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A Cognitive Approach to Maladaptive Daydreaming
Trusha Shanbhag1,2, Dan Isaac Pothiyil1,3
1Dept. of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India.
Indian Journal of Psychological Medicine
|November 15, 2024
Summary
Maladaptive daydreaming (MDD) is a condition causing distress and functional impairment. A tailored cognitive intervention significantly reduced MDD symptoms in a case study.
Area of Science:
- Psychology
- Psychiatry
Background:
- Maladaptive daydreaming (MDD) involves excessive, vivid fantasies that interfere with daily life.
- MDD is characterized by themes of idealized selves, companionship, and compensatory scripts.
- This condition causes significant emotional and functional distress.
Purpose of the Study:
- To explore the phenomenon of maladaptive daydreaming (MDD).
- To evaluate the clinical effectiveness of a single case intervention for MDD.
Main Methods:
- A 24-year-old male diagnosed with MDD was assessed using the MDD Scale (MDS-16).
- Data were collected at baseline and treatment termination.
- Intervention involved four phases: coping skills, behavior modification, cognitive restructuring, and relapse prevention.
Main Results:
- The patient's MDD Scale score decreased from 66 at baseline to 32 at treatment termination.
- This reduction was below the established cut-off score of 40, indicating significant symptom improvement.
Conclusions:
- Maladaptive daydreaming is linked to emotional and functional distress.
- A customized cognitive intervention approach proved effective in reducing MDD symptoms.
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