scholarly journals Technology-based psychosocial management for psychological distress due to stigma associated with COVID-19: A case study from North Karnataka

2021 ◽  
Vol 26 (1) ◽  
pp. 36
Author(s):  
Suruchi Sonkar ◽  
KannappaV Shetty ◽  
Mahesh Mahadevaiah
Neurology ◽  
2018 ◽  
Vol 91 (23 Supplement 1) ◽  
pp. S16.1-S16
Author(s):  
Sonal Singh ◽  
Douglas R. Polster ◽  
Meeryo Choe ◽  
Christopher Giza ◽  
Talin Babikian

ObjectiveUse a novel, simultaneously applied cognitive behavioral therapy (CBT) and subthreshold exercise treatment (STE) for a 14-year old patient with persistent post-concussion symptoms (PPCS) to facilitate a return to function in school/sport.BackgroundPatient sustained a mild TBI while playing basketball on October 29, 2016. Neurologic exam on July 7, 2017 was negative, but the patient reported PPCS, with a graded symptom checklist (GSC) score of 26. Primary symptoms were headache and anxiety in relation to cognitive and/or physical exertion. The patient attributed anxiety to anticipating the onset of symptoms after exercise.Design/methodsThe 6-week combined CBT/STE intervention included psychoeducation, cognitive restructuring, and relaxation training combined with the STE protocol. Supervised physical exertion exposure began with aerobic exercise on a stationary bike and progressed to sport-specific activity while the patient simultaneously engaged in CBT. Pre- and post-intervention data included physiologic measures (heart rate [HR] and power output [PO] on exercise bike), a subjective measure of exertion (Borg's Rating of Perceived Exertion [RPE]), and psychological self-report questionnaires.ResultsAfter 6 sessions, patient was able to engage in strenuous exercise with reduced symptom exacerbation as demonstrated by his ability to reach 175 bpm HR with 350 watts of PO with decreased reported symptoms, a significant improvement from the first session. The patient reported a decrease in anxiety and psychological distress as well as an increase in emotional and school functioning. Parent report indicated an increase in the patient's overall health, social, and emotional functioning.ConclusionsEngaging in a six-week combined CBT/STE protocol resulted in improvements in ability to tolerate physical exertion, decreases in psychological distress, and a return to function. This case study demonstrated the feasibility & positive impact of simultaneous, dual treatment model for PPCS in adolescents. It also highlighted the need to address the psychological distress that occurs in patients with PPCS.


2018 ◽  
Vol 17 (6) ◽  
pp. 425-442 ◽  
Author(s):  
Gina Evans-Hudnall ◽  
Adrienne Johnson ◽  
Barbara Kimmel ◽  
Charles Brandt ◽  
Ngozi Mbue ◽  
...  

This is a case-study of a Hispanic man who had an ischemic stroke and was participating in a stroke self-management (SSM) program. He was identified as having comorbid symptoms of anxiety and depression that were not addressed by the SSM program and was subsequently enrolled in the Enhance Psychological Coping after Stroke (EPiC) program. EPiC is a telephone-based cognitive-behavioral treatment integrating mental and stroke-related behavioral health principles that is delivered concurrent to the SSM program. Over the course of six sessions, the participant learned psychological symptom and behavioral monitoring, thought stopping, cognitive restructuring, deep breathing, calming thoughts, social support, and problem-solving skills aimed at overcoming barriers to engagement in behaviors taught in the SSM program. Client-centered psychological distress and behavioral health treatment goals were integrated into each session. The client demonstrated reduced anxiety symptoms and improved stroke SSM behaviors at 6, 12, and 18 weeks after the initiation of treatment. He also improved in disability, social role limitations, quality of life, and stroke self-efficacy at 18 weeks following the initiation of treatment. This case study demonstrates that incorporating an integrated cognitive behavioral treatment to an SSM program can be beneficial for decreasing psychological symptom barriers to SSM, which may reduce the risk of stroke recurrence.


1989 ◽  
Vol 18 (1) ◽  
pp. 1-26 ◽  
Author(s):  
Tim Blackman ◽  
Eileen Evason ◽  
Martin Melaugh ◽  
Roberta Woods

ABSTRACTThe issue of housing and health has received growing attention in recent years. This article reviews why this has been the case and presents the results of the authors' study of housing and health in two areas of West Belfast. A large scale household survey was carried out in Divis Flats and part of the Twinbrook estate, both deprived areas of public sector housing, to compare health and housing conditions. The health of children in Divis is shown to be much worse than the health of children in Twinbrook. Respiratory conditions, diarrhoea, vomiting and psychological distress were particularly common. The health of adults in Divis was also markedly worse than in Twinbrook, and the health of women generally worse than men. The authors conclude that Divis Flats is a contemporary public sector slum and support the case for clearance and rehousing. However, it is argued that the health problems of Divis are one, extreme, manifestation of a wider problem of ill health in low income, ‘mass housing’ areas.


2018 ◽  
Author(s):  
Renske TER MAAT

Introduction: ReAttach is a new, multi-modal psychological intervention based on the theoretical principles of arousal regulation, information processing and schema therapy. Practical research indicates that ReAttach significantly reduces psychological problems in both adults and children. Theories on ReAttach state that this is done by creating functional schemas, which in turn create more effective coping styles in clients and decrease psychological distress.Objectives: This article aims to provide a better understanding of ReAttach theory and give insight in the treatment process.Methods: This is done by linking theory to the treatment process of a young adult (N=1) with symptoms of social anxiety.Results: The psychological distress in the client decreased from 32 (serious problems) to 12 (no problems).Conclusion: ReAttach decreased symptoms of anxiety in the young adult and the theoretical principles of arousal regulation, information processing and schema therapy seem applicable to the case.


2001 ◽  
Vol 24 (9) ◽  
pp. 627-629 ◽  
Author(s):  
Angela S. Eads ◽  
Samuel F. Sears ◽  
Stephanie Marhefka ◽  
Juan Aranda ◽  
Richard Schofield ◽  
...  

2012 ◽  
Vol 4 (1) ◽  
pp. 18-29 ◽  
Author(s):  
Arie T. Greenleaf ◽  
Rhonda M. Bryant

The counseling profession, by virtue of research, dialogue, and the evolution of professional ideology, continues to uphold the viewpoint that psychological distress and disorders emanate from innate or biologically based factors. Consequently, the social reality that counseling partially defines through this discourse may inadvertently constrain the very movement that can most affect change through social action and engagement. Counseling professionals may unwittingly undercut attempts by oppressed individuals, groups, and their allies to create a more equitable and just society through civil disobedience and concerted social action. This article discusses how the current discourse on social justice may neutralize social action by reviewing discourse theory and presentation of a case study that offers strategies to operational discourse theory and support social action and engagement.


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