Case study: Successful medication withdrawal using cognitive-behavioral therapy for a preadolescent with OCD

被引：2
作者：
Sallinen, BJ
Nangle, DW
O'Grady, AC
机构：
[1] Univ Maine, Dept Psychol, Orono, ME 04469 USA
[2] Univ Maine, Psychol Serv Ctr, Orono, ME USA
来源：
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY | 2004年 / 43卷 / 11期
关键词：
obsessive-compulsive disorder; cognitive-behavioral therapy; pediatric; fluoxetine; clomipramine;
D O I：
10.1097/01.chi.0000134490.35184.dd
中图分类号：
B844 [发展心理学（人类心理学）];
学科分类号：
040202 ;
摘要：
The aim of this study was to evaluate the effectiveness of the addition of manual-based cognitive-behavioral therapy to a medication regimen of clomipramine and fluoxetine and the withdrawal of medication during cognitive-behavioral therapy. The participant was an 11-year-old girl with symptoms of obsessive thoughts about germs and illness and handwashing compulsions. The addition of cognitive-behavioral therapy reduced the participant's daily number of obsessions and avoidance behaviors after three sessions. When medication was tapered during the cognitive-behavioral therapy program, the participant's symptoms continued to decline, and after treatment, she no longer met diagnostic criteria for obsessive-compulsive disorder. Impressively, the participant remained medication free and treatment gains were maintained at 4 months' follow-up.
引用
收藏
页码：1441 / 1444
页数：4
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