Exposure Therapy for Misophonia: Concepts and Procedures

2021 ◽  
Vol 35 (3) ◽  
pp. 156-166
Author(s):  
Ana Rabasco ◽  
Dean McKay
Keyword(s):  
Stress Management ◽  
Exposure Therapy ◽  
Treatment Protocol ◽  
Research Attention ◽  
Case Examples ◽  
First Case ◽  
Evidence Based Treatments ◽  
Treatment Research ◽  
Primary Focus ◽  
Management Approaches

Misophonia, a condition marked by extreme intolerance to certain classes of sounds (e.g., respiratory or gustatory noises), has recently attracted increased research attention. As yet there are no evidence-based treatments, although some promising options are under empirical consideration. This paper presents a stress management and exposure therapy-based treatment protocol for adults with misophonia. The protocol details considerations specific to exposure therapy for misophonia, including unique considerations for developing hierarchies and example misophonia exposure exercises and exposure homework. Stress management approaches employed to facilitate engagement with exposure are also described. Two case examples are included, which illustrate the application of the misophonia treatment protocol. The first case describes treatment for a client whose misophonia symptoms are the primary focus and the second case describes treatment for a client whose misophonia symptoms are secondary to relationship difficulties. This protocol can be used to stimulate further treatment research for misophonia and guide treatment for individuals with misophonia.

scholarly journals Spontaneous cervical epidural hematoma: Insight into this occurrence with case examples

2021 ◽  
Vol 12 ◽  
pp. 79
Author(s):  
Brian Fiani ◽  
Ryan Jarrah ◽  
Nicholas J. Fiani ◽  
Juliana Runnels
Keyword(s):  
Epidural Hematoma ◽  
Clinical Presentation ◽  
Treatment Algorithm ◽  
Region Of Interest ◽  
Sudden Onset ◽  
Neurological Deficits ◽  
Spinal Epidural Hematoma ◽  
Comprehensive Overview ◽  
Case Examples ◽  
First Case

Background: First characterized in the 19th century, spontaneous spinal epidural hematoma (SSEH) is known as the idiopathic accumulation of blood within the spinal canal’s epidural space, causing symptoms varying from general back pain to complete paraplegia. With varying etiologies, a broad spectrum of severity and symptoms, a time-dependent resolution period, and no documented diagnosis or treatment algorithm, SSEH is a commonly misunderstood condition associated with increasing morbidity. While SSEH can occur at any vertebrae level, 16% of all SSEH cases occur in the cervical spine, making it a region of interest to clinicians. Case Description: Herein, the authors present two case examples describing the clinical presentation of SSEH, while also reviewing the literature to provide a comprehensive overview of its presentation, pathology, and treatment. The first case is a patient with nontraumatic sudden onset neck pain with rapidly progressing weakness. The second case is a patient with painless weakness that developed while taking 325 mg of aspirin daily. Conclusion: Clinicians should keep SSEH in their differential diagnosis when seeing patients with nontraumatic sources of weakness in their extremities. The appropriate steps should be followed to diagnose and treat this condition with magnetic resonance imaging and surgical decompression if there are progressive neurological deficits. There is a continued need for more extensive database-driven studies to understand better SSEHs clinical presentation, etiology, and ultimate treatment.

scholarly journals Implemented Interventionsat the Naef K. Basile Cancer Institute to Protect Patients and Medical Personnel From COVID Infections: Effectiveness and Patient Satisfaction

2021 ◽  
Vol 11 ◽  
Author(s):  
Jean El Cheikh ◽  
Samantha El Warrak ◽  
Nohra Ghaoui ◽  
Farouk Al Chami ◽  
Maya Shahbaz ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Medical Care ◽  
Medical Center ◽  
Treatment Protocol ◽  
Patient Centered ◽  
Oncology Patients ◽  
Oncology Patient ◽  
Safety Measures ◽  
Viral Spread ◽  
First Case

