Lewin L, Gonzales L R
Clark College, Foster Hall, 1800 East McLoughlin Boulevard, 98663, Vancouver, Washington.
J Clin Psychol Med Settings. 1994 Dec;1(4):363-73. doi: 10.1007/BF01991079.
This case report describes the assessment and treatment of a 69-year-old male medical patient with urethral catheter dependence. Assessment revealed an anxiety/phobic component to the dependence and hypothesized detrusor muscle deconditioning. Retraining of the bladder and desensitization to the anxiety-provoking situation were achieved by exposure to decatheterization in the context of a supportive adult day health care setting. Interdisciplinary collaboration between nursing and psychology were associated with successful functional, social, and psychological outcomes.