Treatment of PTSD in people with severe intellectual disabilities: A case series

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

doi:10.3109/17518423.2011.654283

Cited by 47 publications

(61 citation statements)

References 19 publications

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“…Further research should investigate how clients with more severe communication impairments experience therapy. A case series with four adults with severe intellectual disabilities has shown promising results in terms of symptom reduction but did not investigate the experience of therapy from the perspectives of clients (Mevissen, Lievegoed, Seubert, & Jongh, ).…”

Section: Discussionmentioning

confidence: 99%

Eye movement desensitization and reprocessing for adults with intellectual disabilities: Process issues from an acceptability study

Unwin

Willott

Hendrickson

et al. 2019

Research Intellect Disabil

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Background Eye movement desensitization and reprocessing (EMDR) is recommended for post‐traumatic stress disorder and emerging evidence indicates that it is effective for people with intellectual disabilities. However, acceptability from the perspectives of clients with intellectual disabilities, their therapists and other key people has not been formally evaluated. This study investigates process issues in the implementation of EMDR from perspectives of multiple stakeholders. Method Semi‐structured interviews were conducted with two adults with intellectual disabilities and three clinical psychologists who had participated in EMDR as well as a key supporter (N = 6) to provide information relating to three cases. The interviews were analysed thematically either directly from the audio recording or from transcripts. Results Five themes were identified: EMDR feels very different; EMDR is a technical process; the need to work with the present; talking is important; cautious optimism. Conclusions Whilst a range of client‐ and therapist‐related factors served as barriers to using EMDR in this small‐scale study, such as preferences in working with the present and inexperienced therapists, there was cautious optimism that EMDR may be useful for “the right person at the right time.”.

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Section: Discussionmentioning

confidence: 99%

Eye movement desensitization and reprocessing for adults with intellectual disabilities: Process issues from an acceptability study

Unwin

Willott

Hendrickson

et al. 2019

Research Intellect Disabil

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“…As the scale had been developed for use with children, it was felt appropriate to use with someone who could read but had a mild intellectual disability. The decision was reinforced by the similarity between the symptoms of PTSD in people with intellectual disability noted by Mevissen et al (2012) and those seen in children (Carr 2013). The two subscales of the CRIES-8 are intrusion (the extent to which thoughts or images about the traumatic event intrude into consciousness when unwanted) and avoidance (the extent to a person avoids people, situations, etc.…”

Section: Methodsmentioning

confidence: 99%

Cognitive Behaviour Therapy for Post‐Traumatic Stress Disorder in a person with an Autism Spectrum Condition and Intellectual Disability: A Case Study

Carrigan

Allez²

2016

Research Intellect Disabil

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“…Mevissen et al (2011b) report two cases of EMDR with individuals with moderate ID and substantially limited verbal capacities, who both demonstrated positive behavioural outcomes maintained at followups spanning ten to 32 months. Mevissen et al (2012) reported on four cases of EMDR with individuals with severe ID. EMDR was employed using the story telling method (Lovett, 1999) in which the traumatic event was recounted by a caregiver, and all cases demonstrated improvements in behavioural outcomes following treatment.…”

Section: Id and Emdrmentioning

confidence: 99%

EMDR treatment for PTSD and Intellectual Disability: a case study

Barrowcliff

Evans

2015

Advances in Mental Health and Intellectual Disabilities

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Purpose -The purpose of this paper is to provide a detailed description of an adapted Eye-Movement Desensitisation and Reprocessing (EMDR) intervention in the treatment of chronic Post-Traumatic Stress Disorder (PTSD) in an individual with moderate-severe Intellectual Disability (ID), blindness, and Mucopolysaccharidosis Hunters Syndrome. Design/methodology/approach -A case study reporting on the implementation of an eight phase EMDR approach adapted for intellectual and sensory requirements. The intervention involved a series of preparatory meetings and four sessions of EMDR. Findings -The intervention was successful in ameliorating most symptoms attributed to a PTSD presentation.Research limitations/implications -The availability of the full breadth of treatment options for PTSD as indicated in National Institute for Health and Care Excellence (2005) is questionable in clinical practice with individuals with ID. Appropriate investment in research determining the most efficacious interventions for this clinical population is required. Originality/value -This case study addresses issues of complexity in respect of the assessment and treatment of trauma in an ID population. It raises a number of important social/research questions in addition to providing a high level of detail in regard to the adaptations required to deliver EMDR for a complex individual whilst retaining fidelity to the standard treatment model.

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Treatment of PTSD in people with severe intellectual disabilities: A case series

Abstract: EMDR seems to be an applicable treatment method for clients with severe ID. Reduction and maintenance of PTSD symptoms in individuals with severe ID appears to be both desirable and obtainable.

Cited by 47 publications

References 19 publications

Eye movement desensitization and reprocessing for adults with intellectual disabilities: Process issues from an acceptability study

Eye movement desensitization and reprocessing for adults with intellectual disabilities: Process issues from an acceptability study

Cognitive Behaviour Therapy for Post‐Traumatic Stress Disorder in a person with an Autism Spectrum Condition and Intellectual Disability: A Case Study

EMDR treatment for PTSD and Intellectual Disability: a case study

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