Behavioral treatment of a case of psychogenic urinary retention.
The case involved a thirteen-year-old girl with a history of different urological disorders who since the age of four showed several rituals associated with micturition as well as progressively intense urinary retention. Micturition occupied 2 to 12 hours a day. Treatment consists of systematic desensitization through imagery and in vivo together with progressive response prevention of ritualized behaviours. Cognitive therapy and parent counselling is also used. Normality is attained after 7 weeks treatment and maintained at 18 months follow-up. Psychiatric diagnosis is simple phobia to micturition.
Nicolau
R
R
Section of Child and Adolescent Psychiatry, Hospital Clinic, Barcelona, Spain.
Toro
J
J
Perez Prado
C
C
D000293:Adolescent; D001143:Arousal; D001521:Behavior Therapy / Q000379:methods*; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003131:Combined Modality Therapy; D005196:Family Therapy / Q000379:methods; D005260:Female; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000523:psychology / Q000628:therapy; D010698:Phobic Disorders / Q000523:psychology* / Q000628:therapy*; D011602:Psychophysiologic Disorders / Q000523:psychology* / Q000628:therapy*; D014039:Toilet Training; D001745:Urinary Bladder Diseases / Q000150:complications / Q000523:psychology; D016055:Urinary Retention / Q000523:psychology* / Q000628:therapy*