scholarly journals Intensive Behavior Therapy for Tics and Co-Occurring ADHD: A Case Report

2020 ◽  
Author(s):  
Chelsea Dale ◽  
Marcela Ramos ◽  
Justin Parent
Keyword(s):  
Treatment Strategies ◽  
Health Impact ◽  
Adhd Symptoms ◽  
Current Case ◽  
End Of Treatment ◽  
Booster Sessions ◽  
Significant Public Health ◽  
Intensive Approach

TDs can substantially impact daily child functioning across social, familial, and academic domains leading to a significant public health impact of TDs. Additionally, an overwhelming majority of children with a TD have at least one co-occurring disorder. In particular, over 60% of children with a TD also meet criteria for ADHD. Comprehensive Behavioral Intervention for Tics (CBIT) is a first-line treatment for youth with TDs. It has been shown to be effective in reducing the frequency, duration, and severity of tics in children and adolescents. Nonetheless, access to trained CBIT providers remains limited, and common comorbid conditions are not addressed in the standard CBIT. Thus, there is a need for interventions that can simultaneously increase CBIT access and incorporate treatment strategies for TDs and common comorbidities. To address the critical need for increasing access to CBIT and simultaneously treating common comorbidities, the current case study presents and evaluates a two-week intensive approach to simultaneously address tic and ADHD symptoms in an 11-year-old male. The patient’s parents reported significant improvements in tic and ADHD symptoms following the end of treatment, which were maintained throughout two follow-up booster sessions Clinical implications and future directions to modify and improve the proposed treatment are discussed.

scholarly journals Investigation of Integrated Behavior Therapy for Selective Mutism: A Replicated Single-Case Study Design

2017 ◽  
Vol 9 (2) ◽  
pp. 82 ◽  
Author(s):  
Allison K. Siroky ◽  
John S. Carlson ◽  
Aimee Kotrba
Keyword(s):  
Behavior Therapy ◽  
Treatment Effectiveness ◽  
Single Case ◽  
Selective Mutism ◽  
Single Case Design ◽  
Future Studies ◽  
End Of Treatment ◽  
Case Design

Selective Mutism (SM) is a rare but potentially debilitating disorder characterized by a lack of speech in certain settings where speaking is expected. This study examined the effectiveness of a shortened version (12 sessions over 18 weeks) of Integrated Behavior Therapy for Selective Mutism (IBTSM; Bergman, 2013) in increasing speech and relieving anxiety for two four-year-old males with SM via a replicated single-case design. Treatment effectiveness, integrity, and acceptability were measured at baseline, throughout treatment, and at a three-month follow-up. Treatment integrity was excellent for both cases. SM severity ratings decreased from baseline to end-of-treatment, and again at follow-up, for each case. Verbal communication increased at end-of-treatment and follow-up, and significant decreases in social anxiety were seen across both cases by the three-month follow-up. Parents rated the shortened IBTSM as highly acceptable, effective, and efficient. Future studies should explore the effectiveness of varying lengths of IBTSM.

“Am I Becoming a Serial Killer?” A Case Study of Cognitive Behavioral Therapy for Mental Illness Anxiety

2015 ◽  
Vol 44 (3) ◽  
pp. 374-379 ◽  
Author(s):  
Bethany L. Gelinas ◽  
Heather Hadjistavropoulos
Keyword(s):  
Mental Illness ◽  
Health Anxiety ◽  
Assessment Tools ◽  
Cognitive Behavioral ◽  
Serial Killer ◽  
Current Case ◽  
Behavioral Techniques ◽  
Illness Anxiety

Background: Although mental illness anxiety is described in the literature, there is very little information on which to draw when treating individuals who present with fears and worries about mental health. In fact, we identified no previous case descriptions focused on this form of anxiety and treated from a cognitive behavioral perspective. Aims: The current case study aims to advance the understanding of the clinical picture of mental illness anxiety, and facilitate the understanding of how cognitive behavioral techniques for health anxiety can be effectively adapted and implemented for such a case. Method: A case study approach was adopted in which a baseline condition and repeated assessments were conducted during an 8-week treatment and 2-month follow-up period. In the current case study, we discuss the assessment, conceptualization, and cognitive behavioral treatment of a 24-year old woman who presented with mental illness anxiety. Several common health anxiety assessment tools and cognitive behavioural techniques were adapted for her particular clinical presentation. Results: Consistent with research evidence for health anxiety, significant improvements in health anxiety and anxiety sensitivity were seen after eight sessions of therapy and maintained at 2-month follow-up. Conclusions: The results provide preliminary evidence that cognitive behavioral techniques for health anxiety can be effectively and efficiently adapted for mental illness anxiety. However, the lack of available research pertaining to mental illness anxiety contributes to challenges in conceptualization, assessment and treatment.

