Acceptance and Commitment Teletherapy for Mixed Anxiety and Depressive Symptoms During the COVID-19 Pandemic: A case Study

IF 0.8 4区心理学 Q4 PSYCHIATRY

Clinical Case Studies Pub Date : 2024-09-07 DOI:10.1177/15346501241283059

Max Z. Roberts, Eric D. Tifft, John P. Forsyth, James F. Boswell

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引用次数: 0

Abstract

The present case details a successful treatment response to 21 sessions of Acceptance and Commitment Therapy (ACT) delivered via teletherapy for mixed anxiety and depressive symptomology during the COVID-19 pandemic. The client (“Natalie”), a 19-year-old, White, cisgender female, presented to a university training clinic reporting primary problematic anxiety consistent with a diagnosis of Generalized Anxiety Disorder. The therapist conceptualized Natalie’s anxiety through the ACT psychological flexibility model, wherein Natalie’s challenges appeared to be maintained by experiential avoidance and lack of committed action. This case highlights (a) the unique challenges of treating someone with pervasive anxiety amid the uncertain context of the COVID-19 pandemic, (b) repeated assessment of transdiagnostic processes to inform intervention focus, and (c) the process of ACT teletherapy. Symptom, process, and outcome measures taken bi-weekly throughout therapy suggested theoretically consistent and reliable treatment responses. Clinical implications of the case are discussed.

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接受与承诺远程疗法治疗 COVID-19 大流行期间的混合焦虑和抑郁症状：个案研究

本案例详细描述了在 COVID-19 大流行期间，通过远程治疗对接受与承诺疗法（ACT）21 个疗程的成功治疗反应，该疗法用于治疗混合焦虑和抑郁症状。当事人（"娜塔莉"）是一名 19 岁的白人顺性性别女性，到一所大学的培训诊所就诊时，报告了与广泛性焦虑症诊断一致的主要焦虑问题。治疗师通过 ACT 心理灵活性模型对娜塔莉的焦虑进行了概念化，在该模型中，娜塔莉所面临的挑战似乎是通过体验性回避和缺乏坚定的行动来维持的。本病例强调了（a）在 COVID-19 大流行的不确定背景下治疗普遍焦虑症患者所面临的独特挑战，（b）反复评估跨诊断过程以确定干预重点，以及（c）ACT 远程治疗的过程。在整个治疗过程中，每两周进行一次症状、过程和结果测量，表明治疗反应在理论上是一致的、可靠的。本文讨论了该病例的临床意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Case Studies Multiple-

CiteScore

1.80

自引率

20.00%

发文量

期刊介绍： Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.