Internet-based cognitive-behavioural therapy for Obsessive-Compulsive Disorder

This is a therapist-assisted, 12-week internet-based treatment adapted from a manualised face-to face CBT program (Systematic Treatment for Obsessive-compulsive Phenomena or STOP Therapy). OCD STOP consists of 12 modules where users complete one module per week for the duration of treatment. Each module takes approximately 1 hour to complete. Modules 1-3 provide information about OCD, anxiety, and an introduction to CBT, along with anxiety and depression management strategies (e.g., relaxation, activity scheduling). In Modules 4-6, Exposure and Response Prevention (ERP) strategies are introduced through the construction of hierarchies. These teach the participant to plan and implement an ERP program suited to their individual problem. Due to heterogeneity of the disorder, participants are provided with a range of examples to correspond to various presentations. Modules 7-9 include cognitive therapy techniques (e.g., cognitive restructuring) targeting OCD specific cognitive styles (such as inflated responsibility/overestimation of threat, importance/control of thoughts). As part of this, cognitive misappraisals are identified and alternatives developed and practiced; and more advanced ERP, integrating cognitive strategies is undertaken. Modules 10-12 include relapse preventions strategies (e.g., problem solving, risk identification, contingency management, and mindfulness techniques). The importance of daily practice is emphasised and discussions focus on enablers of and barriers to maintenance of CBT. Therapist assistance for OCD STOP is in the form of weekly emails communication from a registered psychologist. All therapists will strictly adhere to the Australian Psychological Society Code of Ethics and the state registration board in providing online services.