Treating Emetophobia and Panic Symptoms in an Adolescent Female

Emetophobia is an understudied specific phobia, especially during the developmental stage of adolescence. Adult and child literatures suggest that a combined approach of psychopharmacological and cognitive-behavioral interventions may be an efficacious treatment for emetophobia. Despite evidence supporting the success of this therapeutic approach, research assessing treatment outcomes of adolescent populations with the disorder remains limited. The current study presents a case study of the successful use of combined treatment for emetophobia in an adolescent female. Therapy included psychoeducation, cognitive restructuring, and exposure therapy in tandem with Sertraline 50 mg. Upon termination of therapeutic services, symptoms of emetophobia were significantly reduced, panic attacks had remitted, and the continued use of psychotropic medication was no longer indicated. Findings in the present case study suggest that cognitive-behavioral therapy (CBT) including exposure-based therapy effectively reduced emetophobia symptoms and panic attacks for the patient. The implications for these findings in treating adolescents with emetophobia are discussed.