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Summarized from Chapter 9 in
EMDR:
The Breakthrough Therapy for
Overcoming Anxiety, Stress and Trauma (Shapiro & Forrest).
Mia was a single
mother whose 12-year-old son was killed by a train when his shoe became
stuck in the track. For a year after his death she had obsessive thoughts
and nightmares about the accident. Her depression was intense and she
often thought of suicide. Mia took disability leave from work because
she couldn't concentrate or function well. She was treated with Prozac,
Ativan and weekly "talk" therapy, but 13 months after her son's death
she still felt hopeless and distressed. Mia was at the end of her rope.
At this point, her doctor suggested she enroll in a free PTSD- research
study at Yale Psychiatric Institute. There she was seen by psychiatrist
Steve Lazrove for three sessions of EMDR. In the first treatment session
she described the worst part of the story and rated it a "10" on a 0-10
disturbance rating scale. Mia reported the emotion was a terrible pain
in her chest, and a sense that "my heart was stolen from me." She said,
"I feel guilt. He was my responsibility." Lazrove elicited a more positive
belief, that it was an accident and not her fault. Then he had her focus
on the most disturbing part of the memory and he guided her eyes to
move back and forth. Gradually, over the course of about an hour, and
after numerous "sets" of bilateral stimulation, the details of the memory
became less disturbing. By the end of the first session she reported
she could think about the accident scene and it no longer felt distressing.
She reported, "I feel relieved. I feel more comfortable, like a weight
has been lifted off me. When I think about the memory now, it doesn't
seem as unbearable or excruciating to recall. The painful part is gone."
By the end of the three sessions she came to feel that it had neither
been her fault nor her son's fault. At the 8-month follow-up visit Mia
reported she had returned to work. She was sleeping well and was no
longer having obsessive thoughts about the accident.
Contributed
by Beth Burton Krahn, MA, RCC
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