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The protocol used in the POTS (March et al. 2004) consists of 14 visits over 12 weeks spread across five phases: 1) psychoeducation, 2) cognitive training, 3) mapping OCD, 4) exposure and response prevention, and 5) relapse prevention and generalization training. Except for weeks 1 and 2, when patients come twice weekly, all visits are 1 hour per week. There is one between-visit, 10-minute telephone contact scheduled during each of weeks 3 through 12. Each session includes a statement of goals, review of the preceding week, provision of new information, therapist-assisted practice, homework for the coming week, and monitoring procedures.

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FIGURE 23–2. Theoretical basis of cognitive-behavioral treatment (exposure and response prevention).

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