Psychological treatment of trihotillomania: A case study

2017 ◽  
Vol 41 (S1) ◽  
pp. S417-S417
Author(s):  
T. Sarmiento Luque ◽  
J.M. Sanchez

This paper presents a clinical case of trichotillomania. Therefore, the aim of this study is to present in detail the procedure followed in a case of trichotillomania in a public health context, using cognitive-behavioral techniques, in order to deepen the knowledge of the efficacy of these treatment procedures and demonstrate the feasibility of implementation.The results obtained show significant improvements in different clinical aspects: first, the hair pulling behavior disappeared completely; moreover, anxiety diminished significantly and mood normalized. All these results allow us to conclude that the intervention was successful.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Author(s):  
Dylan A. Mordaunt

Recently in Environmental Research and Public Health, Helm and colleagues reported on a systematic review of healthcare process mining (HPM) case reports, focusing on the reporting of technical and clinical aspects and discussing standardisation terms in future HCM reports utilising existing ontologies [...]


1992 ◽  
Vol 6 (2) ◽  
pp. 125-136 ◽  
Author(s):  
Irene H. Oestrich

This case study is of particular interest because it highlights phenomena that behavior therapists have not described until recently. Such phenomena are regarded as important to an understanding and appreciation of the holistic and complex functioning of human beings. Michael Mahoney and other cognitive therapists (Eelen & Fontaine, 1986, Mahoney, 1980, Mahoney, 1986) have brought our attention to the unconscious processes, psychological self-focus, dynamic conflicts and childhood experiences that may be essential issues in therapy. These personal processes may be very important in coping with anxiety, especially anxiety that derives from early stages of development. The description of this case is an attempt to show how cognitive-behavioral techniques can lead to disclosure in psychotherapy and help a client who suffers from panic attacks. The case study describes how a 47-year-old, married woman, Laura, a victim of incest in early childhood, was helped through cognitive-behavioral psychotherapy. The intense experiences of encroachment and invasion involved in incest are described, together with a demonstration of how cognitive methods are useful in uncovering tacit or unconscious processes. Methods used are in essence similar to well- known treatment procedures with clients suffering from panic attacks (Hawton, Salkovskis, Kirk, & Clark, 1989). In addition, the highly damaging phenomenon of incest in this case involves obstacles of resistance and brings us into deeper levels of interpretation and understanding.


2015 ◽  
Vol 44 (3) ◽  
pp. 374-379 ◽  
Author(s):  
Bethany L. Gelinas ◽  
Heather Hadjistavropoulos

Background: Although mental illness anxiety is described in the literature, there is very little information on which to draw when treating individuals who present with fears and worries about mental health. In fact, we identified no previous case descriptions focused on this form of anxiety and treated from a cognitive behavioral perspective. Aims: The current case study aims to advance the understanding of the clinical picture of mental illness anxiety, and facilitate the understanding of how cognitive behavioral techniques for health anxiety can be effectively adapted and implemented for such a case. Method: A case study approach was adopted in which a baseline condition and repeated assessments were conducted during an 8-week treatment and 2-month follow-up period. In the current case study, we discuss the assessment, conceptualization, and cognitive behavioral treatment of a 24-year old woman who presented with mental illness anxiety. Several common health anxiety assessment tools and cognitive behavioural techniques were adapted for her particular clinical presentation. Results: Consistent with research evidence for health anxiety, significant improvements in health anxiety and anxiety sensitivity were seen after eight sessions of therapy and maintained at 2-month follow-up. Conclusions: The results provide preliminary evidence that cognitive behavioral techniques for health anxiety can be effectively and efficiently adapted for mental illness anxiety. However, the lack of available research pertaining to mental illness anxiety contributes to challenges in conceptualization, assessment and treatment.


2016 ◽  
Vol 33 (S1) ◽  
pp. S561-S561
Author(s):  
M. Silva ◽  
A.R. Figueiredo ◽  
A. Fornelos ◽  
P. Macedo ◽  
S. Nunes

IntroductionTinnitus is defined as the subjective or objective perception of a hearing sensation in the absence of a corresponding external stimulus. It is a very common medical symptom, and some studies show that 5 to 15% of adults had tinnitus in life. It is a condition that could be chronic and for some patients could be very debilitating. Anxiety and depression are common findings in patients with tinnitus. Tinnitus can also interfere with sleep and concentration and affect the quality of life of patients. The heterogeneity of the etiology, pathophysiology and clinical features of tinnitus probably exacerbate the variability of response to treatment of the population and the decision on the best treatment option could be complex.ObjectivesThe purpose of this study is try to understand how the psychotherapeutic interventions may be useful in the treatment of tinnitus.MethodsBibliographic research in Pubmed.ResultsCurrently there are no available effective pharmacological treatments. In some cases, surgical interventions may be effective with respect to ear pathology, but not to tinnitus. Most studies show that psychological interventions are needed to reduce the distress and the impact caused by tinnitus in patients’ lives and the cognitive-behavioral therapy is the primary therapeutic intervention in chronic tinnitus.ConclusionAlthough cognitive-behavioral techniques demonstrated to be effective in the treatment of the distress and impact caused by tinnitus, little is known about the mechanisms by which this technique achieves this effect, therefore most authors suggest that further studies should be conducted in this area.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2015 ◽  
Vol 6 ◽  
Author(s):  
Cristina Giner-Bartolomé ◽  
Ana B. Fagundo ◽  
Isabel Sánchez ◽  
Susana Jiménez-Murcia ◽  
Juan J. Santamaría ◽  
...  

2016 ◽  
Vol 12 (1) ◽  
pp. 39
Author(s):  
Stephen J.F. Holland

<p>Robert Cohen&rsquo;s case study of Daniel gives an excellent example of the potential for integrating cognitive-behavioral techniques within a psychoanalytically informed psychotherapy.&nbsp; Dr. Cohen introduces exercises from Acceptance and Commitment Therapy (ACT) into his work with a patient who has become stuck after a long period of good progress in therapy.&nbsp; The use of active techniques from ACT appears to have allowed the patient to make further progress.&nbsp; However, integrating a full range of interventions from first-, second-, and third-wave cognitive-behavioral treatments might have offered additional benefits to the patient as well as providing for a more complete theoretical integration between cognitive-behavioral and psychoanalytic approaches.</p>


2001 ◽  
Vol 15 (2) ◽  
pp. 75-86 ◽  
Author(s):  
Michael F. Detweiler ◽  
Anne M. Albano

Obsessive-compulsive disorder (OCD) comprises both cognitive and behavioral components. It is not surprising, therefore, that there has been a considerable emphasis on applying cognitive-behavioral techniques in the treatment of obsessive-compulsive disorder for the past 20 or so years. Although a great number of individuals afflicted with obsessive-compulsive disorder are suffering from cognitive symptoms, the success rate in using traditional cognitive-behavioral techniques in targeting these covert symptoms has unfortunately been somewhat low. This article provides a case study utilizing a cognitive-behavioral treatment used to successfully treat obsessive-compulsive disorder in a 10-year-old Caucasian male with severe “just right” cognitive compulsions. Treatment outcome is discussed in terms of various assessment measures administered at pre-treatment, post-treatment, and 3-month follow-up, as well as weekly monitoring forms.


Sign in / Sign up

Export Citation Format

Share Document