Evidence for using cognitive-behavioral therapy (CBT) for the treatment of obsessive-compulsive disorder (OCD) in young people emphasizes the use of exposure with response prevention (ERP) as the key ingredient. CBT with a cognitive focus is used more often in adults, and comparatively there is less evidence for its use with young people. Although a significant proportion of young people with OCD respond well to CBT using ERP, a subset does not. Therefore, there is a need to consider alternative approaches. This case study describes the treatment of a 15-year-old girl with severe OCD using a cognitive approach. This case identifies the criteria used to make the decision to use a cognitive over an ERP approach and highlights the differences between the treatments. This case study demonstrates the merit of considering the cognitive approach to treatment of OCD for some young people.

中文翻译：

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年轻人对强迫症的治疗：在CBT中使用C。

使用认知行为疗法（CBT）来治疗年轻人的强迫症（OCD）的证据强调了使用以反应预防（ERP）作为关键成分的接触。具有认知焦点的CBT在成年人中使用较多，而在年轻人中使用CBT的证据也相对较少。尽管有很大一部分OCD的年轻人使用ERP对CBT的反应很好，但是其中一部分没有。因此，有必要考虑替代方法。本案例研究描述了使用认知方法治疗重度强迫症的15岁女孩。该案例确定了用于决定使用ERP上的认知方法的标准，并强调了治疗之间的差异。