scholarly journals Cognitive–behavioural therapy in medication-treated adults with attention-deficit/hyperactivity disorder and co-morbid psychopathology: a randomized controlled trial using multi-level analysis

2015 ◽  
Vol 45 (13) ◽  
pp. 2793-2804 ◽  
Author(s):  
S. Young ◽  
M. Khondoker ◽  
B. Emilsson ◽  
J. F. Sigurdsson ◽  
F. Philipp-Wiegmann ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Adhd Symptoms ◽  
Hyperactivity Disorder ◽  
Randomized Controlled ◽  
Cognitive Behavioural ◽  
End Of Treatment ◽  
Over Time

BackgroundAttention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by high rates of co-morbid psychopathology. Randomized controlled trials of multimodal interventions, combining pharmacological and psychological treatments, have shown a robust treatment effect for ADHD symptoms but outcomes for co-morbid symptoms have been mixed. This may be accounted for by the type of intervention selected and/or by methodological problems including lack of follow-up and low power. The current study addressed these limitations in a parallel-group randomized controlled trial conducted in Iceland.MethodA total of 95 adult ADHD patients who were already being treated with medication (MED) were randomly assigned to receive treatment as usual (TAU/MED) or 15 sessions of cognitive–behavioural therapy (CBT/MED) using theR&R2ADHDintervention which employs both group and individual modalities. Primary measures of ADHD symptoms and severity of illness, and secondary measures of anxiety, depression and quality of life were given at baseline, end of treatment and 3-month follow-up. Primary outcomes were rated by clinicians blind to treatment condition assignment.ResultsCBT/MED showed overall (combined outcome at end of treatment and 3-month follow-up) significantly greater reduction in primary outcomes for clinician-rated and self-rated ADHD symptoms. Treatment effect of primary outcomes was maintained at follow-up, which suggests robust and lasting findings. In contrast to the primary outcomes, the secondary outcomes showed significant improvement over time.ConclusionsThe study provides evidence for the effectiveness ofR&R2ADHDand demonstrates that there are differential effects over time for ADHD symptomsversusco-morbid problems, the latter taking longer to show positive effects.

Utility of Electromyographic Biological Feedback in Chronic Stuttering: A Clinical Study with Follow-up

1980 ◽  
Vol 51 (2) ◽  
pp. 535-540 ◽  
Author(s):  
Theo C. Manschreck ◽  
Madeline Kalotkin ◽  
Alan M. Jacobson
Keyword(s):  
Clinical Study ◽  
Training Program ◽  
Masseter Muscle ◽  
Muscle Tension ◽  
Biological Feedback ◽  
Feedback Training ◽  
End Of Treatment

A systematic case study is presented in which eight chronic adult stutterers underwent an electromyographic (EMG) biological feedback training program designed to reduce masseter muscle tension in an effort to improve fluency. All subjects mastered the program within 10 30-min. sessions. Measures of muscle tension and fluency indicated improvements at the end of treatment that were maintained at 3- to 6-mo. follow-up.

scholarly journals Case Report: A Primary Right Ventricular Vascular Malformation Presenting as a Mass

2021 ◽  
Vol 8 ◽  
Author(s):  
Hongduan Liu ◽  
Xin Li ◽  
Cuiwei Zhang ◽  
Chengming Fan ◽  
Liming Liu ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Vascular Malformation ◽  
Interventricular Septum ◽  
Median Sternotomy ◽  
Current Case ◽  
Medical Checkup ◽  
Low Incidence

Primary right ventricular vascular malformation is a rare primary benign anomaly in heart in nature. Due to the extremely low incidence and the progress on the classification of vascular malformation, a few cases were reported in the literatures. In the current case study, a 55-year-old women presented with a cardiac mass that was identified in right ventricle during a routine medical checkup. Magnetic resonance imaging demonstrated a well-circumscribed mass attached to the interventricular septum. Median sternotomy for the surgical resection of the mass and a cardiopulmonary bypass were performed. The intraoperative transesophageal echocardiogram showed that the mass had been successfully removed. The patient recovered well and was discharged from hospital 9 days after the surgery. The pathological diagnosis was primary cardiac arteriovenous malformation. No mass recurrence was shown by echocardiography during the 13 months' follow-up.

