Preliminary Statement Traumatic events and experiences are universal, 60% of men and 51% of women in the general population have reported at least 1 traumatic event in their lives (van der Kolk et al. 2007). Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that can occur after the exposure to a traumatic event. It affects approximately 1 million Australians in any one year, and 12% of Australians will experience PTSD symptoms in their lifetime (Beyond Blue, 2015). A clinical component of PTSD is the painful re-experience of the traumatic event in the form of intrusive images, nightmares and flashbacks which are often accompanied with avoidant reactions and symptoms of arousal and distress (American Psychiatric Association, …show more content…
EMDR aims to process the ‘frozen’ information of the traumatic event by identifying and concentrating on the distressing experience whilst directing attention to the therapist’s hand movements which elicits back-and-forth eye movements. The rapid eye movement (REM) hypothesis posits that the back-and forth eye movements used in EMDR produce a brain state similar to that produced during REM sleep which is known to generate essential functions such as memory consolidation (Stickgold, 2002). Hence, the eye movements would facilitate and allow for further information processing of the traumatic event which would, consequently, reduce the chronic and distressing symptoms of PTSD (Solomon & Shapiro, 2008). Thus, the theoretical account provides evidence as to how EMDR would be an effective treatment of PTSD symptoms (Van Rood & de Roos, 2009). A substantial amount of empirical research highlights EMDR’s effect on the reduction of PTSD symptoms (Renfrey & Spates, 1994; Rogers et al., 1999; Wilson, Silver, Covi, & Foster, 1996). For example, Rothbaum (1997) randomly assigned 18 adult female rape victims diagnosed with PTSD to an EMDR treatment condition or a wait-list control group who received no treatment. There was a significant decrease of PTSD and depression symptom severity scores in the EMDR participants at
He discusses the effectiveness of this method and even that it has been proven to completely cure PTSD in some patients, mainly veterans which are my target patient of discussion. This article is credible because it was written by a good psychologist and was published in a credible medical journal.
Treatment of posttraumatic stress disorder is possible. The current treatment of PTSD encompasses several types of psychotherapy combined with a medication regimen. Cognitive therapy is one type of therapy used to combat PTSD. The goal of cognitive therapy is to allow the patient to slowly experience feelings, thoughts, and events associated with the trauma in a controlled setting. This allows the PTSD sufferer, to categorize the traumatic feelings associated with the event and assign a more positive meaning to them. Thus providing a coping mechanism. Another school of thought places the therapeutic focus on gradually exposing the PTSD sufferer to elements of the trauma. The goal is to desensitize the patient to the traumatic event. This allows the patient to resume a normal life. One other form of therapy used in treatment of PTSD is EMDR. EMDR or Eye Movement Desensitization and Reprocessing is a form of exposure therapy that places the emphasis on guided eye movements. The theory is that the movements help retrain how the brain reacts to memories of the traumatic event. Success has
EMDR therapy, EMDR uses an eight-phase approach, referring to the past, present, and future aspects of the traumatic experience, and dysfunctional stress stored memories. The first Phase calls History and Treatment Planning. In this phase the therapist listens the patient's history and develops a treatment plan. In Phase II, the preparation, the therapist teaches the patient how to calm down him/herself with the help of relaxation techniques. The phase III is Assessment in which the therapist asks the patient to visualize the image of the disturbing event, then asks him/her to develop a positive cognition associating with that image. In Phase IV, Desensitization, the patient focuses on the disturbing memories during short sessions of 15-30 seconds. At the same time, he/she also focuses on the alternative stimulation such as directed eye movements, slapping hands, or voices. This process repeats many times until the patient's reaction to the target memory becomes less distressed. In Phase V, Installation, the therapist again with the use of bilateral stimulation asks the patient to remember the event about which the positive cognition is developed in the phase III, and makes sure that
In the United States (US) posttraumatic stress disorder (PTSD) affects 8 out of every 100 persons (United States Department of Veterans Affairs [USDVA], 2015). In which account for about 8 million people that include the military veterans (USDVA, 2015). About 10% of women and 4% of men will develop PTSD during some course of their lives (USDVA, 2015). Veterans are more susceptible to PTSD due to longer exposures to trauma, danger, or witness a violent life threaten incidence during their military service periods (USDVA, 2015). The development of PTSD becomes chronic after no longer seeing or under the “fight-or-flight“ experiences causing a psychological and/ or mental breakdown (National Institutes of Health [NIH], n.d). Such
Evidence points to CPT’s efficacy as a psychological treatment for PTSD and has demonstrated potential to decrease symptoms of depression and guilt. Although more research is needed to determine the effectiveness of CPT with various populations, both the Department of Defense and the Department of Veterans Affairs are recommending CPT as an evidence-based treatment for PTSD. A major benefit of CPT the gains are noticeable in a very short period. The rapid response to treatment is particularly important to military and active-duty populations for whom time may be limited (Keane TM, Marshall AD, Taft
According to Sharf, (2008) the eye movement desensitization and reprocessing (EMDR) was designed to treat posttraumatic stress disorder. EMDR requires that the clients visualize an upsetting memory and accompanying physical sensations. The clients repeat negative self-statements that they associate with the scene. The procedure is repeated again and again until the client’s anxiety is reduced. EMDR focuses on desensitizing strong emotional reasons in clients and help them to reframe their belief systems to accommodate new emotional states (Sharf, 2008).
