CBT for Generalized Anxiety Disorder in Parkinson's Disease: A Case Study

Clin Gerontol. 2024 Jan-Dec;47(2):352-361. doi: 10.1080/07317115.2023.2254311. Epub 2023 Sep 5.

Abstract

Objectives: To examine the use of cognitive behavioral therapy (CBT) in a case of co-occurring generalized anxiety disorder (GAD) and Parkinson's disease (PD).

Methods: This case study refers to a male aged 75 years with a diagnosis of Idiopathic Parkinson's disease. It focuses on applying a CBT model to address the psychological difficulties with PD and GAD.

Results: This case study reveals key aspects in presentation, diagnosis, and psychological treatment between PD and GAD, and is one of few studies published in this area.

Conclusions: Symptoms of anxiety in an older adult with PD decreased during a course of CBT. The implications of the treatment outcome of this study and further considerations of treatment plans for comorbid PD and anxiety have been discussed.

Clinical implications: Using CBT could positively impact non-motor symptoms of Parkinson's, such as sleep difficulties and speech impediments. Using CBT for the catastrophic thinking and worry content in GAD seems to act as a complementary therapy for psychological/non-motor symptoms of PD.

Keywords: Cognitive behavioral therapy (CBT); Generalised anxiety disorder (GAD); Parkinson’sdisease (PD); comorbidity.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anxiety
  • Anxiety Disorders / complications
  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy
  • Cognitive Behavioral Therapy*
  • Humans
  • Male
  • Parkinson Disease* / complications
  • Parkinson Disease* / therapy
  • Treatment Outcome