Effectiveness of cognitive therapy in treatment of Dependent personality disorder (DPD)

Authors: Dr. Nimrat Singh

Pages: 13-19

Abstract:

Three middle aged and middle class women aged 34, 41 and 33 undergoing treatment for 5, 10, and 12 years respectively were referred by a renowned Psychiatrist for Psychotherapy. All the women were being treated for dependent personality disorder with predominant symptoms of anxiety by the Psychiatrist. This was further diagnosed clinically using the Rorschach Inkblot Test and Draw- A- Man test. Psychotherapy using Life Role Analysis and CBTwere designed and patients were met twice a week for 3 months. The technique was evolved by the author during clinical practice in which, for the first 2 to 3 sessions, childhood experiences and critical incidents were explored. Further to that, the CBTtechnique was applied. Two weeks after psychotherapy began, all patients showed progress measured by their symptoms and reduction of dosage of medication. They reported that they were more assertive, and were able to do things independently. They were less self-doubting and hence less anxious and helpless in their behavior. This change was observed and endorsed by their respective spouses. Therapy worked on the common schemata 'I am inadequate hence, I need others to complete me'. Homework assignment provided instant feedback and reinforced continuous and positive change. The result of short term psychotherapy has been highly encouraging in helping individuals adapt healthy thinking patterns and hence reduce their dependency on medication.