Search results for ‘Subject term:"phobias"’ Sort:
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Dog phobia in people with mental handicaps : anxiety management training and exposure treatments
- Authors:
- LINDSAY William R., et al
- Journal article citation:
- Mental Handicap Research, 1(1), 1988, pp.39-48.
- Publisher:
- BIMH Publications
Reducing demands on clinicians by offering computer-aided self-help for phobia/panic
- Authors:
- KENWRIGHT Mark, LINESS Sheena, MARKS Isaac
- Journal article citation:
- British Journal of Psychiatry, 179, November 2001, pp.456-459.
- Publisher:
- Cambridge University Press
Many patients with phobia/panic find it hard to access effective treatment. This study aims to test the feasibility of computer-guided exposure therapy for phobia/panic. Self-referrals were screened for 20 minutes and, if suitable, had six sessions of computer-guided self-help. At pre-treatment, computer-guided cases were slightly less severe than clinician-guided patients. In a post-treatment intent-to-treat analysis, both groups improved comparably but computer-guided patients spent 86% less time with a clinician than did purely clinician-guided patients, who had no access to the computer system. Concludes that computer-guided self-exposure therapy appeared feasible and effective for self-referrals and a controlled study is now needed.
Cognitive behavioural therapy for anxiety in a man with autism spectrum disorder, intellectual disability, and social phobia
- Author:
- WRIGHT Kevin Paul
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(5), 2013, pp.284-292.
- Publisher:
- Emerald
Purpose: This paper evaluates the effectiveness of cognitive-behavioural therapy (CBT) in the treatment of social anxiety with a 19-year-old man with intellectual disabilities (ID) and autistic spectrum disorders. Design/methodology/approach: The intervention was evaluated using an A-B single case design. An idiosyncratic measure was developed to measure anxiety symptoms on a daily basis. The brief symptom inventory (BSI; Derogatis, 1975) measured symptom patterns across nine psychological dimensions and was administered at initial assessment, pre-intervention and post-intervention. Findings: Visual and statistical analysis of the data showed that anxiety severity dramatically reduced throughout the course of therapy, reaching and maintaining zero and this was statistically significant. Data seemed to show that sudden gains in the reduction of anxiety severity occurred during the relaxation and cognitive phases of intervention. This sudden gain coincided with an increase in daily activities, and exposure to more anxiety provoking events which was also statistically significant. Global anxiety scores, as measured by the BSI, showed a notable reduction at post-treatment. Originality/value: This paper demonstrates that CBT can bring about meaningful improvements in the treatment of anxiety in people with ID and autism and suggests that further exploration with the wider population is needed. (Publisher abstract)
Improving access to psychological therapies (IAPT) commissioning toolkit
- Author:
- CARE SERVICES IMPROVEMENT PARTNERSHIP
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2008
- Pagination:
- 39p.
- Place of publication:
- London
This guidance from the Department of Health follows NICE guidelines for people suffering from depression and anxiety disorders and is intended to help primary care trusts (PCTs) in commissioning or improving stepped care psychological therapies for this groups of patients.
Improving access to psychological therapies (IAPT) programme: computerised cognitive behavioural therapy (cCBT) implementation guidance
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 26p., bibliog.
- Place of publication:
- London
The aim of the implementation guidance is to help the NHS make decisions on how they will implement NICE computerised cognitive behavioural therapy (cCBT) technology appraisal (TA097). TA097 was published in February 2006 and recommended the use of specific cCBT products for the management of mild and moderate depression as well as panic and phobia. PCTs are expected to be able to offer these products by 31 March 2007 and they are are: “Beating the Blues” for people with mild and moderate depression; and “FearFighter” for people with panic and phobia. The Guidance has been published by the Department of Health’s Improving Access to Psychological Therapies programme. It gives advice and timely support on how primary care trusts (PCTs) may provide cCBT to their local communities.
Treatment of social phobia: randomised trial of internet-delivered cognitive–behavioural therapy with telephone support
- Authors:
- CARLBRING Per, et al
- Journal article citation:
- British Journal of Psychiatry, 190(2), February 2007, pp.123-128.
- Publisher:
- Cambridge University Press
Although effective therapies for social phobia exist, many individuals refrain from seeking treatment owing to the embarrassment associated with help-seeking. Internet-based cognitive–behavioural self-help can be an alternative, but adherence is a problem. The aim was to evaluate a 9-week programme of internet-based therapy designed to increase treatment adherence by the addition of short weekly telephone calls, nine in all, with a total duration of 95 min. In a randomised controlled trial the effects of internet-based cognitive–behavioural therapy in the treatment group (n=29) were compared with a waiting-list control group (n=28). Compared with the control group the treated participants experienced greater reductions on measures of general and social anxiety, avoidance and depression. Adherence to treatment was high, with 93% finishing the complete treatment package. One year later all improvements were maintained. This study provides evidence to support the use of internet-based treatment supplemented by short, weekly telephone calls.
Psychiatric disorder or straight prejudice?:the role of education in overcoming homophobia
- Authors:
- JONES Mairwen, SULLIVAN Gerard
- Journal article citation:
- Journal of Gay and Lesbian Social Services, 14(2), 2002, pp.95-105.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
While once homosexuality was considered a psychiatric disorder, this article examines the extent to which homophobia (antihomosexual behavior) may be regarded as a psychiatric disorder by considering whether it represents a phobic disorder or a prejudice. The implications of this classification for treatment and the role of education in overcoming antihomosexual behavior are addressed.
ABC of mental health: anxiety
- Author:
- HALE Anthony S.
- Journal article citation:
- British Medical Journal, 28.6.97, 1997, pp.1886-1889.
- Publisher:
- British Medical Association
Discusses the different characteristics of a number of anxiety disorders including agoraphobia, social phobia, panic disorder and post-traumatic stress disorder. Also summarises the treatment available.
Children's phobias: a behavioural perspective
- Authors:
- KING Neville J., HAMILTON David I., OLLENDICK Thomas H
- Publisher:
- Wiley
- Publication year:
- 1988
- Pagination:
- 270p., tables, diags., bibliog.
- Place of publication:
- Chichester
Provides a detailed literature review and practical guidelines for professionals employed in psychological, psychiatrica, educational and health care settings.
Treatment of obsessive compulsive disorder and comorbid social phobia
- Author:
- SEIGEL Alan
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(1), Spring 2003, pp.55-81.
- Publisher:
- Oxford University Press
The purpose of this article is to help persons in the helping professions recognize the serious threats to self, family life, and work experienced by persons with obsessive compulsive disorder (OCD) and social phobia and help engage persons affected in focused, clinically responsible treatment. The articlel presents findings from epidemiological studies of the disorders presenting conjointly, illustrates comorbidity in clinical practice through case examples, and reviews clinically relevant information gleaned in the diagnostic assessment. Core triage decisions in initiating treatment are reviewed. Medication approaches and patient concerns regarding medication are overviewed. The article summarizes psycho-educational information regarding cognitive errors in OCD and social phobia that may be presented to the patient to help the patient limit anxiety evocative and depressive thought. The author provides illustrations of cognitive behavioural treatment in individual and group psychotherapy, transfer of training, treatment resistance, and adjunctive treatments, resources for consumers and practitioners, and emerging challenges in the field.