
Treatment of OCD in Children and Adolescents: Professional's Kit, Third Edition
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NEW! This updated third-edition provides therapists with a youth-friendly cognitive-behavioral therapy approach to treating OCD in children and adolescents. It integrates updates in the scientific research on CBT, and provides expanded sections on challenging forms of OCD, including Intrusive Thoughts, Scrupulosity and Just-Right OCD.
"This is truly a “soup to nuts” guide for creative and effective therapy by a consummate clinician. It is certainly a resource I will recommend to newer therapists, but seasoned therapists will also find much wisdom herein to polish, refresh and enrich their work."
Charles S. Mansueto, Ph.D.
Founder/Director, Behavior Therapy Center of Greater Washington
IOCDF Scientific & Clinical Advisory Board Member
"Wagner’s approachable writing style and insightful analogies make even the most complex aspects of OCD treatment feel manageable and easily digestible. This is a go-to resource that I cannot recommend enough to both new and experienced clinicians."
Elizabeth McIngvale, PhD., LCSW, Director, OCD Institute of Texas, Board of Directors, International OCD Foundation
Includes:
· Teaching Tools: Visual Aids for In-Session Use
· Assessment and Treatment Forms, ready to print and use
· Tools for Youth to use In-Session and Home
· Step-by-step, practical guidance
· Clinical tips, detailed examples, and “what to say” scripts
Specific Strategies for:
· Cultivating treatment readiness
· Fostering self-efficacy
· Collaborating with parents
· Challenges in treatment
· Relapse prevention
Benefits of the Worry Hill Approach:
· Clinically flexible approach
· User-friendly, versatile, universal analogies, metaphors and acronyms
· Incorporates science with the art of CBT
· Insights and clinical pearls gleaned from over 25 years of experience
· Leverages the synergy of the child-parent-therapist team
· Developmentally-sensitive
This kit includes:
- Treatment of OCD in Children and Adolescents: A Cognitive-Behavioral Therapy Manual (Third Edition)
- Treatment of OCD in Children and Adolescents: Teaching Tools (Third Edition), both printed spiral-bound and downloadable PDF versions.
- Feeling Thermometers (4)
- The Worry Hill RIDE Steps (4)
- Forms for assessment and treatment, ready to print and use, downloadable PDFs. (A CD is no longer provided with this product.)
Based on Dr. Wagner’s well-known Worry Hill approach, this manual provides therapists with a clinically-flexible, developmentally-sensitive, and highly practical framework for the treatment of OCD in children and adolescents. In addition to guiding therapists through the use of exposure plus response prevention, it also covers methods for building rapport with youths and their families, conducting the diagnostic assessment, addressing complex symptom presentations, working with parents, and managing other treatment interfering behaviors such as therapy noncompliance. An accompanying set of teaching tools and treatment forms adds to the already considerable value of this book. Initially published in 2003, this third edition of Dr. Wagner’s therapy manual clearly reflects her two plus decades of experience as a master clinician in the treatment of childhood OCD.
John Piacentini, Ph.D. ABPP
Professor of Psychiatry and Biobehavioral Sciences
Director, UCLA Child OCD, Anxiety and Tic Disorders Program,
and the UCLA Center for Child Anxiety Resilience Education and Support
A welcome update to a classic resource in the field. Dr. Wagner’s Worry Hill metaphor is a brilliant device for teaching younger clients about the nature of OCD and the critical importance of exposure and response prevention. This manual provides a wealth of information for therapists; it is packed with insights that contribute to the understanding of OCD and its proper treatment, and offers detailed and novel approaches. Dr. Wagner’s two complementary books using the Worry Hill device for parents and children provide a unique, “wraparound package” for the treatment of pediatric OCD.
There is so much to like about this manual, including a carefully-considered incorporation of recent developments in the field like inhibitory learning, cognitive therapy and acceptance and commitment therapy, as applied to pediatric OCD treatment. Still valuable are Dr. Wagner’s emphases on effective communication with clients and families, the role of parents for treatment facilitation, the provision of auxiliary materials for comprehensive assessment and treatment, the solutions provided for challenges in treatment, and the illumination offered by numerous case examples found throughout the manual. This is truly a “soup to nuts” guide for creative and effective therapy provided by a consummate clinician. It is certainly a resource I will recommend to newer therapists, but seasoned therapists will also find much wisdom herein to polish, refresh and enrich their work.
