Cognitive-behavioral Strategies for Parkinson’s Disease: A Report of Three Cases

  • Michael Macht
  • Marcia Smith Pasqualini
  • Pille Taba
Case Presentation


Three patients diagnosed with idiopathic Parkinson’s disease (PD) were treated with cognitive-behavioral therapy (CBT): a 43-year-old woman suffering from depression and social anxiety, a 45-year-old man with sexual problems and maladaptive coping strategies, and a 78-year-old man with freezing of gait. On the basis of functional analyses, interventions were selected, including cognitive methods, social skills training, paradoxical instructions and strategies to improve management of freezing. The interventions were related to improved adaptation to motor impairments and better ability to cope with the disease. These case presentations suggest that CBT can improve quality of life in PD by modifying maladaptive cognitive, emotional and behavioral reactions to the disease and its symptoms.


Cognitive-behavioral therapy Parkinson’s disease Depression Social anxiety Sexual problems Freezing 


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Michael Macht
    • 1
  • Marcia Smith Pasqualini
    • 2
  • Pille Taba
    • 3
  1. 1.Department of PsychologyUniversity of WürzburgWürzburgGermany
  2. 2.Department of PsychologyAvila UniversityKansas CityUSA
  3. 3.Department of Neurology and NeurosurgeryUniversity of TartuTartuEstonia

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