Document Detail


Successful interdisciplinary intervention with an initially treatment-resistant social phobic.
MedLine Citation:
PMID:  9670806     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite very successful treatments for social phobia, with many studies reporting as many as 75% of social phobics making clinically significant gains with 3 months of treatment or less, some social phobics fail to respond to treatment. This case presents a women with social phobia who received several trials of treatment for severe public-speaking fears but failed to improve, as demonstrated by persistent reports of fear and avoidance equal to those before treatment. With the assistance of a speech language pathologist, this client received combined therapy that included cognitive-behavioral therapy to treat her public-speaking fear and avoidance and voice therapy to treat excessive muscle contractions in the respiratory and phonatory systems. Overall, the combined treatment was successful, with the client's self-reported levels of fear and avoidance of public speaking decreasing dramatically. Specific improvements during voice therapy and implications for the treatment of social phobia are also discussed.
Authors:
L B Laguna; E C Healey; D A Hope
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Behavior modification     Volume:  22     ISSN:  0145-4455     ISO Abbreviation:  Behav Modif     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-08-25     Completed Date:  1998-08-25     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7803043     Medline TA:  Behav Modif     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  358-71     Citation Subset:  IM    
Affiliation:
University of Nebraska-Lincoln, USA.
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MeSH Terms
Descriptor/Qualifier:
Cognitive Therapy*
Combined Modality Therapy
Female
Humans
Middle Aged
Patient Care Team*
Phobic Disorders / psychology,  therapy*
Voice Training*
Grant Support
ID/Acronym/Agency:
MH 48751/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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