A contribuição da terapia cognitivo-comportamental (TCC) no tratamento de dor crônica (fibromialgia): análise de um caso clínico

Abstract

This article was the result of the practices experienced in the Supervised Internship of Emphasis II, in the Outpatient Clinic of Psychological Care for People Living with Chronic Conditions (APC). Fibromyalgia is a dysfunction of the central nervous system that leads to multifocal pain, accompanied by difficulties such as fatigue, sleep, memory, and mood swings. In addition to chronic pain, it is associated with stress, depression and anxiety. The literature suggests that cognitive-behavioral techniques for chronic pain can contribute to a better quality of life. The general objective of this study is to analyze a clinical case of anxiety associated with fibromyalgia in which psychological intervention was performed through the Cognitive-Behavioral Theory. The specific objectives are to describe the clinical picture and analyze the main techniques used in the conduction of psychotherapy; characterize the patient's current clinical condition and present the therapeutic gains during the process. The development of therapy focused on strengthening the therapeutic alliance, bonding, relaxation training, and recording emotions. The main therapeutic gains were: the reduction of anxiety symptoms and self-care practices. The management of the case directed by CBT allowed the patient to assess the validity of her beliefs in the present and to construct more adaptive responses to deal with the situations she experienced.