“Am I Becoming a Serial Killer?” A Case Study of Cognitive Behavioral Therapy for Mental Illness Anxiety

2015 ◽  
Vol 44 (3) ◽  
pp. 374-379 ◽  
Author(s):  
Bethany L. Gelinas ◽  
Heather Hadjistavropoulos
Keyword(s):  
Mental Illness ◽  
Health Anxiety ◽  
Assessment Tools ◽  
Cognitive Behavioral ◽  
Serial Killer ◽  
Current Case ◽  
Behavioral Techniques ◽  
Illness Anxiety

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.

scholarly journals Cognitive-Behavioral Therapy for a 9-Year-Old Girl With Disruptive Mood Dysregulation Disorder

2016 ◽  
Vol 15 (6) ◽  
pp. 459-475 ◽  
Author(s):  
Megan E. Tudor ◽  
Karim Ibrahim ◽  
Emilie Bertschinger ◽  
Justyna Piasecka ◽  
Denis G. Sukhodolsky
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Clinical Presentation ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Current Case ◽  
Disruptive Mood Dysregulation Disorder ◽  
New Diagnosis ◽  
Mood Dysregulation

Disruptive mood dysregulation disorder (DMDD) is a relatively new diagnosis in the field of childhood onset disorders. Characterized by both behavior and mood disruption, DMDD is a purportedly unique clinical presentation with few relevant treatment studies to date. The current case study presents the application of cognitive-behavioral therapy (CBT) for anger and aggression in a 9-year-old girl with DMDD, co-occurring attention deficit hyperactivity disorder (ADHD), and a history of unspecified anxiety disorder. At the time of intake evaluation, she demonstrated three to four temper outbursts and two to three episodes of aggressive behavior per week, in addition to prolonged displays of non-episodic irritability lasting hours or days at a time. A total of 12 CBT sessions were conducted over 12 weeks and 5 follow-up booster sessions were completed over a subsequent 3-month period. Irritability-related material was specially designed to target the DMDD clinical presentation. Post-treatment and 3-month follow-up assessments, including independent evaluation, demonstrated significant decreases in the target symptoms of anger, aggression, and irritability. Although the complexities of diagnosing and treating DMDD warrant extensive research inquiry, the current case study suggests CBT for anger and aggression as a viable treatment for affected youth.

Psychological treatment of trihotillomania: A case study

2017 ◽  
Vol 41 (S1) ◽  
pp. S417-S417
Author(s):  
T. Sarmiento Luque ◽  
J.M. Sanchez
Keyword(s):  
Public Health ◽  
Clinical Case ◽  
Psychological Treatment ◽  
Cognitive Behavioral ◽  
Clinical Aspects ◽  
Hair Pulling ◽  
Behavioral Techniques ◽  
Competing Interest ◽  
Treatment Procedures

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.

Long Term Effect of Cognitive Behavioral Therapy in Patients with Health Anxiety

2017 ◽  
Vol 41 (S1) ◽  
pp. S111-S112
Author(s):  
K.E. Veddegjaerde
Keyword(s):  
Quality Of Life ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Health Anxiety ◽  
Term Effect ◽  
Cognitive Behavioral ◽  
Long Term Effect

IntroductionCognitive-behavioral therapy (CBT) has been found to be an effective treatment of excessive health anxiety (HA), but the long-term effect over 18months has not been examined.ObjectivesSeveral studies have shown effect of CBT for HA-patients. However, these effects have been short or immediate after therapy. To our knowledge no studies have examined long-term effect of CBT for HA over 18 months.AimsTo investigate the long-term effect of CBT on HA, focusing on level of HA, quality of life, subjective health complaints and general anxiety. Follow-up time was at least 10 years. Our hypothesis was that the effect was sustained.MethodsPatients with HA received 16 sessions of CBT over a period of 12–18 months, and were followed up over at least 10 years. All patients fulfilled criteria for F45.2, hypochondriacal disorder according to ICD-10.The patients answered several questionnaires, exploring areas such as HA, Quality of life, somatization, and mental health problems. Questionnaires were answered before CBT, after CBT and at follow up. Mixed model analysis was performed in SPSS 23.0 for all questionnaires.ResultsAll scores were found to be significant in the Pre-CBT–Post-CBT and Pre-CBT–FU (0.034– < 0.001), and none were found to be significant in the Post-CBT–FU.ConclusionsOur findings suggest that for the majority of patients with HA, CBT has a significant and lasting long-term effect. This effect lasts up to ten years post therapy.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Treatment of a Commercially Sexually Abused Girl Using Trauma-Focused Cognitive Behavioral Therapy and Legal Interventions

