Evaluación y tratamiento de las ideas delirantes desde la terapia cognitivo-conductual: Perspectiva desde un caso.

Abstract

Se presenta el caso de una mujer, de 32 años. Comienza su problema de salud mental con 20 años. Diagnosticada de Trastorno psicótico delirante. Comenzó a aislarse, rechazaba a sus padres y dejó de comer; acabó marchándose de casa y viviendo unos años con su pareja, para luego regresar al domicilio familiar. Presenta una ideación delirante de perjuicio; refiere que “mis padres me están echando algo en la comida, algo que me sienta mal…”. Dicha idea ha interferido en su historia clínica / biográfica significativamente y tras la evaluación funcional del caso, se valora intervenir en ella. La intervención se realiza desde protocolos basados en la evidencia, en concreto desde la Terapia Cognitivo Conductual (TCC). El abordaje de la idea delirante ha sido beneficioso para la paciente, ya que ha disminuido la angustia asociada y ha mejorado significativamente su funcionamiento psicosocial.

The case of a 32-year-old woman is presented. Her mental health problem began at the age of 20 years. years old. Diagnosed with psychotic delusional disorder. She began to isolate herself, rejected her parents and stopped eating. She ended up leaving home and living with her partner for a few years, only to return to the family home. then returning to the family home. She presents a delusional ideation of harm; she refers that. "my parents are putting something in my food, something that is bad for me...". This idea has significantly interfered in her clinical/biographical history and after the functional evaluation of the case, intervention is considered. and after a functional assessment of the case, an intervention is considered. The intervention is based on evidence-based protocols, specifically from the evidence-based protocols, specifically from Cognitive Behavioral Therapy (CBT). The approach to the delusional has been beneficial for the patient, as it has reduced the associated distress and significantly improved her psychosocial functioning. significantly improved her psychosocial functioning.