsessive Compulsive Disorder (OCD). Under the directorship of Dr. Flavio Marenco, PCH has constructed a stand alone OCD Residential Treatment featuring Cognitive Therapy, Exposure and Response Prevention and medication management. This behavioral approach differs from the PCH General Program, which is centered around a psychodynamic model. There are many outside residential treatment centers that “treat” OCD, but very few offer this evidence-based model. PCH clients who enter the OCD program, however, have all the resources and treatment modalities available to them from our other programs, including psychodynamic therapies; they also participate in the PCH Family Program.
The Obsessive-Compulsive Disorder OCD Residential Treatment Los Angeles at PCH Treatment Center is predicated on the assumption that OCD is a serious and debilitating neuropsychiatric condition that requires a highly specialized and comprehensive treatment approach. In order to overcome the disorder and restore quality of life in persons with OCD, treatment needs to be tailored to each person’s specific symptoms and the functional impairment those symptoms cause. Dr. Flavio Marenco is the director of the PCH Treatment Center OCD Program. Dr. Marenco is a licensed psychologist who specializes in the treatment of OCD, Hoarding Disorder and other anxiety-based disorders. He completed his post-doctoral clinical training at UCLA, which included three years in the OCD Intensive Treatment Program at the Resnick Neuropsychiatric Institute and Hospital. At PCH Treatment Center, a personalized treatment plan is developed and employed that addresses each patient’s unique OCD presentation. Under Dr. Marenco’s guidance, PCH Treatment Center offers an empirically supported core OCD program that relies on Exposure and Response Prevention (ERP) which is the gold standard therapeutic approach for OCD. ERP is supplemented by Cognitive Therapy, another treatment of choice for OCD and anxiety-based disorders and pharmacological management (medication) as appropriate.
In addition to these cognitive and behavioral staples PCH integrates cutting-edge complementary interventions to address co-existing psychiatric conditions frequently accompanying OCD. OCD typically affects the entire family due to the nature of the disorder and the behavioral accommodation family members develop over time. Thus, family involvement is an integral part of the treatment program at PCH. The client with OCD works with a team of experienced doctoral-level therapists and residential counselors trained in the delivery of ERP. The OCD treatment team provides continuous support and guidance in a safe and supportive milieu for those OCD patients who require the most immersive treatment with residential option due to the severity of their condition. PCH also offers an OCD Day Treatment Program for those who can benefit from a stepped-down version of the immersive program and for those who are ready to transition to a less acute level of care. The PCH Treatment Center OCD team also includes a psychiatrist for the pharmacological management of OCD and related disorders.
- Comprehensive psychological assessment and treatment plan
- Exposure and response prevention (ERP) treatment
- Cognitive therapy (CT)
- General education about anxiety and OCD
- Tailored education about individual symptoms and management
- Family discussion and education about OCD
- Integrated follow-up and relapse prevention plan
- Relaxation skills using multicomponent strategies including mindfulness practices, muscle-relaxation, guided imagery, slowed breathing training and neurofeedback.
- Complementary treatment modalities for co-occurring psychological issues
What is Obsessive-Compulsive Disorder (OCD)?
Obsessive-compulsive disorder (OCD) is a disabling, chronic neuropsychiatric condition characterized by distressing, intrusive thoughts (obsessions), and/or repetitive, ritualistic behaviors (compulsions). Individuals with OCD report obsessions that include preoccupations with dirt or germs, worries that something harmful may befall them or others, fearing that a routine behavioral act such as locking the door or shutting off the stove was carried out incorrectly, as well as concerns with order and symmetry. Additionally, obsessions can present in the form of aggressive impulses and violent images of a sexual, religious, or blasphemous nature. Uncertainty and pathological doubt are central features of the disorder, as individuals with OCD display an impaired sense of knowing. Overestimation of danger and an inflated sense of responsibility are additional features of the disorder. Some patients are also concerned with fears of shouting obscenities in public. OCD sufferers struggle with the disorder for an average of 15 years before they find effective treatment. This is due in part to the limitations of conventional therapeutic approaches and the scarcity of therapeutic resources for OCD patients and their families.