A Psychotherapeutic Approach to an Adolescent Diabetic with Psychological Inadaptability and Metabolic Instability

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  • Okada Soji
    Third Department of Medicine, Okayama University of Medicine
  • Miyai Yooichiro
    Third Department of Medicine, Okayama University of Medicine
  • Ofuji Tadashi
    Third Department of Medicine, Okayama University of Medicine

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Other Title
  • 心理的ならびに代謝的不安定を伴った青年糖尿病へのアプローチ
  • シンリテキ ナラビニ タイシャテキ フアンテイ オ トモナッタ セイネン トウ

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A 23-year-old male student with insulin-dependent diabetes exhibited signs of severe emotional inadaptability, such as morbid fear and enervation, and also developed metabolic instability associated with hyperglycemia and hypoglycemic attacks. These two conditions could not be improved by ordinary therapeutic measures for diabetes. However, psychotherapy with counselling based on a proper understanding of the patient's psychology, when combined with medical treatment of his diabetes, proved to be effective in correcting the emotional inadaptability and metabolic instability as well as in restoring social adaptability to the patient.<BR>The experience in this case indicates that a close relationship exists between good emotional adaptability and adequate control of diabetes in young dtabetic patients. It is concluded that counselling may be very useful both in improving emotional inadaptability and in correcting metabolic instability in such patients.

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