Application of cognitive-behavioral therapy in a case of mixed anxiety-depressive disorder

Written by: Dr. Antonio Rodrigo Parra
Edited by: Top Doctors®

Next, we analyze and explain a clinical case of mixed disorder of the anxious-depressive type treated with the application of cognitive-behavioral therapy .


Background, evaluation and case diagnosis

A 36-year-old man comes to the clinic directly referred by his doctor for his problems of dizziness and for fear of undergoing a new radiosurgery intervention, which was intervened five years earlier and whose result can be classified as positive.

In addition to becoming aware of all the work stress that has accumulated over the last decade and the impact this has had on his depressed mood.

Thus, to establish a correct diagnosis, a semi-structured interview with the patient is performed and it is observed during the consultation. Its symptomatology is compatible with mixed anxiety-depressive disorder .


Objectives of cognitive-behavioral therapy in a case of mixed anxiety-depressive disorder

The objectives of this therapy are mainly two: 

  • Firstly, the priority objective will be to increase the patient's ability to cope with anxiety situations 
  • The second, but not least, is to increase the patient's personal well-being

Techniques used during the treatment of a mixed anxiety-depressive disorder through cognitive-behavioral therapy

The techniques used in a case of mixed anxiety-depressive disorder are the following: 

  • Functional analysis of your anxiety 
  • Self-reports of stress situations 
  • Relaxation-breathing control techniques 
  • Exposure Techniques 
  • Problem solving 
  • Clarification of values


Treatment of a mixed anxiety-depressive disorder with cognitive-behavioral therapy

The treatment consists of a psychological intervention from the cognitive-behavioral perspective integrating some techniques of the therapy of "acceptance and commitment".

The treatment has been divided into a total of fifteen sessions , with twelve sessions for intervention and three follow-ups.


Results and conclusions of the clinical case of mixed anxiety-depressive disorder with cognitive-behavioral therapy

The evolution throughout the sessions has been very favorable, since the patient has learned to regulate their levels of anxiety before the dreaded situations, achieving a more coherent lifestyle according to their value system.

The application of cognitive-behavioral therapy and the integration of techniques based on acceptance and exposure have been effective in terms of adherence to treatment and outcome in follow-up. At the same time, the intervention strategy has been reinforced, initially focusing on symptomatic behavior, progressing in maladaptive cognitions, interpersonal conflicts and clarification of values.

For more information on the application of therapies of the cognitive-behavioral type, consult with a specialist in Psychology .

*Translated with Google translator. We apologize for any imperfection

By Dr. Antonio Rodrigo Parra

Dr. Rodrigo Parra is a renowned specialist in Clinical Psychology with an important career that currently runs the reference center PsicoSalud Almeria. His exhaustive training has a Doctorate in Psychology from the University of Granada and a specialization in Clinical Psychology. During his long professional career as a clinical psychologist in the Andalusian Health Service, he has combined clinical practice in several prestigious centers and associations for social purposes such as Caritas Diocesana, Cruz Roja or the Progreso y Salud Foundation.

*Translated with Google translator. We apologize for any imperfection

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