Abstract

This case study investigates the transformative impact of cognitive behavioural interventions on freezing of gait (FOG) in an 80-year-old female patient, Sharadha, diagnosed with Parkinson’s disease. Despite conventional treatments, Sharadha’s FOG persisted, hindering her mobility and diminishing her quality of life.1 Through a tailored treatment plan encompassing psycho education, cognitive restructuring, behavioural techniques, and stress management, Sharadha experienced remarkable improvements. She learned to challenge negative thought patterns, visualise fluid movement, and utilise external cues to overcome FOG episodes.2 As a result, Sharadha regained confidence, independence, and mobility, demonstrating the profound potential of non-pharmacological interventions in managing FOG in Parkinson’s disease. This study underscores the importance of holistic approaches in improving outcomes for individuals living with Parkinson’s disease and offers hope for enhanced quality of life through cognitive behavioural interventions. The implementation of the cognitive-behavioural intervention led to significant improvements in Sharadha’s mobility and overall quality of life. Within several weeks of beginning treatment, Sharadha reported a marked reduction in the frequency and severity of her FOG episodes. She became more confident in her ability to walk independently, even in challenging environments. The use of external cues, combined with her cognitive restructuring efforts, allowed Sharadha to break through the “freeze” moments, significantly reducing her risk of falls.

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