Clinical study to evaluate the efficacy of Yavakshara with Varunaadi Kwatha Churna in Mutrashmari w.s.r to Urolithiasis - A Case Study

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Mamatha TS ◽  
Dr. Shankar S. Swamy ◽  
Dr. S. V. Shailaja
Keyword(s):  
Abdominal Pain ◽  
Stone Formation ◽  
Left Kidney ◽  
Modern Science ◽  
Signs And Symptoms ◽  
Cost Effective ◽  
End Of Treatment ◽  
The Right

Mutrashmari is one of the commonest disease of Mutravaha Srotas, Acharya Sushruta described it as one of the Ashta-Mahagadas and considered as Yama because it gives intolerable pain. Charaka mentioned Ashmari as one of Basti Marmashritha Vyadhi. In modern science it is correlated with Urolithiasis. The incidence rate of Calculi varies as per geographical distribution, sex and age. Generally, men are more affected than women in the ratio of 3:1. The highest incidence of Urolithiasis occurs between the ages of 30-50 years. In Ayurveda various conservative medicine are mentioned for the management of Mutrashmari with less side effect, easily available, cost effective and minimum recurrences of stone formation. In this case report 40 years male patient visited OPD of Shalya Tantra with complaint of abdominal pain (radiating pain from loin to groin), nausea and burning micturation. The USG report showed two calculi measuring 6mm and 4 mm seen in the left kidney, no evidence of hydronephrosis, 3 calculi measuring 6mm, 5mm and 4mm are seen in the right kidney, and right kidney shows mild HUN due to calculus measuring 5mm in the VUJ. The patient was treated with Yavakshara 3 Gunja Pramana twice a day with 50ml of Varunaadi Kashaya for a period of 1 month. At the end of treatment and also in follow up period after 15 days patient got relief in signs and symptoms and USG report showed no evidence of calculi in both the kidneys.

Behavior-Analytic Treatment Progression for a Child With Tube Dependence: Reaching Age-Typical Feeding

2020 ◽  
Vol 19 (6) ◽  
pp. 403-417
Author(s):  
Bethany A. Hansen ◽  
Ashley S. Andersen
Keyword(s):  
Interdisciplinary Collaboration ◽  
Day Treatment ◽  
Current Case ◽  
Analytic Treatment ◽  
Effective Interventions ◽  
Age Appropriate ◽  
Day Treatment Program ◽  
Behavior Analytic Treatment

The current case study outlines a behavior-analytic treatment progression for a child with a pediatric feeding disorder and tube dependence. The child participated in an intensive day-treatment program for 8 weeks where she transitioned from tube feedings to oral feedings. She successfully transitioned to a less intensive, telehealth outpatient model for follow-up care where she continued to progress to age-typical feeding. Following a systematic and gradual reduction in follow-up appointments, she consumed all meals of age-appropriate foods in both home and school environments. Another important contribution of the case study is that it demonstrated the importance of follow-up services that occur in the child’s natural environment while highlighting the utility of rubrics. With rubrics, caregivers effectively and efficiently progressed toward treatment goals independently. This case study also discusses the importance of ongoing interdisciplinary collaboration and the unique contributions of each team member in employing effective interventions while ensuring client safety.