2018 ◽  
Vol 18 (1) ◽  
pp. 18-35
Author(s):  
Maureen C. Kenny ◽  
Claire E. Helpingstine ◽  
Maya Weber
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sexually Abused ◽  
Behavioral Therapy ◽  
Sexual Exploitation ◽  
Cognitive Behavioral ◽  
Rapport Building ◽  
Body Image Issues ◽  
Legal Interventions

This case study describes the use of trauma-focused cognitive behavioral therapy (TF-CBT) and legal interventions for a 16-year-old girl who was the victim of commercial sexual exploitation (CSE) and suffered from substance abuse, anxiety, and body image issues. Over the course of 1 year, the client was able to discontinue involvement in sexual exploitation, cease substance use, decrease her anxiety level, improve her self-concept, and reduce posttrauma symptoms. The case calls attention to the need for extended rapport building, flexibility in treatment, and tailoring manualized treatments. It highlights the path to CSE for one teenager as well as the resultant emotional and behavioral consequences. Given the extensive nature of her past traumas, case management was continued following the clients’ discharge from treatment to support her adjustment. These follow-up sessions were conducted about once a month and assisted with maintenance of treatment goals.

Psychological Interventions for Health Anxiety and Somatic Symptoms

2020 ◽  
Vol 228 (2) ◽  
pp. 68-80 ◽  
Author(s):  
Ulrike Maass ◽  
Franziska Kühne ◽  
Jana Maas ◽  
Maria Unverdross ◽  
Florian Weck
Keyword(s):  
Somatic Symptom ◽  
Health Anxiety ◽  
Somatic Symptoms ◽  
Risk Of Bias ◽  
Post Treatment ◽  
Psychological Interventions ◽  
Treatment As Usual ◽  
Illness Anxiety Disorder ◽  
Illness Anxiety

Abstract. This study examined the effectiveness of psychological interventions for severe health anxiety (SHA) regarding somatic symptoms (SS) and health anxiety (HA). The databases Web of Science, EBSCO, and CENTRAL were searched on May 15, 2019, May 16, 2019, and August 5, 2019, respectively. Eighteen randomized controlled trials ( N = 2,050) met the inclusion criteria (i.e., hypochondriasis, illness anxiety disorder or somatic symptom disorder with elevated HA being assessed with validated interviews; use of standardized outcome measures). Two reviewers independently evaluated the studies’ risk of bias using the Revised Cochrane Risk-of-Bias Tool for randomized trials (RoB-2) tool. Overall, psychological interventions were significantly more effective than waitlist, treatment-as-usual, or placebo post-treatment ( gSS = 0.70, gHA = 1.11) and at follow-up ( gSS = 0.33, gHA = 0.70). CBT outperformed other psychological interventions or pharmacotherapy for HA post-treatment (Hedge’s  gHA = 0.81). The number of sessions did not significantly predict the effect sizes. In sum, psychological interventions were effective for SHA, but the generalizability of the results for SS is limited, because only two high-quality trials contributed to the comparisons.

Adolescent Compulsion: A Case Study Involving Cognitive-Behavioral Treatment

1983 ◽  
Vol 53 (2) ◽  
pp. 519-522 ◽  
Author(s):  
George Morelli
Keyword(s):  
Behavioral Treatment ◽  
Contingency Management ◽  
Family Members ◽  
Marked Change ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Compulsive Behavior ◽  
Distorted Cognitions

Behavioral tapping in three's by a 13-yr.-old boy during baseline, treatment, and 9-mo. follow-up is described. Treatment at home involved training family members in awareness of distorted cognitions and contingency management using a repetition-extinction technique. A marked change in compulsive behavior occurred on Day 3 of treatment. At follow-up no such behavior was noted.

scholarly journals Avaliação como Oportunidade de Aprendizagem em Aulas de Química: um Estudo de Caso

2020 ◽  
Vol 21 (2) ◽  
pp. 135-140
Author(s):  
Thamires da Silva Souza ◽  
André Luis Trevisan ◽  
Marcele Tavares Mendes ◽  
Zenaide de Fátima Dante Correia Rocha
Keyword(s):  
Assessment Tools ◽  
Assessment Process ◽  
Learning Assessment ◽  
Assessment Instruments ◽  
Chemistry Teaching ◽  
School Learning ◽  
Object Of Study ◽  
Use Of Assessment

