Re: Experience with home visits by therapist?

October 15, 2011

Home visits can be very helpful, but your daughter has to agree to at least try

it. If she is completely refusing, it seems like this is not the right

time--especially if she is making improvement with the current plan. And, yes

the home visits are more expensive.

(mom w/OCD, 11.5 dd yo w/OCD, 9 yo dd w/ tic disorder)

________________________________

To:

Sent: Saturday, October 15, 2011 9:23 AM

Subject: Experience with home visits by therapist?

Hi everyone,

Does anyone have experience with having your therapist come to your home to do

exposure with your child?

Our therapist keeps mentioning that she offers home visits to do extensive

exposure work (basically, " contaminating " the entire house and then doing

exposure with our 10-year-old). As she explained it, there would be no " safe "

place for my daughter, so she would not be able to avoid her fears by avoiding

her bedroom, for example.

When I asked her for more info, she said that ideally we'd be doing these types

of visits twice a month.

My daughter is dead-set against this. She says it feels like an invasion of

privacy to have the therapist come here and prefers that my husband and I do the

exposure homework with her.

I'm concerned about the cost, too. Because we would have to pay for travel time,

the fee would be 3-4 times an office visit. Due to some other issues, this is a

huge concern right now.

Since my daughter is showing steady improvement with weekly therapy sessions and

homework (no meds at this point), I'm questioning whether home visits are

necessary or whether we can safely continue without them.

Thanks for any input you have to offer,

------------------------------------

Our list archives feature may be accessed at:

http://health.groups.yahoo.com/group// by scrolling down to the

archives calendar . Our links may be accessed at

http://health.groups.yahoo.com/group//links . Our files may be

accessed at

http://health.groups.yahoo.com/group//files .

Our list advisors are Gail B. , Ed.D.(http://www.ocdawareness.com ), Tamar

Chansky, Ph.D.( http://www.worrywisekids.org ), and Dan Geller, M.D. (

http://www.massgeneral.org/doctors/doctor.aspx?ID=18068 ). You may ask a

question of any of these mental health professionals by inserting the words " Ask

Dr.(insert name) " in the subject line of a post to the list. Our list

moderators are Castle, BJ, and Barb Nesrallah. You may contact the

moderators at -owner . OCDKidsLoop membership

may be accessed at http://health.groups.yahoo.com/group/ocdkidsloop/ . Our

group and related groups are listed at

http://health.groups.yahoo.com/group/ocdsupportgroups/links . IOCDF treatment

providers list may be viewed at

http://www.ocfoundation.info/treatment-providers-list.php .

NLM-NIH Drug Information Portal may be viewed at

http://druginfo.nlm.nih.gov/drugportal/drugportal.jsp?APPLICATION_NAME=drugporta\

l . IOCDF recommended reading list may be accessed at

http://www.ocfoundation.org/Books.aspx . IOCDF glossary of terms may be

accessed at http://www.ocfoundation.org/glossary.aspx . IOCDF membership link

may be accessed at http://www.ocfoundation.net/membership/ . Drugs.com pill

identification wizard may be accessed at http://www.drugs.com/imprints.php .

Mayo Clinic Drug and Herb Index may be accessed at

http://www.mayoclinic.com/health/drug-information/DrugHerbIndex .Yahoo! Groups

Links

October 15, 2011

Home visits can be very helpful, but your daughter has to agree to at least try

it. If she is completely refusing, it seems like this is not the right

time--especially if she is making improvement with the current plan. And, yes

the home visits are more expensive.

(mom w/OCD, 11.5 dd yo w/OCD, 9 yo dd w/ tic disorder)

________________________________

To:

Sent: Saturday, October 15, 2011 9:23 AM

Subject: Experience with home visits by therapist?

Hi everyone,

Does anyone have experience with having your therapist come to your home to do

exposure with your child?

