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

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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

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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 12 EMDR training at TMR Health
  professionals
• Continue to practice at TMR

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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

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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

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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

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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

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EMDR PROTOCOL

• History
• Preparation
• Assessment
• Desensitisation
• Installation
• Body Scan
• Closure
• Re-evaluation

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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

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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

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NATALIES 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".

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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.

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PAPER AVAILABLE AT

• http//www.casesjournal.com/content/1/1/177