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Clinical Case Studies
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Article

Cognitive Behavior Therapy and Worry Reduction in an Outpatient With Generalized Anxiety Disorder

Siamak Khodarahimi, PhD* and Nnamdi Pole

* To whom correspondence should be addressed. E-mail: Khodarahimi{at}yahoo.com.


   Abstract
This article describes the treatment of a 27-year-old female with a particularly challenging manifestation of generalized anxiety disorder (GAD) with prominent worry. A manualized cognitive–behavioral therapy (CBT) protocol, including problem-solving training, cognitive restructuring, and relaxation training techniques, was tailored to the patient’s presenting profile. Several self-report measures administered during the pretreatment, post-treatment, and follow-up periods, including: the Penn State Worry Questionnaire (PSWQ), the Why Worry-II (WW-II), the Ahwaz Worry Inventory (AWI), and the Intolerance of Uncertainty Scale (IUS), indicated significant worry reduction following treatment. Many difficulties were encountered, most notably designing and monitoring homework. Treatment implications are discussed.

First published on October 28, 2009
Clinical Case Studies 2009, doi:10.1177/1534650109351306


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