CBT of a Person Living in a Situation of Mental Handicap and Presenting an Anxiety Disorder Coupled with a Specific Phobia

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Serval ID
serval:BIB_41AF59950342
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
CBT of a Person Living in a Situation of Mental Handicap and Presenting an Anxiety Disorder Coupled with a Specific Phobia
Journal
Clinical Psychiatry
Author(s)
El Korh Pierre, Giuliani Fabienne
ISSN
2471-9854
Publication state
Published
Issued date
04/2016
Volume
2
Number
2
Pages
20
Language
english
Abstract
The prevalence of anxiety disorders within a population presenting an intellectual
deficiency is 43%. The integrated multimodal approach highlights different
predisposing risk factors: vulnerability and its consequences on adaptive behaviors
and deficits in the learning process; interactions with the environment. Negative
experiences and a weak perception of control lead to a higher failure expectation,
resulting in an increase in anxiety for the handicapped person. On the other hand,
environment, family and professionals may induce responses of dependency, fear
and avoidance, and consequently, a decrease of opportunities to develop social and
emotional skills. The cognitive-behavioral therapy was adapted to the patient. The
therapeutic alliance with the patient, as well as with his family and professionals,
was the keystone and the required condition for the therapy procedure.
The functional analysis underlined three therapeutic axes: 1) a work on the
physiological reactions of anxiety and the train phobia, using the reaction
management techniques
2) A work on cognitive restructuration.
3) A work on the behavior during exposure to the anxiety-inducing situation.
Simultaneously, the patient received an antidepressant and anti-anxiety
medication.
Other skills and techniques were used: eye tracking (ASL mobile) to point out
the patient resources; the psycho-educative approach using the "heart mat"
(cardiac coherence) as a mediator to share the understanding of the situation; a
motivational approach for the exposure planning; and the PEUR model, used in
group therapies to divide the therapy into sequences, thus fostering self-control.
Measurements at frequent and regular intervals have shown the rapid evolution
of the patient and the pertinence of the cognitive-behavioral approach during
therapies for persons living in a situation of mental handicap and presenting
concomitant mental disorders.
Keywords
Mental handicap, Anxiety, Intellectual disabilities
Create date
15/09/2016 15:16
Last modification date
23/01/2020 7:26
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