Combined Case of Blood-Injury-Injection Phobia and Social Phobia: Behavior Therapy Management and Effectiveness through Tilt Test

Abstract

The efficacy of behavior therapy based mainly on real-life exposure situations as well as applied tension was examined for a combined case of blood-injury-injection (BII) phobia and social anxiety disorder. Treatment involved 28 behavior therapy sessions, while applied tension technique was also described and practiced. The specific contribution of social skills techniques, fantasy, and real-life situations exposure was examined in a single case design. The subject was a 39-year-old male with anxiety symptoms when confronting an audience, as well as symptoms of the autonomic nervous system (bradycardia and syncope), which were better explained by BII. All self-report measures regarding fear, social phobia, and anxiety were reduced after behavior therapy and remained maintained at followup, while BII decreased further after applied tension techniques. The contribution of behavior therapy to the overall outcome of the case is considered significant for many reasons that are discussed in the pape.

Combined Fainting and Psychogenic Non-epileptic Seizures as Significant Therapy Hurdles in Blood-Injury-Injection Phobia: A Mini-Review and Case Report

“…Efficacy was also demonstrated for augmented reality exposure, a similar tech-based approach, for many other specific phobias ( 71 ). Moreover, case reports have shown individuum-level success for approaches like self-exposure ( 67 ), individualization of therapy ( 72 ), cognitive restructuring ( 73 ), and applied tension ( 74 ). In addition to in vivo exposure, applied muscle tension, and breathing techniques are commonly employed to reduce vagal activation, anxiety-related respiratory dysregulation, and thus fainting ( 23 , 27 , 45 , 66 , 75 – 77 ).…”

Retracted: Combined Case of Blood-Injury-Injection Phobia and Social Phobia: Behavior Therapy Management and Effectiveness through Tilt Test

“…Case Reports in Psychiatry has retracted the article titled “Combined Case of Blood-Injury-Injection Phobia and Social Phobia: Behavior Therapy Management and Effectiveness through Tilt Test” [ 1 ]. The article was found to contain a substantial amount of material from published articles, some without citation, including the following:…”