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[Swallowing phobia: a case report].

M T de Lucas-Taracena1, I Ibarra

  • 1Centro de Salud Mental Usera, Madrid, Spain.

Actas Espanolas De Psiquiatria
|December 4, 2001
PubMed
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Choking phobia, the fear of swallowing, can develop after choking incidents or illness. This case study shows successful treatment of adolescent choking phobia following mononucleosis using cognitive and exposure therapies.

Area of Science:

  • Psychiatry
  • Gastroenterology

Background:

  • Choking phobia involves intense fear and avoidance of swallowing.
  • It commonly affects women post-choking incidents.
  • Differential diagnosis with eating disorders is crucial.

Observation:

  • An adolescent developed choking phobia after severe dysphagia from mononucleosis.
  • The patient restricted solid food intake, mimicking eating disorder symptoms.

Findings:

  • Psychoeducation, cognitive restructuring, and graduated in vivo exposure were employed.
  • The treatment protocol led to complete recovery from choking phobia.

Implications:

  • This case highlights a novel trigger for choking phobia: post-viral dysphagia.

Related Experiment Videos

  • It underscores the efficacy of integrated psychological interventions.
  • Early and accurate diagnosis is vital to differentiate from eating disorders.