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Beyond exposure therapy: formulation-based therapy treating a fear of urinary incontinence - a case study
Torstein Stapley1, Tracey Taylor1, Victoria Bream2
1Centre for Anxiety Disorders and Trauma, South London and Maudsley NHS Foundation Trust, London, UK.
Background:
The current literature on the specific phobia of urinary incontinence is limited, with no specific empirically established model or treatment protocol.
Aims:
This article consists of a case study of formulation-driven cognitive behaviour therapy (CBT) for phobia of urinary incontinence.
Method:
Martin attended a total of 12 treatment sessions. The treatment included the development of an idiosyncratic formulation, and the use of well-established cognitive and behavioural treatment strategies from other anxiety disorders.
Results:
Both outcome measures and Martin's subjective report indicate that the treatment was effective.
Conclusion:
This case study contributes to the current limited literature on this phobia, and emphasises the importance of formulation-driven CBT to map for idiosyncratic features and target cognitive and behavioural factors.
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