Case Study
Year: 2018 | Month: December | Volume: 8 | Issue: 12 | Pages: 206-212
Cognitive Drill Therapy and Jacobson Progressive Muscle Relaxation in the Treatment of Obsessive Compulsive Disorder (OCD): A Case Study
Preeti Bajpai1, Neeraj Kumar Mishra1, Sweta2
1M.Phil Clinical Psychology, Department of Clinical Psychology, Nai Subah Institute, Varanasi, UP, India.
2Asst. Professor, Department of Clinical Psychology, Nai Subah Institute, Varanasi, UP, India.
Corresponding Author: Neeraj Kumar Mishra
ABSTRACT
Cognitive drill therapy (CDT) focus on repetition of words or sentence, and exposure related to preoccupied feared consequences. It is a psychological management of OCD, and phobia. The Index Patient was a 30 years old, unmarried female belonging from middle socioeconomic status (selected as per ICD 10 diagnostic criteria). Her symptoms began six years ago when her family members noticed certain distinctive changes in her behavior. She felt preoccupied contamination either touch with things or only proximity of dirty things or people who involve in such things, she spent her most of time in cleaning house, washing hands, she starts avoiding to- go out from home. Her cognition of ideation is fear to become contamination, and this contamination convert into lethal disease and act was washing, cleaning, avoiding things, and outside from home. She was referred for psychological management. The baseline assessment was used for measure the status of (OCD). Tools were used Y-BOCS rating scale, Beck anxiety scale. (BAI) Beck depression scale (BDI). This is a single case study. Therapy was 3 phase (12 sessions -45 minutes once a week).Initial phase comprises a therapeutic alliance, psycho-education and baseline assessment. Middle phase comprising Jacobson progressive muscle relaxation (JPMR) & cognitive drill therapy Termination phase comprising post-assessment and follow-up. In this therapy session, the Cognitive drill was applied in-vitro and at the verbal level. No in-vivo behavioral exposure was done in therapy sessions & Jacobson progressive muscle relaxation was used to reduce anxiety or discomfort. The intervention made a positive outcome and post-therapeutic assessment score was decreased. The patient herself and family members reported symptoms were reduced.
Key words: Cognitive drill therapy (CDT), Obsessive Compulsive Disorder (OCD), Jacobson Progressive Muscle relaxation (JPMR), contamination