Article

A brief preparatory programme, based on the principles of motivational
interviewing (MI), was developed as a way of engaging clients with traumatic
brain injury (TBI) and preparing them for a cognitive behaviour therapy (CBT)
programme for anxiety. The MI + CBT programme was delivered to a male client in
his early 40s with severe TBI at four months post-injury, using a single-subject
design with repeated measures pre- and post-treatment. The client received three
sessions of manualised MI, followed by nine sessions of CBT. The MI sessions
focused on helping the client to develop more realistic goals and supporting his
self-efficacy about his ability to cope with anxiety. Specific strategies were
used to accommodate the client's cognitive limitations, such as the use of
personally meaningful metaphors and role plays. Re-assessments were conducted at
the end of MI, CBT and nine weeks post-treatment, using a semi-structured
clinical interview and self-report measures of anxiety, mood and change
expectancy. The client showed significant improvement in anxiety following
treatment and a significant reduction in subjective units of distress (SUDS)
between the MI and CBT phases. The results suggest the potential utility of MI in
people with TBI, and the need to evaluate treatment protocols in a controlled
trial.

Langue : ANGLAIS