THE EFFECT OF TREATMENT OF A COMORBID ANXIETY DISORDER ON PSYCHOTIC SYMPTOMS IN A PATIENT WITH A DIAGNOSIS OF SCHIZOPHRENIA: A CASE STUDY

2002 ◽  
Vol 30 (3) ◽  
pp. 347-350 ◽  
Author(s):  
John Good
Keyword(s):  
Anxiety Disorder ◽  
Social Phobia ◽  
Single Case ◽  
Psychotic Symptoms ◽  
Single Case Study ◽  
Comorbid Anxiety ◽  
Stress Vulnerability ◽  
Clinical Level ◽  
Effect Of Treatment

This case study deals with the effect of treatment of social phobia on psychotic symptoms in a patient with a diagnosis of schizophrenia. Stress vulnerability models were used to provide a rationale for treatment. The phobia was treated using standard CBT techniques while the therapist avoided any direct treatment of the psychotic symptoms. Scores for social phobia reduced to a sub clinical level over the course of treatment and the psychotic symptoms rapidly abated. Although only a single case study and therefore impossible to generalize to a wider patient group the study would seem to suggest that treatment of comorbid anxiety disorders can effect psychotic symptoms. Some thoughts are presented as to why this might be the case.

Cognitive behavioural therapy in the treatment of social skills deficits and social phobia in a man with an autism spectrum disorder: a single-case study

2016 ◽  
Vol 9 ◽  
Author(s):  
Mark A. Turner ◽  
Neil Hammond
Keyword(s):  
Social Skills ◽  
Social Anxiety ◽  
Social Phobia ◽  
Single Case ◽  
Behavioural Therapy ◽  
Autism Spectrum ◽  
Single Case Study ◽  
Cognitive Behavioural

AbstractAutism spectrum disorders (ASD) including high-functioning types such as Asperger's syndrome (AS) are diagnosed when there is evidence of a triad of qualitative impairments in social interaction, communication, and stereotyped/repetitive behaviours. It is not uncommon for these impairments to be accompanied by social anxiety. The present single-case study investigates the use of cognitive behavioural therapy (CBT) to treat a 47-year-old man who was assessed as having difficulties with social skills and social phobia in the context of a late diagnosis of AS. He received 20 h of CBT adapted for his AS in 15 sessions including a 1-month follow-up. Following a highly individualized formulation, treatment included modelling, role-playing, reinforcement, thought challenging, and behavioural experimentation. Results from five self-report measures showed continued improvements from the start of therapy to follow-up in social anxiety, global distress, depression and self-esteem. The client gave positive feedback about his experience of treatment. The case study is discussed with reference to limitations and some reflections for CBT in ASD.

A New Cognitive Treatment for Social Phobia: A Single-Case Study

1998 ◽  
Vol 12 (4) ◽  
pp. 289-302 ◽  
Author(s):  
Anthony Bates ◽  
David M. Clark
Keyword(s):  
Social Phobia ◽  
Single Case ◽  
Cognitive Model ◽  
Focused Attention ◽  
Safety Behaviors ◽  
Single Case Study ◽  
Negative Beliefs ◽  
Retrieval Strategies ◽  
History Of

A recent cognitive model of social phobia which pays particular attention to the maintenance of the disorder is outlined. Within this model self-focused attention, safety behaviors, and selective retrieval strategies interact to prevent social phobics from disconfirming their negative beliefs about the way they appear to others. The model suggests specific clinical interventions which target each of the maintaining factors and which also address key interpersonal assumptions particular to this disorder. The successful 12-session cognitive application of this model to a 30-year-old woman with a 13-year history of the problem is described.

Who Has Potatoes?

2003 ◽  
Vol 1 (2) ◽  
pp. 148-159
Author(s):  
Keith V. Bletzer
Keyword(s):  
Substance Use ◽  
Home Country ◽  
Single Case ◽  
Turning Points ◽  
Farm Labor ◽  
Single Case Study ◽  
Long Period ◽  
Migrant Work

Migratory farm labor like other forms of migrant work both in and outside agriculture impedes on the opportunity to make choices. The following essay explores particular phases in the life of one man (a single case study) and examines how he considers turning points in his life that led to a long period of substance use, both as an immigrant in the country and as a working man in his home country, followed by a cessation of use and the beginning stages of recovery. / Para el migrante, viajar en busca de trabajo es díficil, ya sea que trabaje en agricultura o en otras labores. Este ensayo examina ciertas etapas en la vida de un hombre (estudio de un solo caso) que examina los cambios que le han ocurrido durante un período en que él consumía grandes cantidades de alcohol en los estados y en su país, seguido por un período de sobriedad (no tomaba alcohol, no usaba drogas) en este país en que él comienza una etapa de rehabilitación.

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