TY - JOUR
T1 - Evidence-based practice in the face of complexity and co-morbidity
T2 - a case study of an adolescent with Asperger's Syndrome, anxiety, depression and chronic pain
AU - Loades, Maria E.
PY - 2015/5
Y1 - 2015/5
N2 - Working with clients who present with multiple conditions and comorbidities, including mental health difficulties, neurodevelopmental disorders, and physical health conditions, requires the therapist to go beyond the existing evidence base to make decisions about which specific cognitive behavior therapy (CBT) models and resultant treatment approaches to draw on in therapy. Routine outcome monitoring across a number of parameters, including goal progress, symptom improvement, and changes in functioning, are core to maintaining accountability through monitoring the ongoing impact of idiosyncratic interventions. Method: The case of a young person (age 17 years) who presented with mixed anxiety and depression in the context of autism spectrum disorder (ASD) and chronic pain are presented. In addition to evidence-based adaptations to CBT for clients with ASDs, the therapist selected a cognitive model of low self-esteem as a means of collaboratively conceptualizing the client's difficulties. Findings and Conclusion: Routine outcome measurement demonstrated the effectiveness of the intervention.
AB - Working with clients who present with multiple conditions and comorbidities, including mental health difficulties, neurodevelopmental disorders, and physical health conditions, requires the therapist to go beyond the existing evidence base to make decisions about which specific cognitive behavior therapy (CBT) models and resultant treatment approaches to draw on in therapy. Routine outcome monitoring across a number of parameters, including goal progress, symptom improvement, and changes in functioning, are core to maintaining accountability through monitoring the ongoing impact of idiosyncratic interventions. Method: The case of a young person (age 17 years) who presented with mixed anxiety and depression in the context of autism spectrum disorder (ASD) and chronic pain are presented. In addition to evidence-based adaptations to CBT for clients with ASDs, the therapist selected a cognitive model of low self-esteem as a means of collaboratively conceptualizing the client's difficulties. Findings and Conclusion: Routine outcome measurement demonstrated the effectiveness of the intervention.
KW - Autism Spectrum Disorder
KW - case conceptualisation
KW - CBT
UR - http://www.scopus.com/inward/record.url?scp=84929507531&partnerID=8YFLogxK
UR - http://dx.doi.org/10.1111/jcap.12108
U2 - 10.1111/jcap.12108
DO - 10.1111/jcap.12108
M3 - Article
AN - SCOPUS:84929507531
SN - 1744-6171
VL - 28
SP - 73
EP - 83
JO - Journal of Child and Adolescent Psychiatric Nursing
JF - Journal of Child and Adolescent Psychiatric Nursing
IS - 2
ER -