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Neurorehabilitation and cognitive-behaviour therapy of anxiety disorders after brain injury: An overview and a case illustration of obsessive-compulsive disorder

Correspondence should be addressed to Dr Huw Williams, Lecturer in Clinical Psychology, School of Psychology, Washington Singer Laboratories, University of Exeter, Exeter, UK. Phone 1: +44 1392 264661, Phone 2: +44 1392 264626, Fax: +44 1392 264623, Email: [email protected]

© 2003 Psychology Press Ltd http://www.tandf.co.uk/journals/pp/ 09602011.html

DOI: 10.1080/09602010244000417

INTRODUCTION

Survivors of brain injury are at particular risk of developing mood disorders. Psychological reactions to neurological trauma may be caused by a complex interaction of a host of factors. Cognitive-behaviour therapy (CBT) is advocated as being a treatment of choice for many anxiety disorders, and has an extensive evidence base. There is a limited, albeit growing, literature on the use of CBT with people with brain injury. In this paper we address how brain injury survivors may experience anxiety disorders, and a case of a traumatic brain injury (TBI) survivor is provided to illustrate the integration of cognitive rehabilitation with CBT for the management of obsessive-compulsive disorder and health anxiety.