TY - JOUR
T1 - Cognitive behavior therapy-based intervention for a subacute stroke patient with severe fear of falling
T2 - a case report
AU - Ohyagi, Shunya
AU - Tatemoto, Tsuyoshi
AU - Inoue, Seigo
AU - Sugita, Sho
AU - Honaga, Kaoru
AU - Otaka, Yohei
N1 - Publisher Copyright:
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2020/12/1
Y1 - 2020/12/1
N2 - We present the case of a 42-year-old man with subacute stroke who developed remarkable fear of falling and eventually recovered with an approach based on cognitive behavioral therapy (CBT). The CBT-based approach was implemented after the patient developed significant fear of falling with exacerbated obsessive-compulsive symptoms appeared immediately after a fall. The patient's anxiety decreased over time, and his ability to perform these tasks and activities of daily living improved accordingly. After 6 weeks of intervention, his anxiety toward gait and stairs almost disappeared; additionally, he achieved modified independence for gait and supervision for stairs and was discharged home successfully. These findings in the present case suggest the effectiveness of an evaluation and interventional approach based on CBT for stroke patients with a severe fear of falling.
AB - We present the case of a 42-year-old man with subacute stroke who developed remarkable fear of falling and eventually recovered with an approach based on cognitive behavioral therapy (CBT). The CBT-based approach was implemented after the patient developed significant fear of falling with exacerbated obsessive-compulsive symptoms appeared immediately after a fall. The patient's anxiety decreased over time, and his ability to perform these tasks and activities of daily living improved accordingly. After 6 weeks of intervention, his anxiety toward gait and stairs almost disappeared; additionally, he achieved modified independence for gait and supervision for stairs and was discharged home successfully. These findings in the present case suggest the effectiveness of an evaluation and interventional approach based on CBT for stroke patients with a severe fear of falling.
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U2 - 10.1097/MRR.0000000000000425
DO - 10.1097/MRR.0000000000000425
M3 - Article
C2 - 32658024
AN - SCOPUS:85095861090
SN - 0342-5282
VL - 43
SP - 383
EP - 385
JO - International Journal of Rehabilitation Research
JF - International Journal of Rehabilitation Research
IS - 4
ER -