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Cessation of Deliberate Self-harm with EMDR Therapy: A Case Study

This case study presents the use of Eye Movement Desensitisation and Reprocessing (EMDR) therapy to successfully treat deliberate self-harm in a young patient. The therapy effectively addressed past trauma and reduced self-harming behaviors.

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Cessation of Deliberate Self-harm with EMDR Therapy: A Case Study

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  1. Cessation of deliberate self harm following eye movement desensitisation and reprocessing (EMDR).McLaughlin, DF., McGowan, IW., Paterson, MC., Miller, PW. PRESENTED BY Dr Derek McLaughlin

  2. HOW DID I FIND MYSELF HERE • Twenty something years as a MH nurse • Worked extensively in alcohol and drugs as a CMHN • University of Ulster 2001 • Keen to keep clinical active • Completed level 1&2 EMDR training at TMR Health professionals • Continue to practice at TMR

  3. HISTORY • I met Natalie for the first time in TMR during Jan 2007 she was 18 • History showed a normal uneventful and happy life up until the age of 14 at this point bullying occurred at school • This led to reduced mood and self harm in the form of cutting with one incident of tying a scarf around her neck

  4. HISTORY • GP prescribed an anti depressant and referred her to CAMHS services • Natalie attended CAMHS this was effective until discharge • Shortly after discharge, stopped medication, alcohol intake increased, cutting returned

  5. HISTORY • GP referred to TMR while waiting for AMH contact • Took full history and began to establish a therapeutic relationship • I asked why she cut, as all behaviour makes sense • Natalie cut to reduce tension and anger • Scale 0-10, cut at 8

  6. INTERVENTION • Pre loaded with an anger rating of 5 or 6 • I could not predict the future, who would be rude to her • To move forward we had to go back • She identified two issues from her past that would still upset her and so I explain EMDR

  7. EMDR PROTOCOL • History • Preparation • Assessment • Desensitisation • Installation • Body Scan • Closure • Re-evaluation

  8. INTERVENTION • We completed all the preparation • Natalie choose to use clicks as her preferred form of bi-lateral stimulation • Two issues or targets were addressed, the first rated as 6/10 SUDs, and the second 7/10 SUDs • Both targets moved forward well and the SUDs for each were at 0, calm, relaxed and contained

  9. OUTCOME • Natalie returned the following week and reported no self harm and she was happy with this • Present coping, tears • She was discharged shortly after this • I had contacted her in June 2008 and she had not self harmed for over 13 months • Natalie was fully Involved in the preparation of the paper, but did not want her name as an author on the paper

  10. NATALIE’S CONCLUSION • " [I] never thought I would ever reach the stage of being completely happy with myself! Took some work, but got there in the end".

  11. WHERE TO FROM HERE • Team has prepared proposal for funding a mixed methods study. • Very positive feedback but not funded. • Looking into other areas of funding.

  12. PAPER AVAILABLE AT • http://www.casesjournal.com/content/1/1/177

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