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Case Reports
. 2013;23(6):798-810.
doi: 10.1080/09602011.2013.820135. Epub 2013 Jul 26.

Treating anxiety after stroke using cognitive-behaviour therapy: two cases

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Free PMC article
Case Reports

Treating anxiety after stroke using cognitive-behaviour therapy: two cases

Ian I Kneebone et al. Neuropsychol Rehabil. 2013.
Free PMC article

Abstract

Anxiety disorders are common after stroke. However, information on how to treat them with psychotherapy in this population is highly limited. Modified cognitive-behaviour therapy (CBT) has the potential to assist. Two cases of individuals treated with modified CBT for anxiety after stroke are presented. The modification was required in light of deficits in executive and memory function in one individual and in the context of communication difficulties in the other. The anxiety symptoms were treated over seven and nine sessions, respectively. Both participants improved following the intervention, and these improvements were maintained at 3 month follow-ups. Further case-series and randomised controlled designs are required to support and develop modified CBT for those with anxiety after stroke.

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Figures

Figure 1.
Figure 1.
Change on the HADS-A (Hospital Anxiety and Depression Scale – Anxiety Sub-scale) for Ned from pre-treatment to three month follow up.
Figure 2.
Figure 2.
Change on the GAI (Geriatric Anxiety Inventory) and the belief rating that she would have another stroke that would render her completely unable to communicate, for Myrtle from initial treatment to three month follow-up.

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