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Behaviour therapy in psychiatric outpatients

S M Ko1, S L Tan, B Leong

  • 1Department of Psychological Medicine, National University Hospital, Singapore.

Singapore Medical Journal
|April 1, 1996
PubMed
Summary
This summary is machine-generated.

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Behavioral therapy, including exposure and relaxation techniques, effectively treated anxiety and obsessive-compulsive disorders in outpatients. Most patients showed significant improvement, with many reducing or discontinuing medication.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Medicine

Background:

  • Anxiety disorders and obsessive-compulsive disorders (OCDs) are prevalent conditions requiring effective treatment.
  • Behavioral therapy offers a non-pharmacological approach to managing these conditions.

Purpose of the Study:

  • To evaluate the effectiveness of behavioral therapy in treating outpatients with common psychiatric disorders.
  • To assess patient outcomes and treatment adherence in a behavioral therapy clinic.

Main Methods:

  • Prospective study of 50 outpatients with OCD, phobias, and generalized anxiety disorders.
  • Treatment involved 2-10 sessions of behavioral techniques like exposure therapy with response prevention and relaxation therapy.
  • Therapy shifted from therapist-aided to self-help with regular reviews.

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Main Results:

  • 84% of patients showed improvement after one month, with 40% experiencing moderate improvement.
  • After three months, 82% continued to improve, with 66% showing moderate to great improvement.
  • Treatment failure occurred in 9 patients (defaulting or non-response); common reasons included discomfort with exposure therapy and lack of motivation.

Conclusions:

  • Behavioral therapy is an effective treatment for outpatients with anxiety and obsessive-compulsive disorders.
  • A significant majority of patients experience improvement, with potential for medication reduction or discontinuation.
  • Patient adherence and willingness to engage in challenging therapeutic techniques are crucial for successful outcomes.