Beyond exposure therapy: formulation-based therapy treating a fear of urinary incontinence – a case study

2021 ◽  
pp. 1-5
Author(s):  
Torstein Stapley ◽  
Tracey Taylor ◽  
Victoria Bream
Keyword(s):  
Urinary Incontinence ◽  
Treatment Protocol ◽  
Treatment Strategies ◽  
Specific Phobia ◽  
Behaviour Therapy ◽  
Behavioural Treatment ◽  
Subjective Report ◽  
Cognitive Behaviour ◽  
Behavioural Factors

Abstract Background: The current literature on the specific phobia of urinary incontinence is limited, with no specific empirically established model or treatment protocol. Aims: This article consists of a case study of formulation-driven cognitive behaviour therapy (CBT) for phobia of urinary incontinence. Method: Martin attended a total of 12 treatment sessions. The treatment included the development of an idiosyncratic formulation, and the use of well-established cognitive and behavioural treatment strategies from other anxiety disorders. Results: Both outcome measures and Martin’s subjective report indicate that the treatment was effective. Conclusion: This case study contributes to the current limited literature on this phobia, and emphasises the importance of formulation-driven CBT to map for idiosyncratic features and target cognitive and behavioural factors.

Generalization of Behaviour Therapy with Psychotics

1976 ◽  
Vol 129 (5) ◽  
pp. 490-496 ◽  
Author(s):  
Robert Paul Liberman ◽  
Michael J. McCann ◽  
Charles J. Wallace
Keyword(s):  
Treatment Strategies ◽  
Specific Treatment ◽  
Hospital Setting ◽  
Community Settings ◽  
Behaviour Therapy ◽  
Community Based ◽  
Behavioural Treatment ◽  
Therapeutic Goals ◽  
After Care

SummaryGeneralization of improvement in the behavioural treatment of psychotic patients must be planned in after-care settings, and for durability over time. The transfer of clinical gains is not an automatic by-product of treatment with severely and chronically impaired mental patients. Treatment strategies that facilitate generalization from hospital to community are illustrated in a case study using empirical data. Systematic and specific treatment programmes were co-ordinated between a state hospital ward and a community-based day hospital. Setting step-wise and limited goals is a feature of successful outcomes. Maintaining consistency in reinforcement contingencies from hospital to community settings, using natural reinforcers, pinpointing functional behaviours as therapeutic goals, over-learning, and training natural caregivers are methods that promote generalization.

Negative Outcome in Cognitive-Behaviour Therapy: A Case Study

1992 ◽  
Vol 20 (3) ◽  
pp. 291-294 ◽  
Author(s):  
Adrian Wells ◽  
Frank M. Dattilio
Keyword(s):  
Treatment Failure ◽  
Cognitive Behaviour Therapy ◽  
Somatoform Disorder ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Clinical Disorders ◽  
Negative Outcome

This paper reports an exacerabation of health fears in response to cognitive modification in a patient with Somatoform Disorder (NOS). The results of the intervention present interesting theoretical implications for the conceptualization of cognitive events in clinical disorders and those characteristics that may contribute to treatment failure.

Treatment Response and Resistance in Schizophrenia

2018 ◽  
Keyword(s):  
Real World ◽  
Psychotic Disorders ◽  
Treatment Strategies ◽  
Treatment Resistance ◽  
Mental Illnesses ◽  
New Drugs ◽  
Behaviour Therapy ◽  
Clozapine Treatment ◽  
Clinical Scenarios ◽  
Cognitive Behaviour

Schizophrenia and other psychotic disorders are common mental illnesses, but their treatment is complex. This book provides a state-of-the-art overview of their treatment, with a focus on the real-world challenges faced by clinicians and patients. It brings together contributions from leading experts from around the world to cover key conceptual issues, including how to evaluate response, the nature of treatment resistance, ultra-medication (clozapine) treatment resistance, and pseudo-resistance, and how to choose a first-line antipsychotic drug that maximizes response and minimizes side effects. It also covers how to use clozapine, and alternatives to it, the use of family interventions and cognitive behaviour therapy for psychosis, and treatment strategies where clozapine has not worked, as well as new drugs and non-pharmacological treatments in the pipeline. All contributions are based on the latest evidence, focusing on systematic reviews and meta-analyses, where available, but are informed throughout by the authors’ clinical experience. This is brought together in a section where the evidence is applied to real-world clinical scenarios from the authors’ own practice. Overall, readers will gain a thorough understanding of the clinical challenges, the latest evidence in the field, and how to apply it to give patients the best chance of getting better.

