Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-24T13:34:56.706Z Has data issue: false hasContentIssue false

Beyond exposure therapy: formulation-based therapy treating a fear of urinary incontinence – a case study

Published online by Cambridge University Press:  31 August 2021

Torstein Stapley*
Affiliation:
Centre for Anxiety Disorders and Trauma, South London and Maudsley NHS Foundation Trust, London, UK
Tracey Taylor
Affiliation:
Centre for Anxiety Disorders and Trauma, South London and Maudsley NHS Foundation Trust, London, UK
Victoria Bream
Affiliation:
Oxford Health Specialist Psychological Interventions Clinic & Oxford Centre for Cognitive Therapy, Warneford Hospital, Oxford, UK
*
*Corresponding author. Email: [email protected]

Abstract

Background:

The current literature on the specific phobia of urinary incontinence is limited, with no specific empirically established model or treatment protocol.

Aims:

This article consists of a case study of formulation-driven cognitive behaviour therapy (CBT) for phobia of urinary incontinence.

Method:

Martin attended a total of 12 treatment sessions. The treatment included the development of an idiosyncratic formulation, and the use of well-established cognitive and behavioural treatment strategies from other anxiety disorders.

Results:

Both outcome measures and Martin’s subjective report indicate that the treatment was effective.

Conclusion:

This case study contributes to the current limited literature on this phobia, and emphasises the importance of formulation-driven CBT to map for idiosyncratic features and target cognitive and behavioural factors.

Type
Brief Clinical Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th edn; DSM-5). Arlington, VA, USA.Google Scholar
Chambless, D. L., Caputo, G. C., Bright, P., & Gallagher, R. (1984). Assessment of fear of fear in agoraphobics: the Body Sensations Questionnaire and the Agoraphobic Cognitions Questionnaire. Journal of Consulting and Clinical Psychology, 52, 10901097.CrossRefGoogle ScholarPubMed
Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24, 461470.CrossRefGoogle ScholarPubMed
Clark, D. M., & Wells, A. (1995). A Cognitive Model of Social Phobia. In Heimberg, R. G., Liebowitz, M. R., Hope, D. A., & Schneier, F. R. (eds), Social Phobia: Diagnosis, Assessment, and Treatment (pp. 6993). The Guilford Press.Google Scholar
Kamboj, S. K., Langhoff, C., Pajak, R., Zhu, A., Chevalier, A., & Watson, S. (2015). Bowel and bladder-control anxiety: a preliminary description of a viscerally-centred phobic syndrome. Behavioural Cognitive Psychotherapy, 43, 142157 CrossRefGoogle ScholarPubMed
Marks, I.M., & Mathews, A. M. (1979). Brief standard self-rating for phobic patients. Behavior Research and Therapy, 17, 263267.CrossRefGoogle ScholarPubMed
Mundt, J. C., Marks, I. M., Shear, K. M., & Griest, J. M. (2002). The Work and Social Adjustment Scale: a simple measure of impairment in functioning. British Journal of Psychiatry, 180, 461464.CrossRefGoogle ScholarPubMed
Pajak, R., & Kamboj, S. K. (2014). Experimental single-session imagery rescripting of distressing memories in bowel/bladder-control anxiety: a case series. Frontiers in Psychiatry, 5, 182.CrossRefGoogle ScholarPubMed
Salkovskis, P. M. (2002). Empirically grounded clinical interventions: cognitive-behavioural therapy progresses through a multi-dimensional approach to clinical science. Behavioural and Cognitive Psychotherapy, 30, 39.CrossRefGoogle Scholar
Tan, T., & Lim, L. (2015). Cognitive behavior therapy of urinary incontinence phobia: a case report. Open Journal of Psychiatry, 5, 6065.CrossRefGoogle Scholar
Supplementary material: File

Stapley et al. supplementary material

Stapley et al. supplementary material

Download Stapley et al. supplementary material(File)
File 671.7 KB
Submit a response

Comments

No Comments have been published for this article.