Abstract
ABSTRACT Schizencephaly is an extremely rare developmental birth defect or malformation characterized by abnormal clefts in the cerebral hemispheres of the brain, extending from the cortex to the ventricles, which may be unilateral or bilateral. This case report describes the general characteristics of a psychological home care program, reporting the main theoretical and technical elements in a 12-years-old case of type II Schizencephaly. The aims of the psychological home treatment were acceptance of the new treatment reality, a reduction in aggression and anxiety, and psychological support for the patient and family. In the psychological home care, patient’s awareness of illness was developed, along with family orientation, psychoeducation, relaxation techniques, and cognitive distraction. It can be observed that a significant improvement in the affective and emotional state was achieved within the patient’s clinical framework.
Highlights
Is a congenital defect or malformation that can cause motor deficits, seizures, cognitive deficits, lack of movement, feeding disturbances, congenital hemianopsias, developmental dyslexia, and psychiatric disturbances[1]
In 2017, after two years of psychological home care, with the help of the family and the reinforcement of orientations on being affective and not being aggressive with the professionals, a significant improvement was achieved with the remission of aggressive behaviors, using psychoeducation on empathy, calmness management, and breathing
The limitations of psychological home care should be understood as related to the need for various types of technical adaptations
Summary
Is a congenital defect or malformation that can cause motor deficits, seizures, cognitive deficits, lack of movement, feeding disturbances, congenital hemianopsias, developmental dyslexia, and psychiatric disturbances[1]. Psychological treatment was conducted for 5 years (between 2015 and 2020) During this time, the patient developed a solid, positive therapeutic relationship, as did the mother, whose need to speak at the end of each consultation for emotional support and understanding of the relationship and management of her daughter, was welcomed. In 2017, after two years of psychological home care, with the help of the family and the reinforcement of orientations on being affective and not being aggressive with the professionals, a significant improvement was achieved with the remission of aggressive behaviors, using psychoeducation on empathy, calmness management, and breathing. The patient’s adaptation was positive, with all the organization of the new environment and handling of equipment and instruments necessary for her care Her mother had some concerns about the change as they lived close to family and the patient was familiar with her environment. The patient was acquiring new relaxing behavior and changing the cognitive focus, which enabled her to acquire a skill for her home treatment with the professionals involved
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