Brief, Intensive Treatment for Separation Anxiety in an 8-Year-Old Boy: A Case Study

2019 ◽  
Vol 19 (2) ◽  
pp. 83-100
Author(s):  
Tyler C. McFayden ◽  
Susan W. White
Keyword(s):  
Outcome Measure ◽  
Separation Anxiety ◽  
Behavioral Therapy ◽  
Separation Anxiety Disorder ◽  
Intervention Strategies ◽  
Evidence Based Treatment ◽  
Male Client ◽  
Receive Treatment

Cognitive behavioral therapy (CBT) is the evidence-based treatment modality for children with anxiety disorders; yet, many youth do not receive treatment. To overcome barriers associated with standardized CBT approaches, brief, intensive treatments have been proposed. This case study illustrates a brief, intensive CBT intervention for a preadolescent male client who presented with severe separation anxiety. The intervention consisted of five sessions (one each day for five consecutive days) and a follow-up assessment 4 months later to evaluate treatment outcomes. The intervention strategies were based in CBTs and included exposures, cognitive reappraisal work with both the client and the parents, and reduction of parental accommodation. Reliable Change Indices were calculated to evaluate change from preintervention to the follow-up assessment. There were large and statistically significant decreases in the main outcome measure of separation anxiety symptoms, indicating significant improvements in separation symptoms over treatment per the client’s and parents’ reports. At the follow-up session, the client no longer met diagnostic criteria for separation anxiety disorder. The results highlight the utility of brief, intensive interventions for separation anxiety in young children.

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.

Case Study of Clinical Behavior Analysis for a 20-Year-Old Client With Emetophobia

2019 ◽  
Vol 18 (3) ◽  
pp. 163-174
Author(s):  
Takashi Mitamura
Keyword(s):  
Behavior Analysis ◽  
Single Case ◽  
Intervention Strategies ◽  
Single Case Design ◽  
Clinical Behavior Analysis ◽  
Clinical Behavior ◽  
Empirically Supported ◽  
Clinically Significant

This case study illustrates a clinical behavior analytic intervention for a female client with emetophobia, the fear of vomiting. Clinical behavior analysis is a recently developing branch of empirically supported psychotherapy, derived from behavior analysis. This case study presents modified case formulations and changed intervention strategies according to the results of repeated measuring. The intervention was six sessions and three gradual follow-up sessions; the effect of the intervention was monitored by a single-case design. The intervention strategies were changed from symptom-focused interventions, which are based on exposure, to value-focused gradual follow-up sessions. The client’s phobia and depression were alleviated through the intervention and gradual follow-up phases. Moreover, her value-based activities increased through the gradual follow-up phase. The Reliable Change Indexes (RCIs) were calculated to evaluate changes between the intervention and follow-up phases. There were large and clinically significant decreases on measures. The results highlight the utility of repeated measuring and importance of a value-focused approach.

scholarly journals Brief, Intensive, and Concentrated Treatment of Specific Phobia in a Child With Minimally Verbal Autism Spectrum Disorder

2019 ◽  
Vol 19 (1) ◽  
pp. 3-16
Author(s):  
Ashley Muskett ◽  
Sarah Radtke ◽  
Thomas H. Ollendick
Keyword(s):  
Autism Spectrum Disorder ◽  
Behavioral Therapy ◽  
Young Male ◽  
Specific Phobia ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Reliable Change Index ◽  
Minimally Verbal

This case study illustrates a brief, intensive, cognitive behavioral therapy (CBT) for a young male client with a specific phobia of dogs and comorbid autism spectrum disorder (ASD). CBT has been shown to be an effective treatment for anxiety in children with ASD; however, this work has not often been extended to children with language impairment. This case study presents significant modifications to one-session treatment (OST) for specific phobia to make it applicable to a child with minimally verbal ASD. The intervention included four 3-hr treatment sessions conducted over the course of four consecutive days. Assessment sessions were conducted before treatment, and 1 week and 3 months following treatment. The client’s phobia symptoms decreased following the intervention at both the posttreatment and follow-up sessions. The Reliable Change Index (RCI) was calculated to evaluate changes from pretreatment to posttreatment and follow-up and demonstrated a clinically significant decrease in phobia symptomology following intervention. The results suggest the potential efficacy for a brief, intensive, and concentrated CBT treatment for a child with minimally verbal ASD and a severe phobia.

