eloreta Neurofeedback Impact on EMDR Therapy A SINGLE CASE STUDY

Transcription

1 eloreta Neurofeedback Impact on EMDR Therapy A SINGLE CASE STUDY

2 Purpose of the Case Study To determine the impact of eloreta neurofeedback on those engaging in EMDR Therapy Regulating factors of neurofeedback would assist in keeping clients in EMDR desensitization therapy for a longer period of time due to greater alleviation of dysregulation of the brain. In our discussion today we will outline: Eye Movement Desensitization and Reprocessing Therapy (EMDR) Brief outline neurobiological impact of EMDR therapy Discussion of a recent case study combining EMDR therapy and Neurofeedback Suggestions for future research related to EMDR Therapy and Neurofeedback

3 EMDR Therapy: A Brief Overview EMDR = Eye Movement Desensitization and Reprocessing Definition of EMDR according to EMDRIA A unique standardized set of procedures and clinical protocols which incorporate dual attention stimuli The eight-phase, three-pronged process of EMDR facilitates traumatic information to be processing and integrated in a meaningful way for the client in the present timeframe Protocol allows for the integration of previously disintegrated neural networks Information linked together in a meaningful way for the client NOW Changes in neural connection alters how the overall brain functions and behaves Neuroplasticity

4 Neurobiological Impact of EMDR Therapy Increases left prefrontal cortex activation (Lansing et al., 2005; Levin et al., 1999; Oh & Choi, 2007) Increases orbital frontal activation (Lansing et al., 2005) Decreased occipital activation (Lansing et al., 2005; Pagani et al., 2007) Decreased temporal lobe activation (Oh & Choi, 2007; Pagani et al., 2007) Structural hippocampal growth (Bossini et al., 2007, 2011) Increased thalamic activation (Richardson et al., 2009)

5 EMDR Findings Using EEG Enhanced left hemispheric function (Pagani et al., 2011) Decreased limbic activation and enhanced cortical activation (Pagani et al., 2012)

6 Case Study Outline

7 Future Research Suggestions & Recommendations Recommended that qeeg be performed during ALL EMDR therapy sessions to determine the continual metamorphosis of neurological activity before, during, and after EMDR desensitization therapy Future Research encouraged: Difference between clients that obtained NF in general vs. directly before an EMDR desensitization session Impact of EMDR Therapy and NF in the area of performance enhancement Overall level of impact utilizing BOTH EMDR and NF in treatment of trauma and anxiety disorders Differences between single incident and ongoing trauma on impact of EMDR Therapy and NF

8 Bibliography & Resources Bergman, U. (2008). The Neurobiology of EMDR: Exploring the Thalamus and Neural Integration. Journal of EMDR Practice and Research, 2(4), Fragedakis, T.M., Toriello, P. (2014). The Development and experience of combat-related PTSD: a demand for neurofeedback as an effective form of treatment. Journal of Counseling & Development, 92(4), Gapen, M., van der Kolk, B. A., Hamlin, E., Hirshberg, L., Suvak, M., Spinazzola J. (2016). A pilot study of neurofeedback for chronic PTSD. Applied Psychophysiology and Biofeedback. Oh, D.-H., & Choi, J. (2007). Changes in the regional cerebral perfusion after Eye Movement Desensitization and Reprocessing: A SPECT study of two cases. Journal of EMDR Practice and Research, 1(1), Kluetsch, R. C., Ros, T., Théberge, J., Frewen, P. A., Calhoun, V. D., Schmahl, C., Lanius, R. A. (2014). Plastic modulation of PTSD resting-state networks and subjective wellbeing by EEG neurofeedback. Acta Psychiatrica Scandinavica, 130(2),

9 Levin, P., Lazrove, S., & van der Kolk, B. A. (1999). What psychological testing and neuroimaging tell us about the treatment of posttraumatic stress disorder (PTSD) by eye movement desensitization and reprocessing (EMDR). Journal of Anxiety Disorders, 13, Nelson, D., & Esty, M. (2012). Neuro-therapy of traumatic brain injury/posttraumatic stress symptoms in oef/oif veterans. The Journal of Neuropsychiatry and Clinical Neurosciences, 24(2), Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Sundin, O., Jonsson, C., et al. (2007). Effects of EMDR psychotherapy on 99m Tc-HMPAO distribution in occupation-related post-traumatic stress disorder. Nuclear Medicine Communications, 28(10), Pagani, M. et al. (2011). Pretreatment, intra-treatment, and posttreatment EEG imaging of EMDR: Methodology and preliminary results from a single case. Journal of EMDR Practice and Research, 5,

10 Pagani M, Di Lorenzo G, Verardo AR, Nicolais G, Monaco L, et al. (2012). Neurobiological Correlates of EMDR Monitoring An EEG Study. PLoS ONE 7(9): doi: /journal.pone Reiter, K., Andersen, S. B., Carlson, J. (2016). Neurofeedback treatment and posttraumatic stress disorder: effectiveness of neurofeedback on posttraumatic stress disorder and the optimal choice of protocol. The Journal of Nervous and Mental Disease, 204(2), Websites Information on Neurofeedback (NF) eloreta Information EMDRIA.org

11 Thank you!!!! Dr. Reid Schwartz, PhD & Carrie Ann Carr, MA, LCPC Hope Enrichment Center 7300 W. College Dr. Suite 203 Palos Heights, IL