Cognitive Behavioral Treatment of Compulsive Water Drinking: A Case Report

1993 ◽  
Vol 7 (1) ◽  
pp. 63-68 ◽  
Author(s):  
Prakash S. Gangdev

This article describes the specific cognitive behavioral techniques that were employed to treat a client with a 20-year history of compulsive water drinking. It is suggested that working with client’s placement of attention is necessary, especially when there are no ‘thoughts’ to debate with.

2009 ◽  
Vol 2009 ◽  
pp. 1-5 ◽  
Author(s):  
Heather M. Anson ◽  
Michelle R. Byrd ◽  
Ellen I. Koch

This case report describes outpatient psychological treatment targeting adherence to fluid restrictions in a hemodialysis patient. The consequences of nonadherence to fluid restrictions in hemodialysis patients range from minor discomfort to increased hospitalizations and mortality rates. In addition, when patients chronically fail to adhere, they may no longer be candidates for kidney transplant. The interventions focused on polydipsia, characterized by excessive fluid intake. The methods involved 11-sessions of individual psychotherapy incorporating strategies including increasing awareness, decreasing motivation, increasing effort, engaging in competing events, conducting thought stopping, breaking repetitive routines, eliciting social support, and receiving reinforcement. Results demonstrated that the patient successfully restricted his fluid intake at or below recommended levels 83% of days after fading of treatment began. This case report demonstrates the success of cognitive behavioral treatment strategies with a nonpsychiatric hemodialysis patient.


1996 ◽  
Vol 10 (4) ◽  
pp. 271-280 ◽  
Author(s):  
Jill H. Rathus ◽  
William C. Sanderson

Cognitive behavioral treatment (CBT) has been repeatedly proven efficacious in the treatment of panic disorder (PD); however, information about the efficacy of this treatment with geriatric patients is lacking. The current paper outlines treatment course and outcome for two elderly PD patients receiving CBT. J. B. was a 70-year-old White male with a 51-year history of PD; A. B. was a 69-year-old White female with a 25-year history of PD. Diagnoses were made on the basis of the Structured Clinical Interview for DSM-III-R patient version (SCID-P). Both subjects received manual-driven CBT. Four primary treatment components consisted of psychoeducation, cognitive restructuring, breathing retraining, and systematic exposure. Subjects completed symptom measures before and after treatment and at a follow-up evaluation. Results support the efficacy of the treatment for both patients, as panic attacks, fear and avoidance, and general symptomatology were substantially reduced at post- and follow-up assessments. Results are discussed in terms of the utility of CBT with elderly patients and the nuances of treating elderly patients with this treatment procedure.


2004 ◽  
Vol 4 (2) ◽  
Author(s):  
Ana Fernández-Alba Luengo

El objetivo de este estudio es realizar una revisión de las técnicas cognitivo-conductuales utilizadas en el tratamiento del juego patológico y analizar su relación con las teorías existentes en este ámbito. Se revisan las principales teorías conductuales y cognitivas desarrolladas para explicar este trastorno y se describe el modelo de Sharpe y Tarrier (1993) como teoría integradora cognitivo-conductual. Se describen la terapia aversiva, la terapia de exposición y la terapia cognitiva como principales técnicas de intervención en el juego patológico y se resumen los resultados de las investigaciones que analizan la eficacia de dichas técnicas. Se hace una reflexión sobre las directrices futuras en el tratamiento cognitivo- conductual del juego patológico. AbstractThe aim of this study is to review the cognitive-behavioral techniques for pathological gambling treatment and to analyse their connexion with the actual theories on this area. It is revised the main behavioral and cognitive theories for the explanation of pathological gambling disorder. Sharpe and Tarrier’s model (1993) is described as a integrative cognitivebehavioral theory. The main techniques for the pathological gambling treatment are described: Aversive therapy, exposure therapy and cognitive therapy. This study resume the results of research on cognitive-behavioral techniques efficacy. There is a reflection about future perspectives in the development of cognitive-behavioral treatment for pathological gambling disorder.


2001 ◽  
Vol 15 (2) ◽  
pp. 75-86 ◽  
Author(s):  
Michael F. Detweiler ◽  
Anne M. Albano

Obsessive-compulsive disorder (OCD) comprises both cognitive and behavioral components. It is not surprising, therefore, that there has been a considerable emphasis on applying cognitive-behavioral techniques in the treatment of obsessive-compulsive disorder for the past 20 or so years. Although a great number of individuals afflicted with obsessive-compulsive disorder are suffering from cognitive symptoms, the success rate in using traditional cognitive-behavioral techniques in targeting these covert symptoms has unfortunately been somewhat low. This article provides a case study utilizing a cognitive-behavioral treatment used to successfully treat obsessive-compulsive disorder in a 10-year-old Caucasian male with severe “just right” cognitive compulsions. Treatment outcome is discussed in terms of various assessment measures administered at pre-treatment, post-treatment, and 3-month follow-up, as well as weekly monitoring forms.


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