Adding EMDR for PTSD at the onset of treatment of borderline personality disorder: A pilot study

Wilhelmus, Bobbie; Marissen, Marlies A.E.; Berg, David Van Den; Driessen, Annemieke; Deen, Mathijs; Slotema, Karin

doi:10.1016/j.jbtep.2023.101834

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…As PTSD is highly comorbid with other psychiatric disorders, it is important to examine the effectiveness of the therapy in patients with comorbid mental health conditions. To this end, EMDR therapy has shown significant reductions in symptoms of anxiety and depression (Yunitri et al, 2020(Yunitri et al, , 2023, low self-esteem, general psychological symptoms (Griffioen et al, 2017), and symptoms characteristic of borderline personality disorder (Wilhelmus et al, 2023). One of the most notable studies in this regard is an RCT that investigated the effectiveness of EMDR for PTSD in 155 participants diagnosed with schizophrenia or other psychotic disorders (van den Berg et al, 2015).…”

Section: Effectiveness Of Emdr In Ptsd Patients With Comorbid Present...mentioning

confidence: 99%

State of the science: Eye movement desensitization and reprocessing (EMDR) therapy

de Jongh,

de Roos,

El‐Leithy

2024

Journal of Traumatic Stress

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Eye movement desensitization and reprocessing (EMDR) therapy is an evidence‐based psychotherapy for posttraumatic stress disorder (PTSD), with support from more than 30 published randomized controlled trials (RCTs) demonstrating its effectiveness in both adults and children. Most international clinical practice guidelines recommend EMDR therapy as a first‐line treatment for PTSD. This paper describes the current state of the evidence for EMDR therapy. We begin with a brief description of EMDR therapy and its theoretical framework. Next, we summarize the scientific support for its efficacy, effectiveness, and safety and discuss its applicability across cultures and with diverse populations. We conclude with suggestions for future directions to develop the research base and applications of EMDR therapy.

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Section: Effectiveness Of Emdr In Ptsd Patients With Comorbid Present...mentioning

confidence: 99%

State of the science: Eye movement desensitization and reprocessing (EMDR) therapy

de Jongh,

de Roos,

El‐Leithy

2024

Journal of Traumatic Stress

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“…While understandable, such recommendations can result in not receiving or inadequately receiving trauma-focused treatment ( 40 ). However, various studies reveal that trauma-focused treatment for PTSD in individuals with a (borderline) personality disorder is feasible and safe ( 41 – 43 ). These findings are further in line with those of a meta-analysis of 12 studies involving patients predominantly diagnosed with borderline personality disorder and PTSD that showed significant reductions in both PTSD symptoms and general psychopathological symptoms ( 44 ).…”

Section: Empirical Support For the Effect Of Trauma-focused Treatment...mentioning

confidence: 99%

The AIP model as a theoretical framework for the treatment of personality disorders with EMDR therapy

De Jongh,

Hafkemeijer,

Hofman

et al. 2024

Front. Psychiatry

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Research has shown that the impact of traumatic events and circumstances on individuals is cumulative and potentially has a wide range of harmful consequences, including negative consequences on mental health. One such consequence is the development of a personality disorder, a persistent mental condition characterized by a pronounced pattern of difficulties in impulse control, emotional regulation, cognitive functions, self-esteem, and interpersonal relationships. A wide array of studies indicates that the personal history of individuals with a personality disorder is often marked by exposure to traumatic events or other types of adverse childhood experiences (ACEs). Because existing treatments for personality disorders are usually long and costly, it is essential to continue exploring alternative and complementary interventions. Nowadays, knowledge and clinical experience in regard to personality disorders have been gained in addressing ACEs by processing memories of these events through eye movement desensitization and reprocessing (EMDR) therapy. In this paper, we present a theoretical framework for this treatment approach, based on Shapiro’s Adaptive Information Processing (AIP) model, describe its current empirical basis, and provide guidance on how to formulate a useful case conceptualization that can serve as a basis for the treatment of personality disorders with EMDR therapy. This approach is illustrated with a case example.

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EMDR treatment in patients with personality disorders. Should we fear symptom exacerbation?

Hafkemeijer,

de Jongh,

Starrenburg

et al. 2024

European Journal of Psychotraumatology

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Adding EMDR for PTSD at the onset of treatment of borderline personality disorder: A pilot study

Cited by 4 publications

References 30 publications

State of the science: Eye movement desensitization and reprocessing (EMDR) therapy

State of the science: Eye movement desensitization and reprocessing (EMDR) therapy

The AIP model as a theoretical framework for the treatment of personality disorders with EMDR therapy

EMDR treatment in patients with personality disorders. Should we fear symptom exacerbation?

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