Psychotherapeutical treatment at non-specific phobia as comorbidity in schizoaffective disorder; case report and refflection

Abstract

The aim of this case report is to present importance of psychotherapy in treatment of schizoaffective disorder. Method used in psychotherapy setting is Open dialogue, approached and used in school of cybernetics and system therapy. As significant and clinical operabile comorbidity to schizoaffective disorder, appears one non-specific phobia that never before got respectable therapeutical attention. Phobia got more serious patognomonic importance during last psychotic deterioration while inpatient had suffocated by solid food and ended up in intensive care unit. After her vital psychophysical condition was stabilized, hospital psychiatric treatment was suggested as next step. That included combined psychopharmacotherapy, occupational therapy and two times a week individual psychotherapy. In clinical interview was noticed a solid food phobia - rare and non-specific phobia. So, initial psychology testing has been made. Next 8 weeks, client had passed two times a week in 45 minutes duration individual psychotherapy setting based on open dialogue. Eight weeks after client talked about fears and gave them personal interpretation which created a non-psychotic sense and new therapy meaning, almost analog to heteroanamnestic data. Another psychology testing has been repeated. Results have shown that nature of swallowing perturbances has strictly psychological background.