Rosa M Espinosa Gil*

Clinical Psychologist and Clinical Neuropsychologist. Hospital Clínico Universitario Virgen de la Arrixaca, Murcia Murciano Health Service, Spain

*Corresponding Author: Rosa M Espinosa Gil, Clinical Psychologist and Clinical Neuropsychologist, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia Murciano Health Service, Spain.

Received: September 14, 2023; Published: November 27, 2023

Abstract

Introduction: Exposure with response prevention (RPE) has shown efficacy, although not all patients benefit in the same way. There are people who abandon, or do not understand the fundamentals of it, being unable to overcome the scenes presented in therapy, because they erase the information.

Although the scientific literature has proliferated on the cognitive aspects that are altered in OCD, there are numerous controversies.

Objective: Explore in a chronic patient the different neuropsychological and clinical aspects in order to apply a more comprehensive and effective treatment.

Results: Prior to neuropsychological treatment, the patient presented alteration in executive functions (processing speed, inhibitory control, cognitive inflexibility mainly) and alteration in visuoconstructive praxis, all in line with what was found in the scientific literature. Slight improvements were obtained in the affected parameters after one year of treatment (two sessions per month of neuropsychological rehabilitation), however they favored the application and continuity of exposure and prevention of response and reduction of depressive symptomatology by withdrawing the autolytic ideation from which it started.

Conclusions: Neuropsychological rehabilitation (NB) could constitute the previous step to the intervention by Clinical Psychology (CP) of exposure and response prevention (RPE) in the psychotherapeutic treatment of OCD.

 Keywords: Neurocognitive Disorders; Obsessive Compulsive Disorder; Neuropsychological Tests; Cognitive Tests; Cognitive Behavioral Therapy

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Citation

Citation: Rosa M Espinosa Gil. “Neuropsychological Rehabilitation in Chronic Obsessive-Compulsive Disorder. About a Case”. Acta Scientific Neurology 6.12 (2023): 33-41.

Copyright

Copyright: © 2023 Rosa M Espinosa Gil. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.