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Feasibility of one-session treatment for specific needle phobia in an adult IAPT service – a case series

Published online by Cambridge University Press:  16 November 2020

Ursula Maria Hiermeier  and
Layla Mofrad Open the ORCID record for Layla Mofrad [Opens in a new window]
Ursula Maria Hiermeier
Affiliation:
Talking Helps Newcastle, New Croft House, Market Street, Newcastle upon Tyne NE1 6ND, UK
Layla Mofrad*
Affiliation:
Talking Helps Newcastle, New Croft House, Market Street, Newcastle upon Tyne NE1 6ND, UK
*
*Corresponding author. Email: l.mofrad@nhs.net
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Abstract

One-session treatment for specific phobias (OST; Öst, 2012) has been found to be efficient and effective in reducing the severity of phobia in an adult population. This study aimed to investigate the feasibility of OST in an Improving Access to Psychological Therapy (IAPT) primary care service in the North East of England. Participants were four women and one man between the ages of 21 and 46 years; all presented with needle phobia. Treatment consisted of three clinical contacts: a 1-hour pre-treatment interview to identify the catastrophic belief centred on the phobic situation; a 2.5–3-hour treatment session using exposure in vivo (i.e. images, videos and handling of a syringe – no actual injections) and participant modelling in accordance with OST protocol; and a 30-minute follow-up telephone appointment. Outcome was measured with standard IAPT and additional psychometrics, as well as qualitative client feedback. The outcome suggests the application of OST to be effective for needle phobia, as well as feasible and cost- and resource-efficient in its application to an IAPT primary care service. Further research needs to investigate its effects in comparison with multiple single sessions of cognitive behavioural therapy in an adult population, as well as appropriate outcome measures to suit an IAPT application.

Key learning aims

  1. (1) To gain a basic understanding of one-session treatment for specific phobias (OST).

  2. (2) To enhance understanding of the implications of OST in an IAPT primary care service.

  3. (3) To acquire useful information about practicalities and challenges of OST in an IAPT primary care setting.

Keywords

IAPTone-session treatment for specific phobias

Information

Type
Case Study
Information
the Cognitive Behaviour Therapist , Volume 13 , 2020 , e51
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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References

Further reading

Davis, T. H. III, Ollendick, T. H., Öst, L.-G. (eds) (2012). Intensive One-Session Treatment of Specific Phobias. New York, USA: Springer. https://doi.org/10.1007/978-1-4614-3253-1 CrossRefGoogle Scholar

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