Chronic obstructive pulmonary disease (COPD) is estimated to be the fourth leading cause of death in the United States. This progressive condition is characterized by airflow obstruction causing symptoms such as fatigue and breathlessness. The National Institute for Clinical Excellence guidelines for management of this disease include pulmonary rehabilitation through exercise. However, this approach can be difficult because it increases symptoms in the short term. In addition, many COPD sufferers have comorbid psychological problems, such as depression and fear of activity, that may further complicate treatment. This case illustrates the treatment of a 75-year-old COPD sufferer with comorbid depression and anxiety. It highlights psychological methods that may help to reduce the impact of COPD on quality of life.
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