BackgroundThe Coronavirus Disease 2019 (COVID-19) was declared a pandemic by WHO in March 2020. The first case of COVID-19 was identified in Lebanon on the 21st of February 2020, amid a national economic crisis. As the numbers of cases increased, ICU admissions and mortality rose, which led hospitals across Lebanon to take certain safety measures to contain the virus. The Naef K. Basile Cancer Institute (NKBCI) at the American University of Beirut Medical Center handles oncology outpatient visits and outpatient treatment protocol infusions. The aim of this study is to evaluate the efficacy of the safety measures put forth by the NKBCI early in the pandemic.MethodsOncology patients are amongst the immunosuppressed population, who are at greatest risk of contracting COVID-19 and consequently suffering its complications. In this manuscript, we evaluated the precautionary measures implemented at the NKBCI of AUBMC from March 1st to May 31st of 2020, by surveying oncology patients on the telephone who had live and virtual appointments in both the oncology outpatient clinics and infusion unit. We conducted a prospective study of 670 oncology patients who had appointments at the NKBCI during this period and used their answers to draw responses about patient satisfaction towards those safety measures.ResultsOur results involved 387 responses of oncology patients who visited the NKBCI during the period of March 1st to May 31st of 2020. 99% of our respondents gave a rating of good to excellent with these new measures. The option of online consultation was given to 35% in the hematology group compared to 19% in those with solid tumors (p=0.001). From the total, 15% of patients opted for the telemedicine experience as a new implemented strategy to provide patient-centered medical care. Of this group of patients, 22% faced problems with connectivity and 19% faced problems with online payment.ConclusionNKBCI was competent in following the WHO guidelines in protecting the oncology patient population. Feedback collected from the surveys will be taken into account by the committee of the NKBCI to develop new safety measures that can better control viral spread while providing patient-centered medical care.

Enhancing Forensic Human Factors/Ergonomics Analyses Using Digital Surveillance Video

2007 ◽  
Vol 51 (18) ◽  
pp. 1129-1132
Author(s):  
Joseph Cohen ◽  
H. Harvey Cohen
Keyword(s):  
Human Factors ◽  
Grocery Store ◽  
Surveillance Video ◽  
Case Examples ◽  
Fall Incident ◽  
Expert Opinions ◽  
First Case ◽  
Digital Surveillance ◽  
Technological Developments ◽  
Retail Grocery

The increased need for physical security and rapid technological developments has created opportunities for enhancing the validity of expert opinions offered in the courtroom by human factors/ergonomics professionals. Digital surveillance equipment typically yields more information from several perspectives as well as affords more control than ‘old’ technologies such as closed-circuit television, video cassette recorders, and multiplexers. This poster illustrates three case examples in which human factors/ergonomics experts used digital surveillance video as part of forensic analyses on cases retained by attorneys representing both plaintiffs and defendants. The first case is a rear-end collision on a freeway between a moving bus and a stopped pickup truck. The second is a collision between a moving bus and falling pedestrian, while the third is a more common slip-and-fall incident in a retail grocery store. The implications of improved digital surveillance video for the practice of forensics human factors/ergonomics are discussed.

The Complex Relationship Between Eating Disorders and Substance Use Disorders

2017 ◽  
pp. 60-78
Author(s):  
Amy Baker Dennis ◽  
Tamara Pryor
Keyword(s):  
Eating Disorders ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Treatment Plan ◽  
Integrated Treatment ◽  
Evidence Based ◽  
Complex Relationship ◽  
Adaptive Function ◽  
Case Examples ◽  
Evidence Based Treatments

Eating disorders (ED) and substance use disorders (SUD) frequently co-occur but are rarely treated in a comprehensive integrated manner. This chapter elucidates the complex relationship between ED and SUD to help the treating professional create an integrated treatment plan that addresses both disorders and any other co-occurring conditions. Evidence-based treatments for each disorder are discussed, and recommendations on how to take “best practices” from both fields to formulate a treatment plan that addresses the specific needs of the patient are presented. The chapter includes case examples that demonstrate the importance of understanding the adaptive function of both disorders when developing an effective intervention.

Why Do People Get Better With Exposure Therapy?

2019 ◽  
pp. 19-32
Author(s):  
Carolyn Black Becker ◽  
Nicholas R. Farrell ◽  
Glenn Waller
Keyword(s):  
Eating Disorders ◽  
Anxiety Disorders ◽  
Therapeutic Intervention ◽  
Exposure Therapy ◽  
Therapeutic Benefit ◽  
Evidence Based ◽  
Systematic Desensitization ◽  
Evidence Based Treatments ◽  
Inhibitory Learning

This chapter outlines a theoretically based rationale for using exposure consistently in the treatment of individuals with eating disorders. Due to the substantial overlap between eating disorders and anxiety disorders (both in symptom content and in comorbidity between the conditions), exposure therapy is a sound choice for therapeutic intervention. Indeed, the most evidence-based treatments for eating disorders contain a number of exposure-based strategies that drive much of the therapeutic benefit. The chapter discusses habituation, systematic desensitization, and inhibitory learning and differentiates exposure therapy from systematic desensitization. Using a case study to consider how exposure therapists can help patients learn to tolerate their anxiety by leaning into it rather than engaging in safety behaviors, this chapter lays the foundation for the application of exposure therapy to patients with eating disorders.

