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Beyond exposure therapy: formulation-based therapy treating a fear of urinary incontinence – a case study

Published online by Cambridge University Press:  31 August 2021

Torstein Stapley ,
Tracey Taylor  and
Victoria Bream
Torstein Stapley*
Affiliation:
Centre for Anxiety Disorders and Trauma, South London and Maudsley NHS Foundation Trust, London, UK
Tracey Taylor
Affiliation:
Centre for Anxiety Disorders and Trauma, South London and Maudsley NHS Foundation Trust, London, UK
Victoria Bream
Affiliation:
Oxford Health Specialist Psychological Interventions Clinic & Oxford Centre for Cognitive Therapy, Warneford Hospital, Oxford, UK
*
*Corresponding author. Email: torstein.stapley@slam.nhs.uk
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Abstract

Background:

The current literature on the specific phobia of urinary incontinence is limited, with no specific empirically established model or treatment protocol.

Aims:

This article consists of a case study of formulation-driven cognitive behaviour therapy (CBT) for phobia of urinary incontinence.

Method:

Martin attended a total of 12 treatment sessions. The treatment included the development of an idiosyncratic formulation, and the use of well-established cognitive and behavioural treatment strategies from other anxiety disorders.

Results:

Both outcome measures and Martin’s subjective report indicate that the treatment was effective.

Conclusion:

This case study contributes to the current limited literature on this phobia, and emphasises the importance of formulation-driven CBT to map for idiosyncratic features and target cognitive and behavioural factors.

Keywords

behavioural experimentsCBTempirically grounded interventionsurinary incontinence
Type
Brief Clinical Report
Information
Behavioural and Cognitive Psychotherapy , Volume 50 , Issue 2 , March 2022 , pp. 252 - 256
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies

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