Treatment Resistant Anxiety Disorder (TR-AD): Gestalt Views and SIS Projection.

Treatment-resistant anxiety disorders (TR-AD) pose a significant clinical challenge, contributing to chronicity, comorbidities, and considerable individual and socioeconomic burden. We present the case report of a 50-year-old married man with a 39-year history of anxiety, his responses on the Somatic Inkblot Test (SIS-II Booklet form) and the blind interpretation of these responses. The findings suggest that individuals with anxiety persisting for two or more years and resistant to conventional treatment may benefit from projective test interventions (SIS-II assessment) for early identification of resistance, thereby facilitating therapeutic breakthroughs or clarifying mechanisms of symptom maintenance. From a Gestalt therapy perspective, a field-restricted environment such as inpatient treatment setting may further support resolution of unfinished business and enhance awareness, offering a complementary pathway for engaging resistant anxiety. [ABSTRACT FROM AUTHOR]