Interdisciplinary Treatment of Maladaptive Behaviors Associated with Postural Orthostatic Tachycardia Syndrome (POTS): A Case Report

  • Barbara K. Bruce
  • Karen E. Weiss
  • Tracy E. Harrison
  • Daniel A. Allman
  • Matthew A. Petersen
  • Connie A. Luedkte
  • Philip R. Fischer


The prevalence of postural orthostatic tachycardia syndrome (POTS) in adolescents and young adults has been increasing during the past decade. Despite this increase, documentation regarding treatment of these patients is just beginning to emerge. In addition, despite a call for a multidisciplinary or interdisciplinary approach, no studies have examined the efficacy of such an approach to treatment. This paper describes a case study of a 19-year-old male with debilitating POTS seen at a tertiary clinic for evaluation and subsequent intensive interdisciplinary treatment. The treatment approach is described and outcomes are presented.


Adolescent Young adult Postural orthostatic tachycardia syndrome Biopsychosocial Interdisciplinary rehabilitation 



The authors would like to thank Jessica Gehin, RN, for her assistance in data management.

Compliance with Ethical Standards

Conflict of Interest

Barbara K. Bruce, Karen E. Weiss, Tracy E. Harrison, Daniel A. Allman, Matthew A. Petersen, Connie A. Luedkte, and Philip R. Fischer declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This was a case study, and so was not required to go through the IRB at our institution. However, all procedures followed were in accordance with established institutional and national ethical standards. Brian and his parents gave informed consent with respect to having their case published, as well as their consent to having their medical records reviewed for research purposes.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Barbara K. Bruce
    • 1
    • 4
  • Karen E. Weiss
    • 1
  • Tracy E. Harrison
    • 2
  • Daniel A. Allman
    • 1
  • Matthew A. Petersen
    • 1
  • Connie A. Luedkte
    • 1
  • Philip R. Fischer
    • 3
  1. 1.Department of Psychiatry and PsychologyMayo ClinicRochesterUSA
  2. 2.Department of AnesthesiologyMayo ClinicRochesterUSA
  3. 3.Department of Pediatric and Adolescent MedicineMayo ClinicRochesterUSA
  4. 4.Department of Psychiatry and PsychologyMayo ClinicJacksonvilleUSA

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