Intervención cognitivo-conductual en un caso de “enojo” relacionado con púrpura trombocitopénica inmune

María Luisa Escamilla Gutiérrez; Maetzin Itzel Ordaz Carrillo

doi:10.29057/icsa.v8i16.4962

María Luisa Escamilla Gutiérrez Universidad Autónoma del Estado de Hidalgo https://orcid.org/0000-0002-6318-4519
Maetzin Itzel Ordaz Carrillo Universidad Nacional Autónoma de México https://orcid.org/0000-0002-8530-7663

DOI: https://doi.org/10.29057/icsa.v8i16.4962

Keywords: Cognitive-behavioral intervention, anger, depression, generalized anxiety disorder, immune thrombocytopenic purpura

Abstract

Immune Thrombocytopenic Purpura (ITP) is a hemorrhagic disease characterized for the destruction of platelets by antibodies. The common treatment is prednisone, this is associated with changes in mood. Because of this, it is a challenge for the psychologist with specialization in Behavioral Medicine to differentiate if it is a psychological problem or not. This case is about a 20 year old female patient with ITP. She asked for psychological attention because she had “humor changes” and poor emotional self-control, specifically with anger, since she was taking prednisone. For the evaluation, behavioral interview, clinical observation, STAI, CES-D and Anger’s NAS were used, as well as Functional Behavior Analysis based on the Clinical Map of Pathogenesis. The intervention was composed of eleven sessions under Cognitive-Behavioral Therapy, it revealed to have good results and also it was shown that the cause of the problem was psychological due to poor handling of emotions and deficit of certain skills. Anger can be a manifestation of anxiety and depression.

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