O presente artigo é resultado de uma investigação a respeito da avaliação da aprendizagem no âmbito do ensino de Química, por meio de um estudo de caso. Mais especificamente, foi analisado o processo avaliativo de um professor que atua na disciplina de Química em um curso Técnico Integrado ao Ensino Médio de uma Instituição Federal de ensino. O estudo tinha como objetivos investigar, na prática do professor objeto de estudo, indícios de avaliação como oportunidade de aprendizagem e discutir possibilidades para utilização de instrumentos de avaliação nessa perspectiva. O estudo teve caráter qualitativo e contemplou observações de aulas, entrevista e acompanhamento em campo. Como principais resultados, apontamos indícios de avaliação como oportunidade de aprendizagem nas práticas avaliativas do professor, identificados a partir de três vertentes: concepções de avaliação, instrumentos utilizados e ações do professor.   Palavras-chave: Avaliação da Aprendizagem Escolar. Avaliação como Oportunidade de Aprendizagem. Ensino de Química.   Abstract  This article is the result of an investigation about the assessment of learning in the teaching of Chemistry, through a case study. More specifically, we analyzed the assessment process of a teacher who works in the discipline of Chemistry in an Integrated Technical High School course of a federal teaching institution. The objectives were to investigate, in the practice of the teacher object of study, evidence of assessment as an opportunity for learning and to discuss possibilities for the use of assessment tools in this perspective. The study had a qualitative character and contemplated observations of lessons, interview and follow up in the field. As main results, we point out evidence of assessment as an opportunity for learning in the evaluation practices of teachers, identified from three perspectives: teacher conceptions in relation to assessment, instruments used and teacher actions.   Keywords: Assessment of School Learning. Assessment as a Learning Opportunity. Chemistry Teaching.

scholarly journals Case Report: A Primary Right Ventricular Vascular Malformation Presenting as a Mass

2021 ◽  
Vol 8 ◽  
Author(s):  
Hongduan Liu ◽  
Xin Li ◽  
Cuiwei Zhang ◽  
Chengming Fan ◽  
Liming Liu ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Vascular Malformation ◽  
Interventricular Septum ◽  
Median Sternotomy ◽  
Current Case ◽  
Medical Checkup ◽  
Low Incidence

Primary right ventricular vascular malformation is a rare primary benign anomaly in heart in nature. Due to the extremely low incidence and the progress on the classification of vascular malformation, a few cases were reported in the literatures. In the current case study, a 55-year-old women presented with a cardiac mass that was identified in right ventricle during a routine medical checkup. Magnetic resonance imaging demonstrated a well-circumscribed mass attached to the interventricular septum. Median sternotomy for the surgical resection of the mass and a cardiopulmonary bypass were performed. The intraoperative transesophageal echocardiogram showed that the mass had been successfully removed. The patient recovered well and was discharged from hospital 9 days after the surgery. The pathological diagnosis was primary cardiac arteriovenous malformation. No mass recurrence was shown by echocardiography during the 13 months' follow-up.

scholarly journals Treatment of Limerence Using a Cognitive Behavioral Approach: A Case Study

2021 ◽  
Vol 8 ◽  
pp. 237437352110608
Author(s):  
Brandy E Wyant
Keyword(s):  
Subjective Assessment ◽  
Significant Loss ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Obsessive Compulsive ◽  
Healthy Relationships ◽  
Compulsive Disorder ◽  
Thought Patterns

Limerence is an underresearched condition of unknown prevalence that causes significant loss of productivity and emotional distress to sufferers. Individuals with limerence display an obsessive attachment to a particular person or “limerent object” (LO) that interferes with daily functioning and the formation and maintenance of healthy relationships. The current study proposes a conceptualization of the condition in a 28-year-old individual and describes a treatment approach using cognitive-behavioral techniques, most notably exposure responsive prevention as used in the treatment of obsessive-compulsive disorder. The number and type of compulsive rituals performed by the treated individual were notably decreased at 9-month follow-up after treatment, and a subjective assessment of dysfunctional thought patterns related to the LO also suggested improvement. A novel screening instrument is presented, as validated screening instruments do not yet exist. Implications for diagnosis and treatment are discussed.

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