'Distant but Still Connected' – Cognitive Behavioural Therapy in the Treatment of Obsessive-Compulsive Disorder During a Health Crisis

Autor: Kober Vrbat, Ivana, Kordić, Ana
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Socijalna psihijatrija
Volume 49
Issue 3
ISSN: 0303-7908
Popis: Cilj rada je prikazati slučaj desetogodišnjeg dječaka koji boluje od opsesivno-kompulzivnog poremećaja, opisati simptome poremećaja kod dječaka te prikazati kognitivno-bihevioralni tretman uz terapiju psihofarmacima. Dječak u dobi od 10 godina i 4 mjeseca dolazi na hitni pregled dječjem i adolescentnom psihijatru zbog pogoršanja teškoća iz anksioznog kruga, te se pregledom psihijatra ustanovi dijagnoza opsesivno-kompulzivnog poremećaja. U svakodnevnom funkcioniranju dječaku se javi opsesivna misao prijetećeg sadržaja, a cilj njegovih kompulzija bio je smanjiti povišenu razinu tjeskobe te prevenirati neki zastrašujući događaj, koji nije bio specificiran. Dječak je uključen u kognitivno-bihevioralni tretman uz psihofarmakološku terapiju propisanu od strane dječjeg i adolescentnog psihijatra. Zbog pandemije korona virusa tretman je prilagođen novonastalim okolnostima te se tijekom pandemije tretman održavao putem video poziva. U tretmanu opsesivno-kompulzivnog poremećaja u dječjoj i adolescentnoj dobi od iznimne je važnosti pravovremena dijagnostika i uključivanje u tretman, kao i uključenost roditelja u terapijski proces. Kognitivno-bihevioralna terapija je pokazala uspješnost u redukciji anksioznih teškoća dječaka, što je u skladu i s mnogobrojnim znanstvenim istraživanjima, pa se kognitivno-bihevioralna terapija smatra terapijom izbora u liječenju opsesivno-kompulzivnog poremećaja kod djece i mladih. Aktualna zdravstvena kriza promijenila je način pružanja psihoterapije u svijetu što zahtijeva i daljnje prilagođavanje novonastalim uvjetima, kako terapeuta tako i primatelja psihoterapijskih usluga.
The aim of this paper was to present a case of a ten-year-old boy suffering from Obsessive Compulsive Disorder, to describe the symptoms of the disorder and to present cognitive-behavioral treatment with psychopharmaceutical therapy. A boy aged 10 years and 4 months came in for an urgent examination to a child and adolescent psychiatrist due to worsening anxiety difficulties, and a psychiatric examination established a diagnosis of obsessive-compulsive disorder. An obsessive thought of threatening content came to mind in the daily functioning of the boy, and the goal of his compulsions was to reduce the elevated level of anxiety and prevent some frightening event, which was not specified. The boy was then included in cognitive-behavioural treatment with psychopharmacological therapy prescribed by the child and adolescent psychiatrist. Due to the coronavirus pandemic, the treatment was adapted to the new circumstances and during the pandemic the treatment was maintained via video call. In the treatment of Obsessive Compulsive Disorder in children and adolescents, timely diagnosis and involvement in treatment, as well as the involvement of parents in the therapeutic process are of utmost importance. Cognitive Behavioural Therapy has shown success in reducing the boy’s anxiety difficulties, which is in line with numerous scientific studies, so cognitive-behavioural therapy is considered the therapy of choice in the treatment of Obsessive Compulsive Disorder in children and adolescents. The current health crisis has changed the way psychotherapy is provided in the world, which requires further adaptation to the new conditions, both for therapists and recipients of psychotherapeutic services.
Databáze: OpenAIRE
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