Our therapist keeps mentioning that she offers home visits to do extensive

exposure work (basically, " contaminating " the entire house and then doing

exposure with our 10-year-old). As she explained it, there would be no " safe "

place for my daughter, so she would not be able to avoid her fears by avoiding

her bedroom, for example.

When I asked her for more info, she said that ideally we'd be doing these types

of visits twice a month.

My daughter is dead-set against this. She says it feels like an invasion of

privacy to have the therapist come here and prefers that my husband and I do the

exposure homework with her.

I'm concerned about the cost, too. Because we would have to pay for travel time,

the fee would be 3-4 times an office visit. Due to some other issues, this is a

huge concern right now.

Since my daughter is showing steady improvement with weekly therapy sessions and

homework (no meds at this point), I'm questioning whether home visits are

necessary or whether we can safely continue without them.

Thanks for any input you have to offer,

------------------------------------

Our list archives feature may be accessed at:

http://health.groups.yahoo.com/group// by scrolling down to the

archives calendar . Our links may be accessed at

http://health.groups.yahoo.com/group//links . Our files may be

accessed at

http://health.groups.yahoo.com/group//files .

Our list advisors are Gail B. , Ed.D.(http://www.ocdawareness.com ), Tamar

Chansky, Ph.D.( http://www.worrywisekids.org ), and Dan Geller, M.D. (

http://www.massgeneral.org/doctors/doctor.aspx?ID=18068 ). You may ask a

question of any of these mental health professionals by inserting the words " Ask

Dr.(insert name) " in the subject line of a post to the list. Our list

moderators are Castle, BJ, and Barb Nesrallah. You may contact the

moderators at -owner . OCDKidsLoop membership

may be accessed at http://health.groups.yahoo.com/group/ocdkidsloop/ . Our

group and related groups are listed at

http://health.groups.yahoo.com/group/ocdsupportgroups/links . IOCDF treatment

providers list may be viewed at

http://www.ocfoundation.info/treatment-providers-list.php .

NLM-NIH Drug Information Portal may be viewed at

http://druginfo.nlm.nih.gov/drugportal/drugportal.jsp?APPLICATION_NAME=drugporta\

l . IOCDF recommended reading list may be accessed at

http://www.ocfoundation.org/Books.aspx . IOCDF glossary of terms may be

accessed at http://www.ocfoundation.org/glossary.aspx . IOCDF membership link

may be accessed at http://www.ocfoundation.net/membership/ . Drugs.com pill

identification wizard may be accessed at http://www.drugs.com/imprints.php .

Mayo Clinic Drug and Herb Index may be accessed at

http://www.mayoclinic.com/health/drug-information/DrugHerbIndex .Yahoo! Groups

Links

October 15, 2011

Hi ,

Thanks so much for your input - I appreciate it.

>

> Home visits can be very helpful, but your daughter has to agree to at least

try it. If she is completely refusing, it seems like this is not the right

time--especially if she is making improvement with the current plan. And, yes

the home visits are more expensive.

>

> (mom w/OCD, 11.5 dd yo w/OCD, 9 yo dd w/ tic disorder)

>

> ________________________________

>

> To:

> Sent: Saturday, October 15, 2011 9:23 AM

> Subject: Experience with home visits by therapist?

>

> Hi everyone,

>

> Does anyone have experience with having your therapist come to your home to do

exposure with your child?

>

> Our therapist keeps mentioning that she offers home visits to do extensive

exposure work (basically, " contaminating " the entire house and then doing

exposure with our 10-year-old). As she explained it, there would be no " safe "

place for my daughter, so she would not be able to avoid her fears by avoiding

her bedroom, for example.

>

> When I asked her for more info, she said that ideally we'd be doing these

types of visits twice a month.

>

> My daughter is dead-set against this. She says it feels like an invasion of

privacy to have the therapist come here and prefers that my husband and I do the

exposure homework with her.

>

> I'm concerned about the cost, too. Because we would have to pay for travel

time, the fee would be 3-4 times an office visit. Due to some other issues, this

is a huge concern right now.

