Intervención psicoterapéutica en un paciente con una enfermedad crónica y problemas relacionados con el grupo de apoyo primario

Abstract

Abstract: A 44-year-old woman of medium-low socioeconomic status, with two children, incomplete secondary education, housewife and from a rural canton of the city of Loja. He maintains a diagnosis of chronic kidney disease for 4 years, so he is in constant medical treatment, requests psychological attention to improve his mood and relationship with his family environment. During the evaluation process that includes the interview, observation and application of psychological instruments, it is determined that there is no clinical diagnosis, however, in the presence of a chronic physiological condition and family dysfunction with alterations in the structure, hierarchy, communication axioms and avoidant attachment style, it is considered to use the Z axis to determine the following problems: Z73.0 Constitutive disease related problems and Z63.8 Other primary support group specific problems. The intervention was carried out with cognitive-behavioral psychotherapeutic style in 12 sessions, obtaining positive results with improvement in mood, emotional regulation, communication style and self esteem, which had an impact on family dynamics.