Nine session treatment of a blood-injection-injury phobia with Manualized cognitive behavioral therapy: An adult case example

L. Kevin Chapman, Ryan C.T. DeLapp

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

The treatment of blood-injection-injury (BII) phobia has a unique treatment component as compared with other types of specific phobias. In particular, many patients with a BII phobia distinctively experience an increased susceptibility to fainting when exposed to feared medicalrelated stimuli due to a diphasic physiological response. Moreover, effective treatment protocols must not only include therapeutic techniques to ameliorate the patient's fear response but also teach strategies that will allow the patient to remain conscious during exposure to feared stimuli. The current case study describes a manualized, cognitive behavioral therapy that utilized applied muscle tension techniques to comprehensively address the multifaceted components of an adult male's BII phobia. Treatment included a combination of psychoeducation and cognitive restructuring that provided the patient with an empirically based understanding of BII phobia, practiced using applied muscle tension techniques to better manage his physiological processes during exposure followed by the utilization of in vivo graduated exposure to reduce distress and avoidance of feared stimuli. After completing nine sessions, the patient demonstrated considerable improvement as evidenced by reductions in anxiety and the willful seeking of medical care following treatment. Further implications and future directions for research are discussed.

Original languageEnglish (US)
Pages (from-to)299-312
Number of pages14
JournalClinical Case Studies
Volume13
Issue number4
DOIs
StatePublished - Aug 2014
Externally publishedYes

Keywords

  • Applied muscle tension
  • Blood-injection-injury phobia
  • Cognitive behavioral therapy
  • Exposure

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Nine session treatment of a blood-injection-injury phobia with Manualized cognitive behavioral therapy: An adult case example'. Together they form a unique fingerprint.

  • Cite this