>

> Since my daughter is showing steady improvement with weekly therapy sessions

and homework (no meds at this point), I'm questioning whether home visits are

necessary or whether we can safely continue without them.

>

> Thanks for any input you have to offer,

>

> ------------------------------------

>

> Our list archives feature may be accessed at:

http://health.groups.yahoo.com/group// by scrolling down to the

archives calendar . Our links may be accessed at

http://health.groups.yahoo.com/group//links . Our files may be

accessed at

> http://health.groups.yahoo.com/group//files .

> Our list advisors are Gail B. , Ed.D.(http://www.ocdawareness.com ),

Tamar Chansky, Ph.D.( http://www.worrywisekids.org ), and Dan Geller, M.D. (

http://www.massgeneral.org/doctors/doctor.aspx?ID=18068 ). You may ask a

question of any of these mental health professionals by inserting the words " Ask

Dr.(insert name) " in the subject line of a post to the list. Our list

moderators are Castle, BJ, and Barb Nesrallah. You may contact the

moderators at -owner . OCDKidsLoop membership

may be accessed at http://health.groups.yahoo.com/group/ocdkidsloop/ . Our

group and related groups are listed at

http://health.groups.yahoo.com/group/ocdsupportgroups/links . IOCDF treatment

providers list may be viewed at

http://www.ocfoundation.info/treatment-providers-list.php .

> NLM-NIH Drug Information Portal may be viewed at

>

http://druginfo.nlm.nih.gov/drugportal/drugportal.jsp?APPLICATION_NAME=drugporta\

l . IOCDF recommended reading list may be accessed at

http://www.ocfoundation.org/Books.aspx . IOCDF glossary of terms may be

accessed at http://www.ocfoundation.org/glossary.aspx . IOCDF membership link

may be accessed at http://www.ocfoundation.net/membership/ . Drugs.com pill

identification wizard may be accessed at http://www.drugs.com/imprints.php .

Mayo Clinic Drug and Herb Index may be accessed at

http://www.mayoclinic.com/health/drug-information/DrugHerbIndex .Yahoo! Groups

Links

>

October 15, 2011

Hi ,

Thanks so much for your input - I appreciate it.

>

> Home visits can be very helpful, but your daughter has to agree to at least

try it. If she is completely refusing, it seems like this is not the right

time--especially if she is making improvement with the current plan. And, yes

the home visits are more expensive.

>

> (mom w/OCD, 11.5 dd yo w/OCD, 9 yo dd w/ tic disorder)

>

> ________________________________

>

> To:

> Sent: Saturday, October 15, 2011 9:23 AM

> Subject: Experience with home visits by therapist?

>

> Hi everyone,

>

> Does anyone have experience with having your therapist come to your home to do

exposure with your child?

>

> Our therapist keeps mentioning that she offers home visits to do extensive

exposure work (basically, " contaminating " the entire house and then doing

exposure with our 10-year-old). As she explained it, there would be no " safe "

place for my daughter, so she would not be able to avoid her fears by avoiding

her bedroom, for example.

>

> When I asked her for more info, she said that ideally we'd be doing these

types of visits twice a month.

>

> My daughter is dead-set against this. She says it feels like an invasion of

privacy to have the therapist come here and prefers that my husband and I do the

exposure homework with her.

>

> I'm concerned about the cost, too. Because we would have to pay for travel

time, the fee would be 3-4 times an office visit. Due to some other issues, this

is a huge concern right now.

>

> Since my daughter is showing steady improvement with weekly therapy sessions

and homework (no meds at this point), I'm questioning whether home visits are

necessary or whether we can safely continue without them.

>

> Thanks for any input you have to offer,

>

> ------------------------------------

>

> Our list archives feature may be accessed at:

http://health.groups.yahoo.com/group// by scrolling down to the

archives calendar . Our links may be accessed at

http://health.groups.yahoo.com/group//links . Our files may be

accessed at

> http://health.groups.yahoo.com/group//files .

