Dr Bose’s SAANS interesting case series"Cognitive Behavioural Therapy (CBT) in Multi System Atrophy (MSA)"


Cognitive Behavioural Therapy (CBT) in Multi System Atrophy (MSA)
Cognitive Behavioural Therapy (CBT) is used to treat many disorders, especially psychiatric problems such as depression and anxiety. CBT has its roots in the late 1950s and was officially formed in the late seventies. Since then it has been shown to be a very effective way to help people overcome a variety of problems. CBT is an umbrella term that encompasses many different types of therapy that are all based on the same ideas. The principle is that first there is a thought, this triggers a feeling and this changes a person’s actions. The problem is that in many people these thoughts are based on ‘incorrect beliefs’. The aim of CBT is to correct these beliefs and this will lead to a change in thoughts leading to a change in feelings and finally a change in behaviour.
This is about a 57 year old patient Kausar Alam from Ranchi presented with severe deconditioning, gross pedal oedema. She was diagnosed as a case of multi system atrophy (MSA) by leading institutes. The detailed history revealed a major depression due her daughter’s failure in intercaste marriage. We received her about a fortnight back, subjected her to all possible tests  to rule out  secondary causes ,organ changes, deep vein thrombosis, lymphatic obstruction etc. She was found to be normal in all these tests. She was discharged after thorough evaluation and subjected to our SAANS Rehabilitation protocol , a journey from illness to wellness and cognitive behavioural therapy. She has now started walking without support , very motivate after five sessions.

What is CBT?
CBT is a relatively short-term form of psychotherapy (a type of counselling) that can be used for the treatment of a wide range of psychological disorders including depression, anxiety, eating disorders such as anorexia nervosa, substance abuse and personality disorders amongst others. It can also be used to help people change their lifestyles. It focuses on working on the ‘incorrect beliefs’ that people have. These ‘incorrect beliefs’ are usually unintentional but they seriously affect how people react to situations.
How Does CBT Work?
CBT is based on the theory a thought or idea must precede a mood, meaning there must be something that a person thinks that leads them to feel a certain way. This, in turn, will lead to the way in which people act. It also says that the way in which people act is heavily influenced by the way that they see themselves and the way that they think others see them.
For more detail contact   Dr Siddhanth, Rehab Head, 9953132804

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