Evaluación y tratamiento de las ideas delirantes desde la terapia cognitivo conductal: 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.

We are dealing with 32 year old woman. Her mental health problem begins at 20. She was diagnosed upset psychotic delirious. She began to isolate, rejecting her parents, and stopped eating. She finally left her family's home and began cohabitation with her partner to return to her parents only a few years later. She presents a delirious conception of harm. She explains that "my parents are putting something in my food, something that damages her". This idea has inteferred significantly throughout her medical/biographical record, and after the functional evaluation of this case, it has been assessed to intervene. Such intervention is carried out from evidence-based protocols, in particular from the Cognitive-Conductual Therapy. The approach to her delirious idea has been beneficial for the patient, since her associated anguish has diminished and her psicosocial functioning has improved significantly.