Eye movement desensitization and reprocessing therapy.

Shapiro, Francine; Solomon, Roger

doi:10.1037/0000020-009

Cited by 3 publications

(1 citation statement)

References 67 publications

(104 reference statements)

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“…The most recent data available indicate that approximately 17% of primary care patients receiving health care through the U.S. Department of Veterans Affairs (VA) meet the diagnostic criteria for posttraumatic stress disorder (PTSD; Bovin et al., 2021). According to VA/Department of Defense (DoD) clinical practice guidelines, the first‐line treatments for PTSD are trauma‐focused psychotherapies (TFPs), such as prolonged exposure (PE; Foa et al., 2019), cognitive processing therapy (CPT; Resick et al., 2008), and eye movement desensitization and reprocessing (EMDR; Shapiro & Solomon, 2017), with no contraindications indicated (VA/DoD, 2017). All VA patients are required to have access to TFPs (Kussman, 2008), and thousands of VA mental health providers have been trained to deliver PE and CPT (Karlin & Cross, 2014).…”

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confidence: 99%

A mixed‐methods evaluation of why an implementation trial failed to engage veterans with posttraumatic stress disorder in trauma‐focused psychotherapy

Fortney

Rajan

Chen

et al. 2023

Journal of Traumatic Stress

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An effectiveness trial found that telemedicine collaborative care for posttraumatic stress disorder (PTSD) significantly increased engagement in trauma‐focused psychotherapy (TFP) and improved PTSD symptoms. However, in a subsequent implementation trial, very few veterans enrolled in collaborative care initiated TFP. We conducted a mixed‐methods evaluation to determine why veterans did not initiate TFP in the implementation trial. After conducting chart reviews of 1,071 veterans with PTSD enrolled in collaborative care, patients were categorized into four mutually exclusive TFP groups: TFP not discussed; TFP discussed, declined; TFP discussed, did not decline; and TFP initiated. We conducted semistructured interviews with 43 unique patients and 58 unique providers (i.e., care managers and mental health specialists). Almost half (48.6%) of the veterans had no documentation of discussing TFP with their care manager; another 28.9% discussed it but declined. Most veterans (77.1%) had an encounter with a mental health specialist, 36.8% of whom never discussed TFP, and 35.7% of whom discussed it but declined. Providers reported that many veterans were not able, willing, or ready to engage in TFP and that non–trauma‐focused therapies were better aligned with their treatment goals. Veterans gave numerous reasons for not initiating TFP, including having bad prior experiences with TFP and wanting to avoid thinking about past traumatic experiences.Commonly cited reasons for noninitiation were providers never discussing TFP with veterans and veterans declining TFP after discussing it with their provider. Interventions, such as shared decision‐making tools, may be needed to engage providers and patients in informed discussions about TFP.

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confidence: 99%

A mixed‐methods evaluation of why an implementation trial failed to engage veterans with posttraumatic stress disorder in trauma‐focused psychotherapy

Fortney

Rajan

Chen

et al. 2023

Journal of Traumatic Stress

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Alliance processes in eating disorders with childhood maltreatment sequelae: Preliminary implications

Olofsson,

Vrabel,

Kopland

et al. 2024

Euro Eating Disorders Rev

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BackgroundEffective eating disorder (ED) treatments are drastically needed for patients with experiences of sustained and prolonged emotional, physical and sexual childhood maltreatment (CM) that often results in post‐traumatic sequelae such as severe, complex posttraumatic stress disorder (cPTSD). EDs with comorbid cPTSD (cPTSD‐ED) have protracted treatment courses and poorer prognoses.AimTo summarise the knowledge base on cPTSD‐ED with specific emphasis on disturbances in self‐organisation (DSO) in relation to therapeutic alliance (TA) processes.MethodExpert opinions based on current relevant literature are critically examined.ResultsPreliminary insights on change and alliance processes suggest that neglecting to address emotional‐relational processes in the conceptualisation and treatment of cPTSD‐ED impedes treatment progress.ConclusionWe hypothesise that the DSO construct inherent in cPTSD‐ED calls for a focus on TA processes in addition to traditional ED treatment elements such as nutritional rehabilitation and behaviour change, and regardless of ED treatment provided. More process research on a larger scale is urgently called for.

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Eye Movement Desensitization and Reprocessing Therapy in Children Experiencing Mental Health Challenges

Khan,

Madihie

2023

Advances in Psychology, Mental Health, and Behavioral Studies

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This chapter provides a comprehensive overview of eye movement desensitization and reprocessing (EMDR) therapy in the context of childhood mental health issues. It explores the origins, principles, and therapeutic mechanisms of eye movement desensitization and reprocessing therapy. One of the keys focuses of this chapter has been the adaptation of this therapy for children. Finally, this chapter emphasizes the importance of training and supervision for therapists working with EMDR therapy among children, as well as the need for further research and development in this field. This chapter concluded that eye movement desensitization and reprocessing therapy has emerged as a widely accepted and effective treatment approach for addressing mental health problems among children. By incorporating this therapy into their practice, mental health professionals can provide evidence-based interventions to help children overcome mental health challenges and promote their overall well-being.

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Eye movement desensitization and reprocessing therapy.

Cited by 3 publications

References 67 publications

A mixed‐methods evaluation of why an implementation trial failed to engage veterans with posttraumatic stress disorder in trauma‐focused psychotherapy

A mixed‐methods evaluation of why an implementation trial failed to engage veterans with posttraumatic stress disorder in trauma‐focused psychotherapy

Alliance processes in eating disorders with childhood maltreatment sequelae: Preliminary implications

Eye Movement Desensitization and Reprocessing Therapy in Children Experiencing Mental Health Challenges

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