This comprehensive and clinically-focused volume offers a therapeutic framework for understanding and treating intrusive thoughts and compulsions in adolescents with OCD. By bridging theory and practice, it provides clinicians with the tools to explore the emotional and symbolic dimensions of OCD, fostering deeper therapeutic engagement.

Grounded in post-Kleinian and Bionian theory, the book offers a structural reading of obsessive-compulsive symptoms, shifting focus from surface content to the psychic architecture beneath. Through vivid clinical vignettes, annotated transcripts and practical interventions, Marcus Lewton equips clinicians with the skills to recognise and address the unique emotional stances adolescents take toward their OCD symptoms. The book integrates psychoanalytic insights with structured cross-modal approaches such as Exposure Response Prevention and Cognitive Behavioural Therapy, emphasising patience, attunement and the symbolic meaning behind compulsions. Alongside detailed clinical material, the book provides guidance on tracking emotional and relational movement in therapy, communicating with parents and working thoughtfully with complex dynamics in adolescent treatment.

This book is ideal for clinicians across disciplines — from psychologists and psychiatrists to social workers and educators — working with adolescents experiencing OCD. It is a valuable resource for advanced students and researchers in child and adolescent mental health, offering a nuanced perspective that combines psychoanalytic depth with evidence-based practices.