Retreating From Life: The Boy Whose Body Experienced His Pain

2018 ◽  
Vol 17 (6) ◽  
pp. 406-424
Author(s):  
Anna Harwood ◽  
Amit Shalev ◽  
Sharon Ben-Shaul ◽  
Rachel Meir ◽  
Ela Kiansky ◽  
...  
Keyword(s):  
Somatic Symptom ◽  
Treatment Protocol ◽  
Treatment Strategies ◽  
Somatic Symptoms ◽  
Psychiatric Ward ◽  
Current Case ◽  
Individual Personality ◽  
Somatic Disorders ◽  
Somatic Symptom Disorders

The expression of psychological distress through somatic symptoms is most prevalent among children. Somatic symptom disorders represent a difficult category of disorders to treat and they are often misdiagnosed due to their physical symptomology and dismissed due to their malingering stigma. The current case report follows the treatment of David, a 10-year-old Caucasian male, admitted into the pediatric psychiatric ward of a general hospital, uncommunicative, showing little signs of responsiveness, and dependent on nursing staff for basic needs. Following a complex treatment protocol which integrated key elements of psychodynamic and cognitive-behavior (CBT) treatment recommendations for somatic disorders, David was discharged after 6 months as an inpatient. This in-depth case study provides a synthesis of the varied research on somatic symptom disorders and an acute understanding of how to combine the understanding of complex family dynamics and individual personality structure with empirically reinforced treatment strategies.

Combined Medical and Psychological Treatment of Postchemotherapy Nausea and Vomiting: A Case Study

1989 ◽  
Vol 65 (1) ◽  
pp. 187-193 ◽  
Author(s):  
Curtis D. Booraem ◽  
John V. Flowers ◽  
Jann Gumbiner
Keyword(s):  
Relaxation Training ◽  
Psychological Treatment ◽  
Treatment Protocol ◽  
Experimental Designs ◽  
Nausea And Vomiting ◽  
Treatment Control ◽  
Current Case ◽  
Innovative Potential

The current case study illustrates the innovative potential of combined medical and psychological treatment of postchemotherapy nausea and vomiting for cancer patients. A 58-yr.-old male patient diagnosed with leukemia and on a weekly cytosine arabinoside (Ara-C) treatment protocol, experienced violent vomiting episodes approximately 3 hr. after each injection. Emesis was so severe that the patient considered terminating treatment. Control was attempted with antiemetics (Compazine, Reglan), an antianxiety agent (Valium), an hypnotic (Dalmane), canabinol, hypnosis, and relaxation training without success. A re-examination of these strategies employing experimental rigor and data-responsive experimental designs indicated how success can be achieved without the necessity of new interventions. The patient experienced complete emetic relief and at 3-yr. follow-up remained symptom-free.

A Comparison of Cognitive Therapy, Applied Relaxation and Imipramine in the Treatment of Panic Disorder

1994 ◽  
Vol 164 (6) ◽  
pp. 759-769 ◽  
Author(s):  
David M. Clark ◽  
Paul M. Salkovskis ◽  
Ann Hackmann ◽  
Hugh Middleton ◽  
Pavlos Anastasiades ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Effective Treatment ◽  
Cognitive Therapy ◽  
Predictors Of Outcome ◽  
Pharmacological Treatments ◽  
Cognitive Measures ◽  
End Of Treatment ◽  
Booster Sessions ◽  
Applied Relaxation

Recent studies have shown that cognitive therapy is an effective treatment for panic disorder. However, little is known about how cognitive therapy compares with other psychological and pharmacological treatments. To investigate this question 64 panic disorder patients were initially assigned to cognitive therapy, applied relaxation, imipramine (mean 233 mg/day), or a 3-month wait followed by allocation to treatment. During treatment patients had up to 12 sessions in the first 3 months and up to three booster sessions in the next 3 months. Imipramine was gradually withdrawn after 6 months. Each treatment included self-exposure homework assignments. Cognitive therapy and applied relaxation sessions lasted one hour. Imipramine sessions lasted 25 minutes. Assessments were before treatment/wait and at 3, 6, and 15 months. Comparisons with waiting-list showed all three treatments were effective. Comparisons between treatments showed that at 3 months cognitive therapy was superior to both applied relaxation and imipramine on most measures. At 6 months cognitive therapy did not differ from imipramine and both were superior to applied relaxation on several measures. Between 6 and 15 months a number of imipramine patients relapsed. At 15 months cognitive therapy was again superior to both applied relaxation and imipramine but on fewer measures than at 3 months. Cognitive measures taken at the end of treatment were significant predictors of outcome at follow-up.

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