Revista Brasileira de Psiquiatria
On-line version ISSN 1809-452X
SCEMES, Silvia; WIELENSKA, Regina Christina; SAVOIA, Mariângela Gentil and BERNIK, Marcio. Choking phobia: full remission following behavior therapy. Rev. Bras. Psiquiatr. [online]. 2009, vol.31, n.3, pp. 257-260. Epub Aug 07, 2009. ISSN 1809-452X. http://dx.doi.org/10.1590/S1516-44462009005000002.
OBJECTIVE: A phobic behavior pattern is learned by classical and operant conditioning mechanisms. The present article reviews the main determinants of choking phobia etiology and describes the behavior therapy of an adult patient. METHOD: Psychoeducation, functional analysis, and graded exposure to aversive stimuli were used to treat the patient, after extensive psychiatric and psychological assessment. Ingesta and anxiety levels were measured along treatment and at follow-up. RESULTS: A multiple assessment baseline design was used to demonstrate the complete remission of symptoms after seven sessions, each of them exposing the patient to a different group of foods. CONCLUSION: Psychoeducation and exposure were critical components of a successful choking phobia treatment.
Keywords : Choking phobia; Exposure therapy; Multiple baseline assessment design; Psychoeducation; Therapeutic relationship.