Pregnancy-related claustrophobia

2022 ◽  
Vol 15 (1) ◽  
pp. e246568
Author(s):  
Nessa Keane ◽  
Amy Farrell ◽  
Brian Hallahan
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Low Dose ◽  
Intrusive Thoughts ◽  
Behavioural Therapy ◽  
Subsequent Pregnancy ◽  
Anxiety Symptoms ◽  
Correct Identification ◽  
Postpartum Anxiety ◽  
Cognitive Behavioural ◽  
New Onset

A 35-year-old primigravida presented with significant anxiety symptoms at 26 weeks’ gestation. Symptoms were preceded by a nightmare about her upcoming labour. She developed repetitive intrusive thoughts of being trapped emotionally and physically in her pregnancy. Her symptoms were suggestive of new-onset claustrophobia associated with pregnancy, which has not been previously reported on. Her symptoms ameliorated with a combination of cognitive–behavioural therapy and pharmacotherapy (sertraline and low dose quetiapine). The later stages of pregnancy were associated with minimal symptoms and the resolution of her subjective ‘entrapment’. A subsequent pregnancy resulted in similar although less severe symptomatology. No postpartum anxiety symptoms were demonstrated on both occasions. Anxiety symptoms can adversely impact both the mother and fetus, and thus correct identification and management of pregnancy-related claustrophobia improved symptomatology and functioning and allowed for earlier detection and reduced symptomatology in a subsequent pregnancy.

scholarly journals Engagement and outcomes for a computerised cognitive-behavioural therapy intervention for anxiety and depression in African Americans

BJPsych Open ◽  
2017 ◽  
Vol 3 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Charles R. Jonassaint ◽  
Patrice Gibbs ◽  
Bea Herbeck Belnap ◽  
Jordan F. Karp ◽  
Kaleab Z. Abebe ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
African Americans ◽  
Cognitive Behavioural Therapy ◽  
Randomised Clinical Trial ◽  
Behavioural Therapy ◽  
Anxiety Symptoms ◽  
Primary Care Doctor ◽  
Depression And Anxiety ◽  
Cognitive Behavioural

BackgroundComputerised cognitive-behavioural therapy (CCBT) helps improve mental health outcomes in White populations. However, no studies have examined whether CCBT is acceptable and beneficial for African Americans.AimsWe studied differences in CCBT use and self-reported change in depression and anxiety symptoms among 91 African Americans and 499 White primary care patients aged 18–75, enrolled in a randomised clinical trial of collaborative care embedded with an online treatment for depression and anxiety.MethodPatients with moderate levels of mood and/or anxiety symptoms (PHQ-9 or GAD-7≥10) were randomised to receive either care-manager-guided access to the proven-effective Beating the Blues® CCBT programme or usual care from their primary care doctor.ResultsCompared with White participants, African Americans were less likely to start the CCBT programme (P=0.01), and those who did completed fewer sessions and were less likely to complete the full programme (P=0.03). Despite lower engagement, however, African Americans who started the CCBT programme experienced a greater decrease in self-reported depressive symptoms (estimated 8-session change: −6.6 v. −5.5; P=0.06) and similar decrease in anxiety symptoms (−5.3 v. −5.6; P=0.80) compared with White participants.ConclusionsCCBT may be an efficient and scalable first-step to improving minority mental health and reducing disparities in access to evidence-based healthcare.

Some reflections on intrusive thoughts: an obsessive thought process

2020 ◽  
Vol 5 (1) ◽  
pp. 51-64
Author(s):  
Ivan Thorpe
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Intrusive Thoughts ◽  
Behavioural Therapy ◽  
Thought Process ◽  
Obsessive Compulsive ◽  
Cognitive Behavioural ◽  
The Creation ◽  
The Moment

This article is based upon my many experiences of working with clients who have obsessive compulsive characteristics. Having researched many theories about its causation and utilised Cognitive Behavioural Therapy and Mindfulness techniques with my clients to help its management and containment in the moment, I am still impressed with Freud’s original insights into its causation that I feel still have value today, and one in particular, a primary dynamic, which I refer to in this article. Enabling clients to explore this process in the creation of their compulsive thoughts and ritual defences offers the possibility of discovering some meaning in their torment.

scholarly journals Research Protocol: Development, implementation and evaluation of a cognitive behavioural therapy-based intervention programme for the management of anxiety symptoms in South African children with visual impairments

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Lisa Visagie ◽  
Helene Loxton ◽  
Wendy K. Silverman
Keyword(s):  
South African ◽  
Cognitive Behavioural Therapy ◽  
Visual Impairments ◽  
Behavioural Therapy ◽  
Anxiety Symptoms ◽  
Intervention Programme ◽  
African Children ◽  
Cognitive Behavioural ◽  
Children With Visual Impairments ◽  
South African Children

Background: Childhood anxiety presents a serious mental health problem, and it is one of the most common forms of psychological distress reported by youth worldwide. The prevalence of anxiety symptoms amongst South African youth is reported to be significantly higher than in other parts of the world. These high prevalence rates become even more significant when viewed in terms of children with visual impairments, as it is suggested that children with physical disabilities may be more prone, than their non-disabled peers, for the development of psychological difficulties. Objectives: The main aim of this study is to develop, implement and evaluate a specifically tailored anxiety intervention programme for use with South African children with visual impairments. Method: A specifically tailored cognitive-behavioural therapy-based anxiety intervention, for 9–13 year old South African children with visual impairments, will be evaluated in two special schools. The study will employ a randomised wait-list control group design with pre- postand follow-up intervention measures, with two groups each receiving a 10 session anxiety intervention programme. The main outcome measure relates to the participants’ symptoms of anxiety as indicated on the Revised Child Anxiety and Depression Scale. Conclusion: If the anxiety intervention programme is found to be effective in reducing symptoms of anxiety, this universal intervention will lay down the foundation upon which future contextually sensitive (South African) anxiety intervention programmes can be built.

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