Talking Technologically in Preschool and School: Three Case Examples

1996 ◽  
Vol 21 (2) ◽  
pp. 1-6 ◽  
Author(s):  
Marilyn Fleer
Keyword(s):  
Early Childhood ◽  
Young Children ◽  
Technology Education ◽  
Early Childhood Teacher ◽  
Case Examples ◽  
The Third ◽  
Very Young Children ◽  
First Case ◽  
Insight Into

This paper details three examples of technology education in process. The first case study highlights how an early childhood teacher comes to think about and plan for technology education. A series of diary entries are included to show the progression in thinking. In the second case study, a preschool teacher shows how very young children can participate in technology education. In the third case study a Year 3 teacher reveals how young children can become investigators in a simulated architects studio. The focus is on following the children's technological questions. All three case studies provide some insight into the sort of technological language that can be fostered in early childhood.

scholarly journals Full Mouth Rehabilitation of Two Siblings with Dentinogenesis Imperfecta Type II Using Different Treatment Modalities

2020 ◽  
Vol 17 (19) ◽  
pp. 7029
Author(s):  
Murad Alrashdi ◽  
Jason Schoener ◽  
Claudia Isabel Contreras ◽  
Shuo Chen
Keyword(s):  
Treatment Protocol ◽  
Well Being ◽  
Primary Dentition ◽  
Clinical Severity ◽  
Mixed Dentition ◽  
Treatment Modalities ◽  
Type Ii ◽  
Dentinogenesis Imperfecta ◽  
First Case ◽  
Full Mouth Rehabilitation

Background: Dentinogenesis imperfecta (DGI) is a complex anomaly, not only by its structure but by treatment approach. The treatment protocol depends on the severity, behavior, and the age of the patient. Case Description: This paper presents two siblings’ cases of DGI type II (DGI-II) with different treatment based on the patient’s clinical severity, behavior, and age (mixed versus primary dentition). The first case involves a patient in the primary dentition with severe attrition leading to a reduction in the vertical dimension of occlusion (VDO) treated by the fabrication of complete overlay dentures. The second case involves a patient in the early mixed dentition treated with restorations and extractions. Conclusion: Full mouth rehabilitation in the two patients dramatically improves function, aesthetics, and proved to be a significant psychological boost to the patient’s well-being. Practical Implications: Early diagnosis and a multidisciplinary approach for patients with DGI to preserve the remaining teeth and rehabilitation for their function and aesthetics are essential for obtaining a favorable prognosis.

Osteonecrose dos maxilares associada ao uso de bifosfonatos

2020 ◽  
Vol 11 (1) ◽  
pp. 25
Author(s):  
Paula Strauch Ferreira Lessa Santos ◽  
Antônio Lucindo Pinto de Campos Sobrinho
Keyword(s):  
Treatment Protocol ◽  
Osteonecrosis Of The Jaw ◽  
The Body ◽  
Skeletal Metastases ◽  
Present Moment ◽  
Adequate Treatment ◽  
Maxillary Bone ◽  
Dental Patients ◽  
First Case ◽  
Antiresorptive Drugs

Endogenous pyrophosphate is a substance responsible for inhibiting bone resorption in the body, but can not be used as a therapeutic agent in the treatment of diseases, as it rapidly undergoes enzymatic hydrolysis. Biphosphonates, the synthetic analogues of this substance, are potent inhibitors of osteoclastic activity and are chosen as the first treatment option for several diseases that relate to loss of bone mass such as osteoporosis, Paget's Disease, Skeletal Metastases and Multiple Myeloma. The first case of biphosphonate-related osteonecrosis of the jaw (BRONJ) was presented in 2003, and since then several studies have been carried out with the objective of understanding the mechanism that leads these compounds to induce a maxillary bone necrosis. Recently, new cases of BRONJ associated with another class of antiresorptive drugs, such as Desonumab, have been drawing attention. This paper aims to discuss, through a literature review, the knowledge about the action mechanism of these drugs and their relationship in the care of dental patients, seeking new updates that may help in the better understanding of their etiopathogeny. To do this study, a bibliographic survey was made regarding the occurrence of BRONJ, using Pubmed, Scielo, Google Scholar and Medline as search bases from 2001 to 2018. Through this study, it can be concluded that although several discoveries have been made since the appearance of the pathology until the present moment, a lot of research still has to be done to arrive at a adequate treatment protocol.

Stress management: Approaches and interventions

1994 ◽  
Vol 22 (1) ◽  
pp. 5-12 ◽  
Author(s):  
Stephen Palmer ◽  
Windy Dryden
Keyword(s):  
Stress Management ◽  
Management Approaches
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