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Copy of Squidward... OCD?

ap psych final project
by

Maria Wadowska

on 19 February 2013

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Transcript of Copy of Squidward... OCD?

Conclusion And one more thing... is here Biological Basis! Squidward+ OCD? Sam, Sunny, Justina, and Rachel:) Character's Background Squidward, a main character on Nickelodeon's Spongebob is a stuck up grumpy snob who considers himself very sophisticated, scholarly, and overall talented. In reality, Squidward is untalented and below average. He becomes angered quickly and just about everything annoys him. The thing that annoys him the most above everything however is his neighbor and fellow employee at the Krusty Krab, Spongebob Squarepants. Spongebob is the only one who appreciates Squidward's daily clarinet playing, dance routines, and "artistic abilities". It is unclear what kind of neural coding is responsible for the development of symptoms related to OCD as well as the resolution. However, studies have shown that people with OCD have malfunctions in their CNS. Brain imaging studies have also shown that patients with OCD tend to have lower levels of serotonin than those of the average person (serotonin is the neurotransmitter that can keep obsessive thoughts at a healthy level). Humanistic Perspective Squidward strives to meet his full potential and self actualize. However, due to a low self worth, he continues to struggle with his self confidence and is therefore stuck in the esteem category on Maslow's hierarchy of needs. He also seems to be stuck in the love and belonging category- he has no friends nor family, though Spongebob certainly thinks differently. Squidward has developed OCD due to conditioning as a child. He was operantly conditioned to over work and to remain extremely organized. Through this conditoning, he was taught to be obsessive to the point of no control. Behavioral Explanation Behavioral Therapy One of the most effective and popular therapy treatments for OCD is exposure and response prevention (ERP). ERP involves exposing the patient to the anxiety provoked by his/her obsessions and then preventing the patient from the use of rituals to reduce anxiety. This cycle continues until the patient is no longer influenced by obsessions and/ or compulsions. ERP usually takes place in 15-20 90 minute sessions. While some therapists prefer a more gradual approach to the treatment of OCD, others prefer a more direct approach known as flooding. Although this is effective for about 2/3 of people, it involves facing one's deepest fears directly. This causes many people to dropout of treatment before it is completed. Biological Therapy Most commonly, antidepressants are used first to try to treat patients with OCD. Antidepressants tend to be helpful to patients because they can increase serotonin levels which are lacking in people with OCD. Antidepressants that have been cleared through the FDA for specifically treating OCD include: Clomipramine (Anafranil), Fluvoxamine (Luvox), Fluoxetine (Prozac)
Paroxetine (Paxil, Pexeva), and Sertraline (Zoloft). This treatment option may not actually treat the patient, rather it simply suppreses obsessive behaviors. Patients may have to be on these drugs forever to maintain control of the OCD. Cognitive Behavior Therapy CBT is a form of therapy that focuses on how we think and feel in what we do. CBT is a general classification for a variety of therapies all with the same basic characteristics, ex. rational emotive therapy. CBT is based on the idea that our thoughts cause your actions, not external things like people and different situations. In order for CBT to be effective, the client must put in as much effort as the therapist. While a good relationship must be developed between the patient and the therapist, it is not the main focus of this therapy. CBT takes place in a Socratic setting so that the therapist can thoroughly understand the patient's concerns and problems. CBT is very similar in some ways to humanistic therapies. Explanation of Therapy Choices We chose to use antidepressants on Squidward to treat his OCD because it is the most sure way his symptoms will be controlled. Pharmacotherapy is the strongest treatment option for patients with OCD (biological). By using antidepressants, the cause of his OCD would be attacked directly. We chose CBT as Squidward's other option because he will have to show a certain level of commitment to treat himself. CBT does not work if the patient does not want to be treated. If Squidward can show that he wants to be treated, he is less likely to relapse.
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