Aplicación de la terapia cognitivo conductual en un adulto mayor con trastorno de control de impulsos

Abstract

Abstract: In the older adult population, impulse control disorders They are rare, manifesting more commonly in adolescence and young adulthood. This research focused on an older adult previously diagnosed with a disorder of anxiety. After a detailed interview and corroboration of the information with his relatives, it was evident that the patient exhibited theft behavior and had attempted Resist impulses to steal on several occasions. The patient's relatives chose return the stolen objects or the patient hid them inside the house. It should be noted that the stolen items did not have a high lucrative value nor were they for personal use. A thorough evaluation was performed and it was concluded that the patient suffered from kleptomania. For the evaluation, the State/Trait Anxiety Questionnaire (STAI), the of State Impulsiveness (EIE), the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and the Geriatric Anxiety Inventory (GAI). The cognitive-behavioral model of second generation, using techniques such as cognitive restructuring, problem solving conflicts, thought stopping, diaphragmatic breathing, self-control impulses, guided visualization and psychoeducation. The results were favorable, showing a reduction in impulses to steal, a decrease in anxious symptoms and a gradual extinction of thoughts irrational of the patient. This demonstrates the effectiveness of the cognitive-behavioral model in the Treatment of kleptomania in older adults.