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Breaking the cycle: Cognitive behavioral therapy and biofeedback training...
Full Title: Breaking the cycle: Cognitive behavioral therapy and biofeedback training in a case of cyclic vomiting syndrome.
The present article presents a case of cognitive behavioral therapy (CBT) along with heart rate variability (HRV) biofeedback training for the treatment of a medication unresponsive 13-year-old boy with cyclic vomiting syndrome (CVS). CVS is characterized by recurring stereotypic episodes of vomiting, interspersed with asymptomatic periods. Triggers for vomiting include anticipatory anxiety related to school examinations, family conflicts, and birthday parties as well as infectious diseases, and certain foods. Current treatment design addressed two pivotal etiological factors: autonomic dysregulation and anticipatory anxiety. Treatment outcome suggests that vomiting episodes may be successfully prevented by aiding the patient to identify and manage precipitant psychological stressors, to regulate HRV patterns, and gain a renewed sense of bodily control and self-efficacy. Further research is suggested using a controlled study with pre- and post-behavioral and stress measures to evaluate the effectiveness of CBT and biofeedback training compared to pharmacotherapy and placebo.
Psychol Health Med. 2010 Dec;15(6):625-31. Slutsker B, Konichezky A, Gothelf D. Psychosomatic Unit, Department of Child Psychiatry, Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petah Tiqwa.
For many people drinking beer, wine, and liquor is used as a way to relax. Indeed, alcohol reduces our inhibitions and affects the brain by slowing down the part of the brain that serves as the switchboard of our thoughts. This makes us feel more at ease and allows us to feel comfortable around others. However, when used to an extreme, the abuse of alcoholic drinks can create behavioral and health problems that can lead to unhappiness and despair.
One crucial thing that you must be aware of is that our brain – and body – is designed to learn. When we repeat certain behavior, we...
Let's face it. Everyone has to deal with stress. However, how do we know that our stress level is so excessive that it affects our health and a bad sort of way? I am focusing here of what is known as negative stress. Generally, this occurs when a person's ability to handle a situation is exceeded by the perceived difficulty. For many people this motivates them to look within and find resources, which may be used to increase their level of performance and confidence. For others, stressful situations may cause them to automatically cower, become defensive, and do their best to hide and avoid....
Numerous times that I've heard that public speaking is one of the biggest sources of fear in the Western world. So, in many ways public speaking can be treated right any other fear and anxiety. Nevertheless, unless this fear is merely a part of a larger and more prominent phobia or trauma reaction, it is a rather simple matter to address with hypnosis.
Like with any other fear this one can be addressed to some degree as an unjustifiable defensive reaction to eight misperceived threat. However, one must also consider the role that a person's natural empathetic talent plays.
When...