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A Combined Cognitive-Behavioural Treatment Package for a Hospitalization Phobic Patient

Published online by Cambridge University Press:  16 June 2009

Bryan D. Adams  and
Peter Hayward
Bryan D. Adams*
Affiliation:
West London Institute of Higher Education, West Surrey and North East Hants Health Authority
Peter Hayward
Affiliation:
Institute of Psychiatry, University of London
*
*Address for correspondence: Bryan D. Adams, W.L.I.H.E., Department of Health and Paramedical Studies, 300 St. Margarets Road, Middlesex TW1 1PT.
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Abstract

A senior nurse with a 10-year history of hospitalization phobia was treated with a combined cognitive therapy, imaginal and in vivo exposure therapy package. All previous medical admissions for the subject had resulted in her being transferred to a psychiatric ward and being treated with neuroleptics. The cognitive therapy provided an explanation for the phobia and a rationale for the treatment, which secured compliance to the exposure therapy. Pre- and post-treatment fear ratings showed a large reduction. Follow-up data showed the subject to be free of all psychiatric symptoms in two subsequent medical admissions. It is suggested that an initial few sessions of cognitive therapy with intransigent phobics may be a pre-requisite for an exposure programme.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 18 , Issue 2 , April 1990 , pp. 137 - 142
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1990

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