research

Cognitive-behavioral treatment of a person with generalized anxiety disorder

Abstract

Se presenta el caso de una mujer de 36 años que solicitó ayuda por la presencia de crisis de angustia. Tras la evaluación se consideró que el foco central del problema era la presencia de ansiedad y preocupaciones de carácter excesivo y persistente. Se realizaron 43 sesiones de tratamiento cognitivo-conductual, dos de ellas con el marido. Se abordaron las crisis de angustia mediante psicoeducación, entrenamiento en respiración controlada y restructuración cognitiva; y las preocupaciones excesivas mediante control de estímulos, reestructuración cognitiva, entrenamiento en resolución de problemas, experimentos conductuales y exposición imaginal. Los informes de la paciente y los cuestionarios indicaron una mejora clínicamente significativa, en la que, creemos, los experimentos conductuales y la exposición imaginal jugaron un papel muy importante.A case of a 36-year-old woman who asked help by the presence of panic attacks is reported. After assessment, it was considered that the main problem was the presence of excessive and persistent anxiety and worries. Forty-three sessions of cognitive-behavioral treatment were conducted, two with her husband. Panic attacks were addressed with psychoeducation, training in controlled breathing and cognitive restructuring, whereas the excessive worries were addressed with stimulus control, cognitive restructuring, training in problem solving, behavioral experiments and imaginal exposure. Patient’s reports and scores on questionnaires indicated a clinically significant improvement that, we believe, can be mainly attributed to behavioral experiments and imaginal exposur

    Similar works