Abstract
Cognitive-behavioral treatment of a patient diagnosed of delusional disorder. The paper presents the Cognitive-Behavioural Therapy used to modify the delusional beliefs and the emotional and functional consequences of a patient with a delusional disorder. The method included the following techniques: empirical, logical and functional discussion, verification of the reality, satiation and elegant solution. PANSS, dimensional measures of the extent of conviction, concerns about the beliefs, QLS and subjective scales of anxiety and mood were used as measures of the results. The conviction about the beliefs remained unalterable although new and more benign delusional reinterpretations were produced; there was also an improvement in the associated emotional disturbances and in the social functioning. These changes kept up stable in his 12 months follow up after the therapy. We reflect on the need of a long term psychological follow up for the intervention on the psychotic symptomatology.
