Trauma-Focused Cognitive--Behavioral Therapy With Latino Children: A Case Study

2011 ◽  
Author(s):  
Yahaira I. Marquez
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Latino Children

Treatment of a Commercially Sexually Abused Girl Using Trauma-Focused Cognitive Behavioral Therapy and Legal Interventions

2018 ◽  
Vol 18 (1) ◽  
pp. 18-35
Author(s):  
Maureen C. Kenny ◽  
Claire E. Helpingstine ◽  
Maya Weber
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sexually Abused ◽  
Behavioral Therapy ◽  
Sexual Exploitation ◽  
Cognitive Behavioral ◽  
Rapport Building ◽  
Body Image Issues ◽  
Legal Interventions

This case study describes the use of trauma-focused cognitive behavioral therapy (TF-CBT) and legal interventions for a 16-year-old girl who was the victim of commercial sexual exploitation (CSE) and suffered from substance abuse, anxiety, and body image issues. Over the course of 1 year, the client was able to discontinue involvement in sexual exploitation, cease substance use, decrease her anxiety level, improve her self-concept, and reduce posttrauma symptoms. The case calls attention to the need for extended rapport building, flexibility in treatment, and tailoring manualized treatments. It highlights the path to CSE for one teenager as well as the resultant emotional and behavioral consequences. Given the extensive nature of her past traumas, case management was continued following the clients’ discharge from treatment to support her adjustment. These follow-up sessions were conducted about once a month and assisted with maintenance of treatment goals.

scholarly journals Treating prolonged post-concussion symptoms in a pediatric patient with the simultaneous application of cognitive behavioral therapy and subthreshold exercise: A case study

Neurology ◽  
2018 ◽  
Vol 91 (23 Supplement 1) ◽  
pp. S16.1-S16
Author(s):  
Sonal Singh ◽  
Douglas R. Polster ◽  
Meeryo Choe ◽  
Christopher Giza ◽  
Talin Babikian
Keyword(s):  
Psychological Distress ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Physical Exertion ◽  
Rating Of Perceived Exertion ◽  
Self Report ◽  
Cognitive Behavioral ◽  
Simultaneous Application ◽  
Patient Reported

ObjectiveUse a novel, simultaneously applied cognitive behavioral therapy (CBT) and subthreshold exercise treatment (STE) for a 14-year old patient with persistent post-concussion symptoms (PPCS) to facilitate a return to function in school/sport.BackgroundPatient sustained a mild TBI while playing basketball on October 29, 2016. Neurologic exam on July 7, 2017 was negative, but the patient reported PPCS, with a graded symptom checklist (GSC) score of 26. Primary symptoms were headache and anxiety in relation to cognitive and/or physical exertion. The patient attributed anxiety to anticipating the onset of symptoms after exercise.Design/methodsThe 6-week combined CBT/STE intervention included psychoeducation, cognitive restructuring, and relaxation training combined with the STE protocol. Supervised physical exertion exposure began with aerobic exercise on a stationary bike and progressed to sport-specific activity while the patient simultaneously engaged in CBT. Pre- and post-intervention data included physiologic measures (heart rate [HR] and power output [PO] on exercise bike), a subjective measure of exertion (Borg's Rating of Perceived Exertion [RPE]), and psychological self-report questionnaires.ResultsAfter 6 sessions, patient was able to engage in strenuous exercise with reduced symptom exacerbation as demonstrated by his ability to reach 175 bpm HR with 350 watts of PO with decreased reported symptoms, a significant improvement from the first session. The patient reported a decrease in anxiety and psychological distress as well as an increase in emotional and school functioning. Parent report indicated an increase in the patient's overall health, social, and emotional functioning.ConclusionsEngaging in a six-week combined CBT/STE protocol resulted in improvements in ability to tolerate physical exertion, decreases in psychological distress, and a return to function. This case study demonstrated the feasibility & positive impact of simultaneous, dual treatment model for PPCS in adolescents. It also highlighted the need to address the psychological distress that occurs in patients with PPCS.

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