Clinical Case DiscussionsParent-led Behavioral Intervention for a Treatment-refusing Adult With Obsessive-Compulsive Disorder With Poor Insight and Extreme Family AccommodationLEE, ERIC B. PhD; GOODMAN, WAYNE K. MD; SCHNEIDER, SOPHIE C. PhD; STORCH, ERIC A. PhDAuthor Information LEE: at the time the report was written, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX LEE: currently, Anxiety Disorders Center/Center for Cognitive Behavioral Therapy, Institute of Living at Hartford Hospital, Hartford, CT GOODMAN, SCHNEIDER, and STORCH: Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX The authors declare no conflicts of interest. Please send correspondence to: Eric B. Lee, PhD, Postdoctoral Fellow, Anxiety Disorders Center/Center for Cognitive Behavioral Therapy, Institute of Living at Hartford Hospital, 200 Retreat Avenue, Hartford, CT 06106 (e-mail: [email protected]). Journal of Psychiatric Practice: March 2020 - Volume 26 - Issue 2 - p 149-152 doi: 10.1097/PRA.0000000000000449 Buy Metrics Abstract Obsessive-compulsive disorder (OCD) with poor insight can contribute to the refusal to receive treatment, leaving the burden of care on parents or other caregivers. The case presented here involved a young adult with OCD with delusional levels of insight paired with extreme family-accommodating behaviors that had resulted in impaired quality of life and functioning for the young adult and his parents. A parent-led behavioral intervention [The Supportive Parenting for Anxious Childhood Emotions (SPACE)] that was developed for children with anxiety was adapted and utilized for a young adult with severe OCD. The case presents a treatment option for parents and caregivers of individuals with OCD who refuse treatment. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.