認知行動療法と薬剤調整を連携させることにより回復に至った特定の恐怖症(HIV感染恐怖)を伴う遷延したうつ病の一例
Combined Cognitive Behavior Therapy and Medication Adjustment for a Patient with Prolonged Depression and a Specific Phobia (HIV-Infection Phobia): Case Report

Tetsuji Miyazaki
2017 Japanese Journal of Behavior Therapy  
The present article reports a case study of a patient who recovered from prolonged depression with HIV-infection phobia and returned to work. Combined exposure and response prevention and medication adjustment, and combined cognitive therapy and medication adjustment were used to treat this patient. HIV-infection phobia was identified as one of the factors that prolonged his depression. The patient's physical symptoms were alleviated by making adjustments to his medication, and then exposure
more » ... response prevention was conducted for HIV-infection phobia. Exposure and response prevention was highly relevant and easily implemented for this patient. Although exposure and response prevention is rule-governed behavior, it was expected to have an intrinsic reinforcement value through the homework of being able to feel happy or to feel that the patient's life would become easier immediately upon achievement. Recovery from HIV-infection phobia was achieved by efficiently introducing exposure and response prevention, which was emotionally painful in a normal situation. As a result, it was possible for the patient to recover from depression that was influenced by his HIVinfection phobia.
doi:10.24468/jjbt.16-171 fatcat:mgctenu5fjaphem5xk6ciapybu