48.3 Complex Cases: Diagnostic and Behavioral Treatment Strategies in Tic-Related OCD

2018 ◽  
Vol 57 (10) ◽  
pp. S69
Author(s):  
Sony Khemlani-Patel
Keyword(s):  
Behavioral Treatment ◽  
Treatment Strategies ◽  
Complex Cases

How Can Speech-Language Pathologists Think About Sensation During Swallowing Evaluation and Intervention?

2021 ◽  
pp. 1-11
Author(s):  
Aarthi Madhavan ◽  
Nicole M. Etter
Keyword(s):  
Behavioral Treatment ◽  
Sensory Information ◽  
Treatment Strategies ◽  
Clinical Importance ◽  
Functional Results ◽  
Future Research ◽  
Speech Language Pathologists ◽  
Swallowing Evaluation ◽  
Assessment And Treatment ◽  
Swallowing Assessment

Purpose Both the enjoyment of foods and safe swallowing revolve around incorporating multiple streams of sensory feedback to form a positive sensory experience; these include information about the taste, smell, texture, temperature, and even the sight of food. Traditional swallowing assessment and treatment paradigms have primarily focused on the motor aspects of swallowing. However, sensory information is vital for not only enjoying foods while eating but also coordinating safe and efficient swallow behaviors. The purpose of this clinical focus article is to discuss the clinical importance of sensation in swallowing evaluation and intervention. Conclusions During their clinical assessments of swallowing, speech-language pathologists are already documenting the functional results of oropharyngeal sensorimotor impairments (e.g., residue). A combination of sensory and motor aspects is already integrated within current behavioral treatment strategies for dysphagia. Focused attention to the salient sensory features of swallowing has the potential to improve swallowing evaluation and intervention efforts. A discussion of potential future research in improved measurement and documentation of altered sensation is provided.

Recurrent abdominal pain

2018 ◽  
Author(s):  
Mark Tighe ◽  
Mark Beattie
Keyword(s):  
General Practice ◽  
Abdominal Pain ◽  
Treatment Strategies ◽  
Recurrent Abdominal Pain ◽  
Clinical Approach ◽  
Organic Disease ◽  
Limited Evidence ◽  
Disease Treatment ◽  
School Aged Children ◽  
Complex Cases

Recurrent abdominal pain occurs in 10–15% of school-aged children and is a frequent presenting complaint in general practice and general paediatric and paediatric gastroenterology clinics. Patients often have vague symptoms and investigation usually results in a low yield of organic disease. Treatment strategies are varied and often subjective with limited evidence upon which to base them. This chapter includes a general overview, classification, discussion of the complex and multifactorial aetiology, therapeutic approach, and outcome. It discusses a recommended clinical approach for the management of complex cases.

Reward Circuits and Apathy in Schizophrenia: Neuroimaging and Treatment Strategies

2017 ◽  
Vol 41 (S1) ◽  
pp. S58-S58
Author(s):  
A. Aleman
Keyword(s):  
Behavioral Treatment ◽  
Negative Symptoms ◽  
Meta Analysis ◽  
Critical Role ◽  
Unmet Need ◽  
Treatment Strategies ◽  
Reward Processing ◽  
Motivated Behavior ◽  
Novel Treatment Strategies ◽  
Quantitative Integration

Approximately 50% of patients with schizophrenia shows deficits in motivation and initiation of goal-directed behavior, which are suggestive of reward system dysfunction. We conducted a meta-analysis of neuroimaging studies reporting on the neural correlates of reward processing and negative symptoms in schizophrenia. A significant mean weighted correlation was observerd, revealing deficits in activation of reward neurocircuitry. A more specific findings is comprised activation of the ventral striatum, involved in anticipation of reward, and structures that play a critical role in the ability to represent the value of outcomes and plans. In a study of VTA connectivity in the resting state in a large group of patients with schizophrenia, we found reduced connectivity with lateral prefrontal, temporal and parietal regions to be associated with higher degrees of apathy. Apathy belongs to the most debilitating symptoms of schizophrenia and represents a significant unmet need in its treatment. Quantitative integration of published findings suggests that treatment with noninvasive magnetic brain stimulation can improve negative symptoms. Previous PET-studies have shown that such stimulation may target circuits with dopaminergic innervation. A behavioral treatment approach that may also target reward-related circuits will also be discussed briefly. It can be concluded that recent results regarding reward and motivated behavior in schizophrenia have clinical implications and may help develop novel treatment strategies.Disclosure of interestAA received speaker fees from Lundbeck.

Are the Current Treatment Strategies for Facial Nerve Schwannoma Appropriate Also for Complex Cases?

2013 ◽  
Vol 18 (3) ◽  
pp. 184-191 ◽  
Author(s):  
Andrea Bacciu ◽  
Amjad Nusier ◽  
Lorenzo Lauda ◽  
Maurizio Falcioni ◽  
Alessandra Russo ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Treatment Strategies ◽  
Current Treatment ◽  
Facial Nerve Schwannoma ◽  
Complex Cases

scholarly journals Cognitive Behavioral Treatment to Improve Adherence to Hemodialysis Fluid Restrictions: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-5 ◽  
Author(s):  
Heather M. Anson ◽  
Michelle R. Byrd ◽  
Ellen I. Koch
Keyword(s):  
Case Report ◽  
Behavioral Treatment ◽  
Fluid Intake ◽  
Hemodialysis Patient ◽  
Psychological Treatment ◽  
Treatment Strategies ◽  
Cognitive Behavioral ◽  
Individual Psychotherapy ◽  
Cognitive Behavioral Treatment ◽  
Competing Events

This case report describes outpatient psychological treatment targeting adherence to fluid restrictions in a hemodialysis patient. The consequences of nonadherence to fluid restrictions in hemodialysis patients range from minor discomfort to increased hospitalizations and mortality rates. In addition, when patients chronically fail to adhere, they may no longer be candidates for kidney transplant. The interventions focused on polydipsia, characterized by excessive fluid intake. The methods involved 11-sessions of individual psychotherapy incorporating strategies including increasing awareness, decreasing motivation, increasing effort, engaging in competing events, conducting thought stopping, breaking repetitive routines, eliciting social support, and receiving reinforcement. Results demonstrated that the patient successfully restricted his fluid intake at or below recommended levels 83% of days after fading of treatment began. This case report demonstrates the success of cognitive behavioral treatment strategies with a nonpsychiatric hemodialysis patient.

Parent Adherence in Two Behavioral Treatment Strategies for the Predominantly Inattentive Presentation of ADHD

2016 ◽  
Vol 47 (sup1) ◽  
pp. S233-S241 ◽  
Author(s):  
Mary Rooney ◽  
Stephen Hinshaw ◽  
Keith McBurnett ◽  
Linda Pfiffner
Keyword(s):  
Behavioral Treatment ◽  
Treatment Strategies
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