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Angstbehandeling bij patienten met een comorbide persoonlijkheidsstoornis
Samenvatting
Een wijdverbreid en hardnekkig misverstand is dat een comorbide persoonlijkheidsstoornis een klachtgerichte angstbehandeling stagneert. Gecontroleerd onderzoek in een onderzoeksetting vindt namelijk geen bewijs voor deze stelling. Echter in een klinische setting is mogelijk meer ruimte voor de ‘therapist drift’ (de neiging te gaan praten in plaats van CGT technieken te gebruiken) dan in een onderzoeksetting. Wanneer het basis arsenaal van een CGT therapeut tekort schiet om vat te krijgen op deze ‘therapist drift’ kunnen technieken uit de schematherapie helpen de angstbehandeling te continueren.
Summary
Anxiety treatment of a comorbid personality disorder
It is a widespread and persistent misconception that a comorbid personality disorder stagnates symptom-focused treatment for anxiety disorders. That is, controlled studies in a research setting do not support this assertion. However, in a clinical setting there might be more room for the ‘therapist drift’ (the tendency to talk instead of using CBT techniques) than in a research setting. If the basic techniques of a CBT therapist fall short to get hold of this ‘therapist drift’, techniques derived from schema therapy can help to continue the anxiety treatment.
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