Charles S. Mansueto, Ph.D.
Founder/Director, Behavior Therapy Center of Greater Washington
IOCDF Scientific & Clinical Advisory Board Member
“Wagner’s manual is one of the most comprehensive and practical resources available for clinicians treating pediatric OCD. As someone deeply committed to OCD advocacy and treatment, I can attest to how impactful this manual is in guiding clinicians through effective, evidence-based care for families and patients. The combination of real-life case examples, structured treatment steps, and user-friendly worksheets equips clinicians with the tools they need to confidently support the entire family system. Wagner’s approachable writing style and insightful analogies make even the most complex aspects of OCD treatment feel manageable and easily digestible. This is a go-to resource that I cannot recommend enough to both new and experienced clinicians.
Elizabeth McIngvale, PhD., LCSW,
Director, OCD Institute of Texas, nationally recognized advocate and speaker,
Board of Directors, International OCD Foundation
“I am thrilled that the 3rd edition is now available! And I am certain this response will be echoed globally by professionals who work with OCD-affected children, youth and families. Dr. Wagner is a highly respected clinician and a gifted teacher of clinicians, reasons for which become vividly clear in reading this book. She promotes the best, evidence-based CBT approach for OCD—exposure and response prevention (ERP). My favorite aspect of this book is its ability to weave in teaching of complex concepts for the clinician with concrete suggestions and homework examples for families. The colorful visual aids and forms are relatable and appropriate. Dr. Wagner’s decades of experience are reflected by the pragmatic, insightful approach she promotes to best tackle childhood OCD."
S. Evelyn Stewart, M.D.,
Professor of Psychiatry, University of British Columbia
Author: OCD in Children and Adolescents: The OCD Is Not the Boss of Me Manual
“Wagner has provided an impactful contribution in the third edition of her CBT for childhood OCD treatment manual. This manual clearly describes how to effectively treat youth with OCD using a family-oriented exposure therapy framework that uses evidence-based tried-and-true principles. Wagner’s manual is a must-read for any clinician who is working with youth with OCD.”
Eric A. Storch, Ph.D.,
McIngvale Presidential Endowed Chair,
Vice Chair, & Professor Baylor College of Medicine

Aureen Pinto Wagner, Ph.D. is a clinical child psychologist who developed the child-friendly Worry Hill® approach to CBT. She is a member of the Scientific and Clinical Advisory Board of the International OCD Foundation. Dr. Wagner has provided cognitive-behavioral treatment for children, teens and adults with anxiety, OCD, and related conditions, as well as their parents at The Anxiety Wellness Center for over 25 years.
Dr. Wagner is the author of over ten books and professional kits for clinicians, children and parents. She has been awarded the Self-Help Book Recommendation by the Association of Behavioral and Cognitive Therapies for the highest level of evidence-based best practices for her books Worried No More: Help and Hope for Anxious Children, Up and Down the Worry Hill: A Children's Book about Obsessive-Compulsive Disorder, and What to do when your Child has Obsessive-Compulsive Disorder: Strategies and Solutions. The latter two books, along with this OCD treatment manual, comprise the only integrated set of resources for children with OCD, their parents, and their therapists.
Dr. Wagner provides both in-person and virtual workshops and consultations for clinicians, parents and schools. She has been training therapists to provide CBT to children, teens and adults, and has been on the invited faculty of the International OCD Foundation’s Behavior Therapy Training Institute since 2000.
Dr. Wagner received her education at the University of Iowa, Yale University Child Study Center and Brown University Bradley Hospital. She was Clinical Associate Professor of Neurology (1998-2010) and Assistant Professor of Psychiatry (1991-1998) at the University of Rochester School of Medicine & Dentistry, and also served as Adjunct Associate Professor of Psychiatry at the University of North Carolina School of Medicine.