Treating anxiety after stroke using cognitive-behaviour therapy: Two cases

Anxiety disorders are common after stroke. However, information on how to treat them with psychotherapy in this population is highly limited. Modified cognitive-behaviour therapy (CBT) has the potential to assist. Two cases of individuals treated with modified CBT for anxiety after stroke are presen...

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Bibliographic Details
Published in:Neuropsychological rehabilitation 2013-12, Vol.23 (6), p.798-810
Main Authors: Kneebone, Ian I., Jeffries, Fiona W.
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Aged
Anxiety
Anxiety - complications
Anxiety - therapy
Anxiety disorders
Behavior therapy. Cognitive therapy
Biological and medical sciences
Cognitive behaviour therapy
Cognitive Therapy
Female
Humans
Male
Medical sciences
Middle Aged
Modification
Neurology
Organic mental disorders. Neuropsychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
Single case design
Stroke
Stroke - complications
Stroke - psychology
Strokes
Symptoms
Treatment Outcome
Treatments
Vascular diseases and vascular malformations of the nervous system
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Summary:Anxiety disorders are common after stroke. However, information on how to treat them with psychotherapy in this population is highly limited. Modified cognitive-behaviour therapy (CBT) has the potential to assist. Two cases of individuals treated with modified CBT for anxiety after stroke are presented. The modification was required in light of deficits in executive and memory function in one individual and in the context of communication difficulties in the other. The anxiety symptoms were treated over seven and nine sessions, respectively. Both participants improved following the intervention, and these improvements were maintained at 3 month follow-ups. Further case-series and randomised controlled designs are required to support and develop modified CBT for those with anxiety after stroke.
ISSN:0960-2011
1464-0694
DOI:10.1080/09602011.2013.820135