Do persons with intellectual disability and limited verbal capacities respond to trauma treatment?

Mevissen, Liesbeth; Lievegoed, R.; Seubert, Andrew; Jongh, Ad de

doi:10.3109/13668250.2011.621415

Cited by 47 publications

(64 citation statements)

References 12 publications

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“…Our patient differs from those in the other case studies that reported on the provision of EMDR to treat individuals with ASD (Barol & Seubert, 2010;Mevissen, Lievegoed, Seubert, & de Jongh., 2011). All those participants had intellectual deficits, whereas our patient's intellectual capacity was uncompromised by her ASD.…”

Section: Treatment Implicationscontrasting

confidence: 82%

“…To date, there are six case reports of providing EMDR to patients with a diagnosis of ASD. These cases were reported in three case series documenting the use of EMDR for the treatment of patients with PTSD and intellectual disabilities (ID; Barol & Seubert, 2010;Mevissen, Lievegoed, Seubert, & de Jongh, 2011). None of the six cases used eye movements for BLS because the patients were unable to tolerate this modality.…”

Section: Client Historymentioning

confidence: 90%

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Eye Movement Desensitization and Reprocessing in a Patient With Asperger’s Disorder: Case Report

Kosatka¹,

Ona

2014

J EMDR Prac Res

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Eye movement desensitization and reprocessing (EMDR) has demonstrated efficacy in the treatment of posttraumatic stress disorder (PTSD). This case demonstrates the successful use of EMDR for the treatment of PTSD in a patient with Asperger's disorder and examines potential pitfalls both in detecting and treating PTSD in patients with autism spectrum disorders. Our patient was a 21-year-old female with a diagnosis of Asperger's disorder and multiple traumas stemming primarily from physical abuse at the hands of her peers in school. Treatment was provided in an accelerated format, being provided 3 days a week for approximately 3 weeks leaving at least 1 day in between sessions. After receiving 8 EMDR sessions, her scores improved on the Posttraumatic Checklist with effects maintained at 8-month follow-up.

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Section: Treatment Implicationscontrasting

confidence: 82%

Section: Client Historymentioning

confidence: 90%

Eye Movement Desensitization and Reprocessing in a Patient With Asperger’s Disorder: Case Report

Kosatka¹,

Ona

2014

J EMDR Prac Res

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“…Preliminary findings show promising psychometric properties in people with mild to moderate intellectual disabilities [18]. Methods have been used to increase the accessibility of trauma assessments, and where an individual is unable to articulate a trigger event due to cognitive and communication difficulties, then, biographical timelines of events and a trauma history have been constructed with information gathered from several other sources [26][27][28].…”

Section: Assessment and Treatment Of Ptsd In Id: What We Knew 12 Montmentioning

confidence: 99%

“…Anger and aggression can be symptoms of PTSD in the general population [33,34], and so where challenging behaviour does occur in intellectual disability populations it may be the result of trauma [28,35]. As evidence regarding the presentation of trauma in people with moderate to severe intellectual disabilities is particularly limited, PTSD and other traumarelated psychological distress may simply be categorised as challenging behaviour or misdiagnosed as psychosis [32•].…”

Section: Trauma and Challenging Behaviourmentioning

confidence: 99%

Trauma and Life Events in Adults with Intellectual Disability

Wigham

Emerson

2015

Curr Dev Disord Rep

102

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Exposure to adverse life events and environmental stressors (e.g. violence, poverty, sexual abuse) has been found to be high in intellectual disability populations. Notwithstanding resilience, for some people with intellectual disability, adverse life events and environmental stressors may lead to PTSD and may affect well-being in more diffuse but potentially still clinically impactful ways (e.g. challenging behaviour, obesity, substance misuse). Advances have occurred in the field of trauma in intellectual disability. More specifically, a small number of assessment measures have been developed for PTSD and a small number of studies evaluated treatment interventions such as cognitive behavioural therapy (CBT) and eye movement desensitisation and reprocessing (EMDR). Awareness has also increased regarding the potential life course effects on mental health of exposure to environmental stressors. While these developments are promising, the field warrants more research and development. This paper considers recent developments in knowledge on the psychological effects of exposure to adverse life events and environmental stressors in adults with intellectual disabilities.

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“…Unfortunately, there are only a few, but still encouraging case reports about the use of EMDR in people with ID [2, 14,15].…”

Section: Introductionmentioning

confidence: 99%

EMDR for Treatment of Anxiety Disorder in a Patient with Intellectual Disability

Shaddel¹

2016

Open Conf. Proceed. J.

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Eye Movement Desensitization and Reprocessing (EMDR) is a structured, eight-phase, mainly non-verbal psychotherapeutic approach that is developed to resolve symptoms that have stemmed from disturbing and unprocessed life experiences. EMDR is well known for the treatment of Post-Traumatic Stress Disorder (PTSD). However, modified protocols have been developed for the treatment of other anxiety and mood disorders; especially if rooted from a traumatic experience in the past.People with Intellectual Disability (ID) are more likely to suffer from adverse experiences during their lives and psychiatric consequences are common among them. In addition, they are more likely to have difficulty in verbal communication which is a requirement in other psychological interventions but less so in EMDR. All these point towards EMDR as a potential add-on tool in this group of clients.Unfortunately there is limited, yet encouraging, published literature about the use of EMDR in people with ID. In this paper, I will report a successful use of EMDR for the treatment of PTSD and Obsessive Compulsive Disorder (OCD) in a 35 year old patient with moderate ID and then use this to discuss the advantages and disadvantages of using EMDR for people with ID in a wider context.

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Do persons with intellectual disability and limited verbal capacities respond to trauma treatment?

Cited by 47 publications

References 12 publications

Eye Movement Desensitization and Reprocessing in a Patient With Asperger’s Disorder: Case Report

Eye Movement Desensitization and Reprocessing in a Patient With Asperger’s Disorder: Case Report

Trauma and Life Events in Adults with Intellectual Disability

EMDR for Treatment of Anxiety Disorder in a Patient with Intellectual Disability

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