Cognitive behaviour therapy via interactive video

1998 ◽  
Vol 4 (1_suppl) ◽  
pp. 53-55 ◽  
Author(s):  
M Manchanda ◽  
P Mclaren
Keyword(s):  
Outcome Measures ◽  
Cognitive Behaviour Therapy ◽  
Interactive Video ◽  
Single Case ◽  
Dysfunctional Attitudes ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Process And Outcome ◽  
Different Levels

Interactive video has been identified as a potential delivery medium for psychotherapy. Interactive video may restrict the range of both verbal and non-verbal communication and consequently impede the development of a therapeutic relationship, thus influencing the process and outcome of therapy. A single case study explored the feasibility of the provision of cognitive behaviour therapy using interactive video with a client diagnosed a shaving mixed anxiety and depressive disorder. A range of outcome measures were included together with an independent psychiatric assessment prior to, and on completion of, therapy. Different levels of outcome were also examined: clinical, social, user views and administration. Outcome measures indicated a reduction in psychopathology and some modification of dysfunctional attitudes, with no apparent impairment of the working alliance.

Cognitive behaviour therapy with compulsive hoarding: a single case study

2020 ◽  
pp. 1-10
Author(s):  
Aasma Yousaf ◽  
Rukhsana Kausar ◽  
Iram Fatima
Keyword(s):  
Single Case ◽  
Compulsive Hoarding ◽  
Behaviour Therapy ◽  
Research Committee ◽  
Current Case ◽  
Programme Committee ◽  
Cognitive Behaviour ◽  
The Individual ◽  
The University

Abstract The current case study used cognitive behaviour treatment (CBT) for the management of a 35-year-old, married man who presented with complaint of compulsive hoarding. The complaint of compulsive hoarding (excessive acquisition, difficulty in discarding saved material and cluttering) was accompanied by feeling of anger, sad mood, low confidence, decreased sleep and appetite, poor problem solving ability, indecisiveness and interpersonal conflicts. The study was approved by the institutional research committee (Departmental Doctoral Programme Committee) and followed by the university research committee (Advance Studies and Review Board) as academic requirement for the duration of 2013-2020. Written consent was also taken from the individual to publish the results of the case. Twenty-eight CBT sessions of one-hour duration were conducted, over a period of six months. Continuous...  

scholarly journals A Case Study of Trichotillomania With Social Phobia: Treatment and 4-Year Follow-up Using Cognitive–Behaviour Therapy

2007 ◽  
Vol 24 (4) ◽  
pp. 231-243
Author(s):  
Zhila Javidi ◽  
Malcolm Battersby ◽  
Angus Forbes
Keyword(s):  
Social Phobia ◽  
Positive Impact ◽  
Exposure And Response Prevention ◽  
Behaviour Therapy ◽  
Improved Outcomes ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour

AbstractThis article describes a case study that demonstrates an innovative combination of predominantly behavioural techniques in the treatment of trichotillomania (TTM) preceded by social phobia. Outcomes are reported to 4-year follow-up. A master's qualified cognitive–behavioural nurse therapist administered the course of treatment over 1 year and followed the client for 4 years. A combination of exposure and response prevention, habit reversal and serial photography for TTM urges, exposure for social phobia, cognitive restructuring and problem solving were utilised. These treatments were provided sequentially and concurrently. Pre and posttreatment and repeated outcome measures were applied in three domains. The client received a total of 23 treatment sessions over 1 year and follow-up over 4 years. During treatment, discharge and follow-up improved outcomes in TTM and social phobia were achieved and maintained at 4 years. Benefits accrued beyond the presenting conditions to have a major positive impact on the client's life. Theoretical implications for the classification of TTM are discussed.

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