Treatment of aggressive obsessions in childhood obsessive-compulsive disorder

Ella L. Milliner-Oar, Jacinda H. Cadman, Lara J. Farrell

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Citation (Scopus)


In this chapter, we discuss aggressive obsessions, which are obsessions related to violence or harm towards the self or others. Aggressive obsessions are highly distressing and prevalent, with reports of 30 to 70 % of youth obsessive-compulsive disorder (OCD) sufferers experiencing these symptoms. We outline the phenomenology and background literature on aggressive obsessions and then describe the case of a 16-year-old male experiencing aggressive obsessions. Case conceptualization, assessment, and treatment using cognitive behavioural therapy with exposure and response prevention are presented, followed by a discussion of complicating factors, conclusions, and key practice points.
Original languageEnglish
Title of host publicationClinical handbook of obsessive-compulsive and related disorders
Subtitle of host publicationa case-based approach to treating pediatric and adult populations
EditorsEric A. Storch, Adam B Lewin
Place of PublicationCham, Switzerland
PublisherSpringer, Springer Nature
Number of pages21
ISBN (Electronic)9783319171395
ISBN (Print)9783319171388
Publication statusPublished - 2015
Externally publishedYes


  • OCD
  • Aggressive obsessions
  • Harm
  • CBT
  • ERP
  • Checking
  • Paediatrics
  • Family-based treatment


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