Evaluación y tratamiento de las ideas delirantes desde la terapia cognitivo conductual: A propósito de 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. She starts her mental health problem when she is 20 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, to later return 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 interfered significantly in her clinical/biographical history and after the functional evaluation of the case, intervention is considered. The intervention is based on evidence-based protocols, specifically Cognitive Behavioral Therapy (CBT). The approach to the delusional idea has been beneficial for the patient, since the associated distress has decreased and her psychosocial functioning has improved significantly.