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Revista Brasileira de Terapias Cognitivas

Print version ISSN 1808-5687

Abstract

FORMIGA, Mariana Bandeira; GALDINO, Melyssa Kellyane Cavalcanti; CHIAPETTI, Nilse  and  GOMES, Caroline Mello Lucena Cavalcanti. The cognitive conceptualization in Obsessive Compulsive Disorder: a case report. Rev. bras.ter. cogn. [online]. 2012, vol.8, n.1, pp. 61-66. ISSN 1808-5687.

The current article presents a case study of a 27 years old female patient, undergraduate, who has Obsessive Compulsive Disorder (OCD), which involves cleansing rituals. The patient was taking Rivotril and Fluoxetine. The psychological care was guided by the theoretical principles of Cognitive behavioral therapy approach, with emphasis on cognitive conceptualization as assisting in verification and analysis of automatic thoughts, in the exposure technique and response prevention and cognitive restructuring. The purpose was to describe the importance of developing the conceptualization continuously in OCD, as a necessary requirement for the work produced by the therapist-patient dyad and understanding problems during treatment. It took seven months of operations for the remission of ritual cleansing, as well as drug withdrawal by the psychiatrist. According to the patient's reports, the occurrence of obsessive thoughts decreased considerably, and the irrational belief contamination was discredited.

Keywords : cognitive conceptualization; exposure and response prevention; obsessive-compulsive disorder.

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