Abstract
This case illustrates the psychological management of Delusional
Disorder with Cognitive Behavioral Therapy. Assessment was done
informally through Clinical Interview, Dysfunctional Thought Record,
Subjective Rating of the Symptoms, Mental State Examination, and
formally through the Brown Assessment of Beliefs Scale (BABS).
Client scored 20 on BABS (2 points higher than its cut-off score of 18)
which showed significant presence of Delusional Disorder. According
to DSM-5 (considering client’s symptoms, results of her psychological
assessment, duration of her illness and her daily life functioning), M.F.
was diagnosed with 297.1 (F22) “Delusional Disorder, Persecutory
type with bizarre content”. Psychotherapeutic intervention was
comprised of Cognitive Behavioral Therapy (psycho-education,
relaxation exercises, cognitive re-structuring through A-B-C model,
verbal challenging, evidence for and against, assertiveness training and
stress management techniques) which resulted in marked improvement
in client’s symptoms. Client reported 80% improvement in her
delusional beliefs and it was also confirmed by the psychological
assessment done at pre and post level of therapy. The score was 6 on
BABS after her therapeutic intervention which falls in the category of
no significant delusions.
*Alina Shahid, Kiran Ishfaq. (2019) Cognitive Behavioral Management of Delusional Disorder: A Clinical Case Study, Pakistan Journal of Professional Psychology Research and Practice, Vol. 10, No. 2, Vol. 10, No. 2, 2019.
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