Revista Brasileira de Terapias Cognitivas
version ISSN 1808-5687
GONCALVES, Raquel Menezes et al. Impact of co-therapy in the cognitive behavioral treatment of PTSD. Rev. bras.ter. cogn. [online]. 2010, vol.6, n.1, pp. 32-41. ISSN 1808-5687.
Cognitive behavioral therapy (CBT) is an effective treatment for Post Traumatic Stress Disorder (PTSD) and use techniques such as psychoeducation, cognitive restructuring, relaxation, breathing retraining, imaginal and in vivo exposure. The role of co-therapy in individual treatment of patients hasn't been well investigated. The aim of the present study was to illustrate the adaptation of a version of Edna Foa's protocol of CBT for the treatment of PTSD, highlighting the addition of co-therapy, not included at the original protocol. It was evaluated the treatment of a medication intolerant PTSD patient through self report scales and psychiatric evaluation. It was observed that scores of Depression Beck Inventory, Anxiety Beck Inventory, Clinical Global Impression and PTSD Checklist - civilian version decreased over treatment. This case report suggests that the administration of the protocol was satisfactory, with evidences of CBT efficacy and co-therapy relevance as an important element in this process. Randomized controlled trials are necessary to test the cost-effectiveness of co-therapy addition in the treatment protocol, particularly in patients with treatment-resistant or treatment-intolerant PTSD and psychiatric comorbidity
Keywords : Cognitive Behavioral Therapy; Post Traumatic Stress Disorder; Co-therapy; Case report.