Case ReportCognitive behavior therapy-based intervention for a subacute stroke patient with severe fear of falling: a case reportOhyagi, Shunyaa,,*; Tatemoto, Tsuyoshib,,*; Inoue, Seigoa; Sugita, Shoa; Honaga, Kaorua; Otaka, Yoheia,,cAuthor Information aDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Narashino bFaculty of Rehabilitation, School of Health Sciences cDepartment of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan *Shunya Ohyagi and Tsuyoshi Tatemoto contributed equally to the writing of this article. Received 1 May 2020 Accepted 6 June 2020 Correspondence to Yohei Otaka, MD, PhD, Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi 470-1192, Japan, Tel: +81 562 93 2167; fax: +81 562 95 2906; e-mail: [email protected] International Journal of Rehabilitation Research: December 2020 - Volume 43 - Issue 4 - p 383-385 doi: 10.1097/MRR.0000000000000425 Buy Metrics Abstract We present the case of a 42-year-old man with subacute stroke who developed remarkable fear of falling and eventually recovered with an approach based on cognitive behavioral therapy (CBT). The CBT-based approach was implemented after the patient developed significant fear of falling with exacerbated obsessive-compulsive symptoms appeared immediately after a fall. The patient’s anxiety decreased over time, and his ability to perform these tasks and activities of daily living improved accordingly. After 6 weeks of intervention, his anxiety toward gait and stairs almost disappeared; additionally, he achieved modified independence for gait and supervision for stairs and was discharged home successfully. These findings in the present case suggest the effectiveness of an evaluation and interventional approach based on CBT for stroke patients with a severe fear of falling. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.