Compared to both pharmaceuticals and other forms of psychotherapy, EMDR has proven to be effective in the treatment of PTSD (Shapiro, 2002). There have been approximately twenty controlled studies that proved this (Shapiro, & Laliotis, 2010). EMDR has been recommended as a first line of treatment including by the American Psychiatric Association (Shapiro, & Laliotis, 2010). EMDR uses bilateral stimulation such as auditory tones, tactile taps and
The researchers question was to examine the success of CBT-I and IRT for veterans with PTSD .Cognitive-behavioral therapy is psychotherapy in which mental health counselors (therapist) work with in numbers of session. CBT is a helpful tool in treating mental disorders. IRT helps reduce the frequency of nightmares among people with PTSD. The researchers hypothesized that after four session of CBT-I and IRT soldiers that comes back home from war would improve self-report, measure of sleep, and also decrease PTSD symptoms. Forty veterans who went to Afghanistan (30 black males, and 10 black females) were randomly assigned by a therapist working in the PTSD clinic. Each participant completed a packet of questionnaires. For two weeks they recorded how they slept in a diary. The participants were monitored for one week. Within two weeks of completing questionnaire, the participant would schedule their first session of CBT-I. Each participant had to complete four CBT sessions for 6 weeks. Researchers found that CBT-I improved and increased sleep time. In contrast, IRT showed no change in sleep and a small decrease in sleep time. While this study focus on cognitive-behavioral therapy the next study focus on Imagery rehearsal
My presentation was on the psychological condition (PTSD) Posttraumatic stress disorder deals with an extreme reaction to highly stressful events. I went into detail about the many effects that have on the individual such things as muscle tension and anxiety will occur for that persons. In my presentation, I talked about the military aspect and how a lot of people that served in the war were highly affected by PTSD. Eye movement desensitization and reprocessing (EMDR) I a great tool for counselors to for PTSD because it gives the client a chance to work on the sequence of phases, such as eye movements to help the client process unresolved remembrances from hostile experiences. The therapy that will assist in individuals with PTSD is Cognitive
The use of several therapeutic methods to treat children with PTSD increases the argument among clinicians about the most effective treatment for PTSD. The clinical literature describes a wide variety of interventions besides CBT including, psychoanalytic techniques, creative arts, play therapy, crisis intervention, eye movement desensitization and reprocessing, and pharmacotherapy; which raises the question about what could be the most effective treatment for children with PTSD (Cohen, Mannarino & Rogal 2001). Several of these therapies have been recognized as effective PTSD treatments. For instance, Eye-Movement Desensitization and Processing (EMDR), has become an increasingly accepted treatment modality for childhood PTSD; however, very
Several questionnaires were completed by participants who were determined to exhibit PTSD symptoms. The questionnaires in which we utilized included the following: the Veterans Affairs TBI screening instrument; the VAMSTA; the PHQ-9; the Pittsburgh Sleep Quality Index; and the Quality of Life Interview. These questionnaires presented us with information from participants’ self-reports to determine whether exposure to a blast injury or concussion led to their PTSD symptoms. The VA TBI screening instrument is a four-section tool based on a measure designed for active duty military personnel. Examples of the screening questions are presented in Table 1. Veterans were able to endorse multiple problems in each section. Those who endorsed at least one problem under all four sections were designated as having positive TBI screens and, as required by VA policy, were tracked for a comprehensive evaluation. This comprehensive, standardized evaluation entailed a detailed history, physical examination, and assessment of current symptoms by a clinician with TBI specialty expertise (Carlson, Nelson, Orazem, Nugent, Cifu, & Sayer, 2010).
In response to the fellow clinician who believes that EMDR would be a good treatment for PTSD, I would first tell him or her that I would be hesitant to use EMDR despite evidence showing its effectiveness. However, I will first agree that EMDR is an empirically supported treatment. There are experiments that have demonstrated that eye movements and other dual tasks have resulted in memory change. More specifically, eye movements and other dual tasks have been shown to decrease the vividness and emotionality of unpleasant and traumatic memories (van den Hout & Engelhard, 2012). This suggests that traumatic memories in PTSD sufferers can be faded and emotionally detached as a result of eye movements.
Of those whom develop PTSD, some individuals have stated a positive outcome from eye movement desensitization and reprocessing (EMDR). EMDR is a clinical treatment created originally by Francine Shapiro, for those who suffer with PTSD (Thomaes, Engelhard, Sijbrandij, Cath & Van den Heuvel, 2016). Through the use of functional magnetic resonance (fMRI) researcher were able to visualize positive changes in the patient’s amygdala and other areas of the brain associated with recall of trauma determining EMDR helpful in some cases (Thomaes et al., 2016). They also state, cognitive therapy (CT) as well as prolonged exposure therapy (PE) illicit positive changes on the fMRI
Eye movement desensitization and reprocessing (EMDR) is a psychotherapy developed by Francine Shapiro that says that traumatic memories are the cause of psychopathology. The most widespread use of EMDR is for the treatment of Post-traumatic-stress disorder. It is thought to ease the symptoms of PTSD. Shapiro believes that, when a traumatic or distressing experience occurs, that these events overwhelms the normal coping mechanisms. Therefore, since the coping mechanisms are overwhelmed with sensory data, the memory and associated stimuli are inadequately processed and stored in an isolated memory network separate from other memory networks. The goal of EMDR is to reduce the effect of distressing memories by engaging the brain’s natural adaptive information process mechanism, and
EMDR therapy involves eight phases which are designed to help patients reconfigure their trauma associated memories by reducing the negative emotions or thoughts linked with these memories and replacing them with positive ones causing the brain to process the memory in a new way (EMDR Institute, Inc., 2017). Although EMDR can seem to be a lengthy process, the actual therapy session is quite simple. The first step of EMDR enables the therapist to gather history on the patient, and the second step preps the patient with tools to manage the difficult emotions that may arise during treatment (EMDR Institute, Inc., 2017). The actual therapy session takes place in the third through sixth phases. During therapy, the patient will recall a memory related