Does EMDR Therapy Have an Effect on Memories of Emotional Abuse, Neglect and Other Types of Adverse Events in Patients with a Personality Disorder? Preliminary Data

Hafkemeijer, Laurian; Starrenburg, Annemieke; Palen, Job van der; Slotema, Karin; Jongh, Ad de

doi:10.3390/jcm10194333

Cited by 9 publications

(5 citation statements)

References 33 publications

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“…One study, comparing Dialectical Behavior Therapy (DBT) for PTSD (DBT-PTSD) and CPT, reported both interventions significantly reduced PTSD and BPD symptoms, and dissociative symptoms improved following treatment [ 349 ]. This is similar to other reports that BPD symptoms decrease with trauma-focused treatment, both in populations with [ 306 ] and without comorbid PTSD [ 350 , 351 ]. Zeifman et al provide a review of this area [ 347 ].…”

Section: Challenges For Ptsd Treatmentsupporting

confidence: 91%

Treatment of Posttraumatic Stress Disorder: A State-of-the-art Review

Burback

Brémault‐Phillips

Nijdam

et al. 2024

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This narrative state-of-the-art review paper describes the progress in the understanding and treatment of Posttraumatic Stress Disorder (PTSD). Over the last four decades, the scientific landscape has matured, with many interdisciplinary contributions to understanding its diagnosis, etiology, and epidemiology. Advances in genetics, neurobiology, stress pathophysiology, and brain imaging have made it apparent that chronic PTSD is a systemic disorder with high allostatic load. The current state of treatment yields a wide variety of pharmacological and psychotherapeutic approaches, of which many are evidence-based. However, the myriad challenges inherent in the disorder, such as individual and systemic barriers to treatment outcome, comorbidity, emotional dysregulation, suicidality, dissociation, substance use, and trauma-related guilt and shame often render treatment response suboptimal. These challenges are discussed as drivers for emerging novel treatment approaches, including early interventions in the Golden Hours, pharmacological and psychotherapeutic interventions, medication augmentation interventions, the use of psychedelics, as well as interventions targeting the brain and nervous system. All of this aims to improve symptom relief and clinical outcomes. Finally, a phase orientation to treatment is recognized as a tool to strategize treatment of the disorder, and position interventions in step with the progression of the pathophysiology. Revisions to guidelines and systems of care will be needed to incorporate innovative treatments as evidence emerges and they become mainstream. This generation is well-positioned to address the devastating and often chronic disabling impact of traumatic stress events through holistic, cutting-edge clinical efforts and interdisciplinary research.

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Section: Challenges For Ptsd Treatmentsupporting

confidence: 91%

Treatment of Posttraumatic Stress Disorder: A State-of-the-art Review

Burback

Brémault‐Phillips

Nijdam

et al. 2024

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“…To this end, these results support the notion that EMDR therapy is not only an effective therapy for memories related to A-criteria-worthy events but is also a valuable treatment for the consequences of interpersonal trauma in childhood in clients suffering from a personality disorder. Thus, when these memories are processed, the severity of symptoms decreases (Hafkemeijer et al, 2021).…”

Section: Clinical Practices and Summarymentioning

confidence: 99%

Trauma‐focused treatment of a client with Complex PTSD and comorbid pathology using EMDR therapy

Jongh

Hafkemeijer

2023

J Clin Psychol

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ObjectiveComplex post‐traumatic stress disorder (CPTSD) is a classification within the International Classification of Diseases, 11th Revision (ICD‐11) that, besides the DSM‐5 symptom clusters of post‐post‐traumatic stress disorder (PTSD), includes the presence of negative self‐concept, difficulties in regulating emotions and relationship skills. The purpose of the present study was to provide guidance on how to deliver Eye Movement Desensitization and Reprocessing (EMDR) therapy in the context of CPTSD, based on current clinical knowledge and the latest scientific research findings.MethodThis paper describes the treatment of a 52‐year‐old woman with CPTSD and borderline personality disorder for which immediate trauma‐focused EMDR therapy was used.ResultsFirst, a description of what EMDR therapy entails and some important treatment strategies that the therapist may employ to assist in trauma‐focused treatment of clients with CPTSD using EMDR therapy are outlined.ConclusionThe treatment results are in line with mounting evidence supporting the notion that EMDR therapy is a safe and potentially effective treatment alternative for individuals with CPTSD or personality problems.

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“…The relationship between these mental health conditions in the present study was further illustrated by the association between the difference scores of the CAPS-5 and the BPDSI-IV from pre-treatment to 6-month follow-up (Rho = .573, p < .000, two-tailed). What these, and other results teach us, is that if people develop pathology configured by the impact of adverse childhood experiences, and the clinician appropriately targets the memories that gave rise to these symptoms, the pathology is amenable to change (Hafkemeijer et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Effects of intensive trauma-focused treatment of individuals with both post-traumatic stress disorder and borderline personality disorder

Kolthof

Voorendonk

Minnen

et al. 2022

European Journal of Psychotraumatology

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Background: Research indicates that intensive trauma-focused therapy can be effective in alleviating symptoms of post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD). However, these studies have relied on self-report of BPD symptoms and follow-up data are scarce. Objective: The purpose of this feasibility study was to determine the effects of an intensive trauma-focused treatment programme on the severity of PTSD and BPD symptoms and the diagnostic status up to a 12-month follow-up. Methods: A total of 45 (60% female) individuals meeting the diagnostic criteria of both PTSD and BPD participated in an intensive eight-day trauma-focused treatment programme which combined prolonged exposure and EMDR therapy in an inpatient treatment setting. Severity of PTSD and BPD symptoms were assessed at pre-treatment, post-treatment, 6 months, and 12 months after treatment (CAPS-5, BPDSI-IV). Diagnostic status was determined using clinical interviews (CAPS-5 and SCID-5-P) at pre-treatment and 12-month follow-up. Results: Of all participants, 93.3% had been exposed to physical abuse, and 71.1% to sexual abuse prior to the age of 12 years. PTSD and BPD symptom severity significantly decreased from pre- to post-treatment (Cohen's ds : 1.58 and 0.98, respectively), and these results were maintained at 6- ( ds : 1.20 and 1.01) and 12-month follow-up ( ds : 1.53 and 1.36). Based upon CAPS-5, 69.2% no longer met the diagnostic criteria of PTSD at 12-month follow-up, while according to the SCID-5-P 73.1% no longer fulfilled the diagnostic criteria of BPD at that time. No significant worsening of symptoms occurred. Conclusion: The findings of this study, which is the first to examine the effects of psychotherapeutic treatment of PTSD on the presence of a borderline personality disorder one year after treatment, add support to the notion that a brief intensive trauma-focused treatment can be a valuable option for individuals suffering from both PTSD and BPD.

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Does EMDR Therapy Have an Effect on Memories of Emotional Abuse, Neglect and Other Types of Adverse Events in Patients with a Personality Disorder? Preliminary Data

Cited by 9 publications

References 33 publications

Treatment of Posttraumatic Stress Disorder: A State-of-the-art Review

Treatment of Posttraumatic Stress Disorder: A State-of-the-art Review

Trauma‐focused treatment of a client with Complex PTSD and comorbid pathology using EMDR therapy

Effects of intensive trauma-focused treatment of individuals with both post-traumatic stress disorder and borderline personality disorder

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