Behavioral Contracting for OCD Reassurance and Family Accommodation

Behavioral Contracting for Family Accommodation in OCD is a collaborative response-prevention contract for OCD practitioners, clients, and family members. It helps them agree how relatives will respond to reassurance requests and other OCD demands in a planned, revisable way.

ERPPlanIntervention planningProgress reviewOCDFamily accommodationBehavior changeFamilies

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Tool guide

Learn more about this tool

Use this background section to understand when the tool fits, how practitioners use it, and what to consider before sharing it with clients.

When It Is Used

Use it when ERP requires family members to reduce reassurance or other accommodation without abrupt, unclear, or one-sided withdrawal.

What It Captures

It captures target requests, old responses, new agreed responses, gradual steps, feared consequences or barriers, status, review dates, and revisions.

Important Limits

The tool does not create generic coping plans, family motivation judgments, symptom scores, or invented ERP rules.

Is this only for reassurance seeking?

No. It can cover reassurance requests and other family accommodation demands in OCD ERP context.

Can abrupt withdrawal concerns be represented?

Yes. The contract can include gradual withdrawal steps where immediate change is not workable.

What makes a target active?

A target becomes active when there is agreement on the situation covered, the replacement response, and the current step or status.

Does the tool write scripts for the family?

No. The practitioner, client, and family enter the agreed responses; the tool does not invent scripts.