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Menstruation phobia treated by cognitive correction: a case report.

¹Department of Psychiatry, University of Melbourne.

Journal of Behavior Therapy and Experimental Psychiatry

|March 1, 1990

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Cognitive therapy successfully treated a patient diagnosed with menstruation phobia. The approach improved self-efficacy, making menstruation acceptable and resolving amenorrhea.

Area of Science:

Psychiatry
Gynecology
Cognitive Behavioral Therapy

Background:

Amenorrhea, or cessation of menstruation, can have psychological underpinnings.
Differing patient-psychiatrist beliefs can complicate diagnosis and treatment.
Menstruation phobia is a recognized, though less common, psychiatric condition.

Observation:

A patient presented with amenorrhea.
Discrepancies in beliefs and expectations between the patient and psychiatrist were noted.
A diagnosis of phobia of menstruation was established.

Findings:

The patient underwent purely cognitive treatment.
Therapy involved acknowledging and clarifying the patient's concerns.
A cognitive reorientation was achieved, enhancing the patient's self-efficacy.

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Implications:

Cognitive therapy can be effective in managing psychogenic amenorrhea.
Addressing patient-psychiatrist belief discrepancies is crucial for successful outcomes.
Increased self-efficacy can facilitate the acceptance of physiological processes like menstruation.