A novel approach to treating anxiety and enhancing executive skills in an older adult with parkinsong's disease

Jan Mohlman, Dorian Hunter Reel, Daniel Chazin, Diana Ong, Bianca Georgescu, Jade Tiu, Roseanne D. Dobkin

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations

Abstract

Scientific interest in the nonmotoric symptoms of Parkinsong's disease (PD) has increased dramatically, and psychiatric symptoms (e.g., cognitive impairment, anxiety, and mood disorders) are now considered prime targets for treatment optimization. Psychiatric complications in PD are quite common, affecting as many as 60% to 80% of patients. This study describes the case of a 74-year-old male with PD who presented with complaints of anxiety and trouble with memory and attention. A combined cognitive behavior therapy (CBT) and cognitive enhancement intervention was delivered in ten 90-to-120 minute sessions.The patient showed a reduction in anxiety symptoms that was of sufficient magnitude to meet criteria for "responder" status. His cognitive skills were mostly unchanged, despite the rigorous rehabilitation practice. Implications for treatment and strategies for enhancing therapeutic benefits are discussed.

Original languageEnglish (US)
Pages (from-to)74-90
Number of pages17
JournalClinical Case Studies
Volume9
Issue number1
DOIs
StatePublished - Feb 2010

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Clinical Psychology

Keywords

  • Aging
  • Anxiety
  • Cognitive behavior therapy
  • Cognitive enhancement
  • Executive skills
  • Parkinsong's disease

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