Accessibility & Translations

Integrated Psychological Care for Inherited Cardiac Conditions: CBT and ACT in Multidisciplinary Clinical Practice

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Abstract

Patients with inherited cardiac conditions (ICCs) face unique psychological challenges, including trauma responses, health anxiety, identity disruption, and family-based guilt. These difficulties often arise in the context of life-altering diagnoses, unpredictable risk, and the intergenerational nature of inherited disease. Despite their prevalence, psychological concerns are frequently under-addressed in cardiogenetic care. This clinical practice paper presents a model for integrating cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) into routine care within a multidisciplinary cardiology clinic. Drawing on a clinical vignette and practice-based experience, we describe key psychological themes and outline CBT and ACT interventions that address panic, avoidance, trauma, and values-based functioning. In alignment with the 2025 ESC Clinical Consensus Statement on Mental Health and Cardiovascular Disease, we argue that embedding mental health professionals into cardiac care can enhance patient outcomes and promote a whole-person, resilience-based approach to managing inherited cardiac risk.

Continuing Education Information

1 CE Credit, Instructional Level: Intermediate

1 Contact Hour (New York Board of Psychology)

Disclosures: Authors have no conflicts of interest to disclose. Generative AI was not used for the development or content.

Learning Objectives:

  1. Describe psychological distress symptoms in inherited cardiac condition (ICC) populations.
  2. Identify core components of psychological care in cardiology.
  3. Discuss the difference between acceptance and commitment therapy (ACT) and cognitive behavioral therapy (CBT).

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