Successful management of claustrophobia and depression during allogeneic SCT

As psychological problems are frequent in SCT patients we report on a patie nt with chronic myeolid leukemia, claustrophobia and depression. The succes sful allogeneic stem cell transplant of this patient in a reverse isolation setting required intensive interdisciplinary hematological, psychological and psychiatric collaboration. Psychopharmacologically the patient was trea ted with lorazepam I mg at 10 a.m. and 8 p.m. and after crisis on day +6, a nd 2.5 mg twice daily i.v. until one day before discharge (total 20 doses). Psychological counseling followed a cognitive-behavioural approach includi ng progressive muscle relaxation and cognitive techniques focusing on the a ctual coping processes.