A cognitive-behavioural approach to the management of idiopathic cervical dystonia.
A case is described in which a patient with idiopathic cervical dystonia is treated successfully with cognitive-behavioural therapy. It was hypothesised that although the dystonia was organic in origin, it was exacerbated and perpetuated by catastrophic thoughts and abnormal illness beliefs, and that modification of maintaining cognitive and behavioural responses would lead to improvement. Self-report outcome measures were consistent with this hypothesis and improvements were maintained at 6-month follow-up.
Faircloth
Sarah
S
Department of Liaison Psychiatry, St. Mary's Hospital, 20 South Wharf Road, London W2 1PD, UK.
Reid
Steven
S
D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D001362:Avoidance Learning; D001828:Body Image; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005239:Fear; D006801:Humans; D007223:Infant; D008297:Male; D012803:Sick Role; D012917:Social Adjustment; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D014103:Torticollis / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*