Imagery Rescripting (ImRs) as an Adjunctive Treatment to Exposure and Response Prevention (ERP)-Resistant Obsessive-Compulsive Disorder: A Case Study

IF 0.8 4区心理学 Q4 PSYCHIATRY

Clinical Case Studies Pub Date : 2022-09-01 DOI:10.1177/15346501221123797

Gayle Maloney, B. Kelmendi, C. Pittenger

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Abstract

Exposure and response prevention (ERP), a specific type of Cognitive and Behaviour Therapy, is well recognised as the first-line psychological treatment in obsessive-compulsive disorder (OCD), either alone or in combination with selective serotonin reuptake inhibitor pharmacotherapy. However, given that up to half of patients suffering from OCD do not experience a clinically significant reduction in symptoms following ERP, further treatment options for treatment-resistant OCD are needed. Initial research into using ImRs as a psychological adjunct for treatment-resistant OCD has been encouraging. We provide a detailed case study of a 61-year-old male who continued, following ERP treatment, to suffer debilitating OCD symptoms of compulsive checking to prevent making mistakes. Following ERP, the individual received two sessions of ImRs as a therapy adjunct, which resulted in a further reduction of 56% in OCD symptoms. The individual reported associated improvements in mood, life satisfaction, and occupational and interpersonal relationships. This case study describes how ImRs can be incorporated into ERP treatment for OCD. Details of the ERP and ImRs treatment are provided, along with transcript excerpts to highlight the ImRs process. Further research is needed to enhance understanding of mechanisms and optimal deployment of ImRs in treatment sequencing for OCD sufferers.

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图像再现（ImRs）作为暴露和反应预防（ERP）抗性强迫症的辅助治疗：一个案例研究

暴露和反应预防(ERP)是一种特殊类型的认知和行为疗法，被公认为强迫症(OCD)的一线心理治疗方法，无论是单独治疗还是与选择性血清素再摄取抑制剂药物治疗联合使用。然而，考虑到多达一半的强迫症患者在ERP治疗后症状没有明显的临床减轻，需要进一步的治疗方案来治疗难治性强迫症。使用ImRs作为治疗难治性强迫症的心理辅助手段的初步研究令人鼓舞。我们提供了一个详细的案例研究，一个61岁的男性，在ERP治疗后，继续遭受强迫检查以防止犯错的衰弱性强迫症症状。在ERP之后，个体接受了两次ImRs作为治疗辅助，这导致强迫症症状进一步减少56%。个人报告了情绪、生活满意度、职业和人际关系的相关改善。本案例研究描述了如何将ImRs纳入强迫症的ERP治疗。提供了ERP和ImRs治疗的详细信息，以及记录摘录，以突出ImRs过程。需要进一步的研究来加强对强迫症患者治疗序列中ImRs的机制和最佳部署的理解。

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.