> Our list advisors are Gail B. , Ed.D.(http://www.ocdawareness.com ),

Tamar Chansky, Ph.D.( http://www.worrywisekids.org ), and Dan Geller, M.D. (

http://www.massgeneral.org/doctors/doctor.aspx?ID=18068 ). You may ask a

question of any of these mental health professionals by inserting the words " Ask

Dr.(insert name) " in the subject line of a post to the list. Our list

moderators are Castle, BJ, and Barb Nesrallah. You may contact the

moderators at -owner . OCDKidsLoop membership

may be accessed at http://health.groups.yahoo.com/group/ocdkidsloop/ . Our

group and related groups are listed at

http://health.groups.yahoo.com/group/ocdsupportgroups/links . IOCDF treatment

providers list may be viewed at

http://www.ocfoundation.info/treatment-providers-list.php .

> NLM-NIH Drug Information Portal may be viewed at

>

http://druginfo.nlm.nih.gov/drugportal/drugportal.jsp?APPLICATION_NAME=drugporta\

l . IOCDF recommended reading list may be accessed at

http://www.ocfoundation.org/Books.aspx . IOCDF glossary of terms may be

accessed at http://www.ocfoundation.org/glossary.aspx . IOCDF membership link

may be accessed at http://www.ocfoundation.net/membership/ . Drugs.com pill

identification wizard may be accessed at http://www.drugs.com/imprints.php .

Mayo Clinic Drug and Herb Index may be accessed at

http://www.mayoclinic.com/health/drug-information/DrugHerbIndex .Yahoo! Groups

Links

>

October 16, 2011

I agree with .

Yay for your daughter, working on exposures and making progress!

Sounds like you do have a good OCD therapist too, and not all make home visits.

Good that it is available in case there is a point later that your daughter

could benefit from one.

>

> Home visits can be very helpful, but your daughter has to agree to at least

try it. If she is completely refusing, it seems like this is not the right

time--especially if she is making improvement with the current plan. And, yes

the home visits are more expensive.

>

> (mom w/OCD, 11.5 dd yo w/OCD, 9 yo dd w/ tic disorder)

>

October 16, 2011

I agree with .

Yay for your daughter, working on exposures and making progress!

Sounds like you do have a good OCD therapist too, and not all make home visits.

Good that it is available in case there is a point later that your daughter

could benefit from one.

>

> Home visits can be very helpful, but your daughter has to agree to at least

try it. If she is completely refusing, it seems like this is not the right

time--especially if she is making improvement with the current plan. And, yes

the home visits are more expensive.

>

> (mom w/OCD, 11.5 dd yo w/OCD, 9 yo dd w/ tic disorder)

>

October 16, 2011

Thanks for your email, Chris!

I have been hesitant to push my daughter into a home visit, especially since she

IS making progress and has such a good attitude about doing her exposure

assignments. I think we'll hang tight for now and see how things unfold.

> >

> > Home visits can be very helpful, but your daughter has to agree to at least

try it. If she is completely refusing, it seems like this is not the right

time--especially if she is making improvement with the current plan. And, yes

the home visits are more expensive.

> >

> > (mom w/OCD, 11.5 dd yo w/OCD, 9 yo dd w/ tic disorder)

> >

>

October 16, 2011

Thanks for your email, Chris!

I have been hesitant to push my daughter into a home visit, especially since she

IS making progress and has such a good attitude about doing her exposure

assignments. I think we'll hang tight for now and see how things unfold.

> >

> > Home visits can be very helpful, but your daughter has to agree to at least

try it. If she is completely refusing, it seems like this is not the right

time--especially if she is making improvement with the current plan. And, yes

the home visits are more expensive.

> >

> > (mom w/OCD, 11.5 dd yo w/OCD, 9 yo dd w/ tic disorder)

> >

>

October 18, 2011

Bonnie,

I agree that home therapy is great; we have had several home visits a few years

ago. But, as you said the patient must be willing.