Abstract

MONTERO FERNANDEZ, Cristina; FERNANDEZ MARTIN, L. Celia  and  POL RODRIGUEZ, Jesús. Cognitive-behavioural therapy with acceptance and commitment components in an obssesive-compulsive disorder case. Rev. Asoc. Esp. Neuropsiq. [online]. 2013, vol.33, n.117, pp.123-134. ISSN 2340-2733.  https://dx.doi.org/10.4321/S0211-57352013000100009.

The aim of this article is to describe the treatment and to present the results of the clinical case of a 33 years old woman with obsessive-compulsive disorder (OCD), two years of evolution, both high-interference in her social and family relationships as in her vital process and daily routine. We used the model of Cognitive-behavioral Therapy (CBT) and Acceptance and Commitment (ACT) for the strongest compulsion. The intervention took place over eight sessions of treatment on a weekly basis, first, and spaced them out over a period of time corresponding to a symptomatic progression to get the autonomy of the patient and the ending of the therapeutic process. There were two follow-up sessions: after three and a half months and six months later. The results were evaluated from the patient's self-reports, she remained asymptomatic at follow-ups and having recovered her social and family relationships and her previous activity level. At the beginning of the therapy, the patient spent two months taking pharmacological treatment, which was withdrawn during the process.

Keywords : Obssesive-compulsive disorder (OCD); Cognitive-behavioural therapy; Acceptance and Commitment Therapy; Exposure and response prevention; Experiential Avoidance; Single-case experiment.

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