Trouble being away from mother

2021 ◽  
pp. 95-102
Author(s):  
Sumita Sharma
Keyword(s):  
Anxiety Disorder ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Separation Anxiety ◽  
Behavioral Therapy ◽  
Challenging Behaviors ◽  
Separation Anxiety Disorder ◽  
School Refusal ◽  
Serotonin Reuptake Inhibitors ◽  
Somatic Complaints ◽  
Psychotherapeutic Interventions

Separation anxiety disorder is characterized by developmentally inappropriate and excessive fear or anxiety that occurs when the child is separated from major attachment figures. The disorder may manifest with challenging behaviors such as school refusal, temper tantrums, or somatic complaints. Worries typically center around fear of untoward events that may occur when separated from loved ones, such as accidents, kidnapping, or death. Cognitive behavioral therapy (CBT) is the initial treatment of choice for separation anxiety disorder. Pharmacotherapy including selective serotonin reuptake inhibitors (SSRIs) may be used as an adjunct to behavioral or psychotherapeutic interventions.

Culturally Responsive Cognitive Behavioral Therapy

2016 ◽  
Vol 15 (6) ◽  
pp. 427-442 ◽  
Author(s):  
Julia C. Zigarelli ◽  
Janine M. Jones ◽  
Cinthia I. Palomino ◽  
Reiko Kawamura
Keyword(s):  
African American ◽  
Cognitive Behavioral Therapy ◽  
Cultural Values ◽  
Culturally Responsive ◽  
Behavioral Therapy ◽  
Cultural Factors ◽  
Cognitive Behavioral ◽  
Evidence Based ◽  
Evidence Based Treatment

This case study provides an analysis of culturally responsive cognitive behavioral therapy with a 15-year-old African American female. The focus of this case study is on the course of treatment and how it was influenced by the implementation of the Jones Intentional Multicultural Interview Schedule (JIMIS)—a process that was completed at the beginning of treatment. A total of 20 therapy sessions were recorded and transcribed for the analysis. The research team analyzed the data qualitatively by identifying culturally salient codes that were stated within each session and coding transcripts using Dedoose software version 6.1.18. Results showed that four culturally salient codes were prominent throughout treatment and that these codes were strongly related to African American culture: gender norms, informal kinship, socioeconomic status, and race/ethnicity. The connections between the coded themes, the cultural values of the client, as well as the implications for treatment outcomes are described. This study provides evidence of the value of initiating discussion of cultural factors at the beginning of treatment to shape the direction of evidence-based treatment. The study also suggests that integrating cultural factors with African American clients is important and does not reduce the quality of care or diminish from the fidelity of the evidence-based treatment. Based on these findings, recommendations for researchers and clinicians are also discussed.

scholarly journals KETERLIBATAN AYAH DALAM PENGASUHAN ANAK DENGAN SEPARATION ANXIETY DISORDER

2020 ◽  
Vol 4 (2) ◽  
pp. 325-346
Author(s):  
Yubaedi Siron
Keyword(s):  
Anxiety Disorder ◽  
Father Involvement ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Good Relationship ◽  
Positive Communication ◽  
Children With Asd

Father involvement in parenting is an important factor in the process of child development. However, the involvement of fathers in childcare is very low. The objective of this study is to explore and find out how fathers are involved in parenting of  children with separation anxiety disorder. This research uses a qualitative approach. Collecting data in this study using structured interviews. Participants were selected using purposive sampling. Participants in this study were 3 fathers who have children with Separation Anxiety Disorder (ASD). The results showed that the involvement of fathers in childcare plays an important role in the development of children with ASD. Fathers have done a good role in parenting for ASD children, as well as a good relationship between father and children with ASD. Fathers have varied activities to stimulate their ASD children, as well as positive communication by fathers to their children. Fathers give good understanding to their children and provide follow-up on their parenting involvement.

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