Cognitive Behavioral Therapy For Illness Anxiety Disorder: A Case Study

Abstract

Objectives: Present study aimed to ascertain the effectiveness of Cognitive Behavioral Therapy (CBT) in illness anxiety disorder.

Design: Case Study research design was utilized for an in-depth, understanding of client’s problems.

Place and Duration of the study: Current study was carried out in Lahore, Pakistan from February to May, 2017.

Subjects and Method: Current case provided a detailed account of a 22 years old male. Client came with complaints of excessive worry about health and other symptoms, he was diagnosed with Illness Anxiety Disorder, (DSM-5,APA,2013) Contributing factors of the client’s problem was being involved in sexual activities, sister’s illness; father’s reinforcing behavior, neglectful parenting, peer pressure, non-assertiveness, and unclean drinking water. The case was conceptualized on the bio-bsycho-social model. ABA design was used to help client manage his problems more effectively. In pre assessment phase of the study, subjective ratings of presenting complaints were taken from the client. Further, Short Health Anxiety Inventory (SHAI) was administered on the client. Results of SHAI were indicators of severe health anxiety. Second phase of the study was intervention phase. In this phase treatment goals were achieved by using CBT techniques such as, cognitive restructuring, worry time and coping statement. Pre-post Mean scores were compared later in results.

Results and conclusion: Client showed significant progress in his condition by the termination of the therapy which was apparent through his post assessment results. It was concluded that CBT was found effective in treatment of illness anxiety disorder.