The patient used self-reports to monitor his change in rumination of anger, depression, and other symptoms. The therapist worked with him for 10 months, in which he had 24 sessions. During the therapy, they worked towards breaking the pattern of thoughts rather than just seeking for answers for why he has these thoughts. He was also instructed to keep a journal whenever he felt these tendencies to come back.

Butler University

"John" is a young male patient who experiences major depressive episodes, anger, and symptoms relating to Schizotypal Personality Disorder (SPD). He specifically exhibits discomfort with close relationships, paranoid ideations, hyper-reflections, and strange ideas in his diagnosis of SPD. He then went through RfCBT to reduce his ruminative thoughts in hopes of reducing his symptoms. 

Case study of using RfCBT for Schizotypal Personality Disorder

Moeller, S.B., Kvist, V., Jansen, J.E. et al. Clinical Case of a Schizotypal Personality Disorder: Rumination-Focused CBT for Anger Rumination. J Contemp Psychother 51, 311–321 (2021). https://doi-org.ezproxy.butler.edu/10.1007/s10879-021-09501-y

Reference for RfCBT

Treatment for Case Study of RfCBT

The patient had experienced a decrease in aggressive rumination for his Schizotypal Personality Disorder symptoms. He also had a significant decrease in other negative behaviors he was experiencing. However, the patient did not have a decease in depressive and anxious symptoms. This could be linked to the fact that this RfCBT was mainly focused on aggressive rumination. This helps conclude that RfCBT has a positive impact on the treatments of SPD when designed for the specific symptoms experienced.

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