Travma Sonrası Stres Bozukluğu ve Özgül Fobi Tedavisinde Göz Hareketleri İle Duyarsızlaştırma ve Yeniden İşlemleme (EMDR): Olgu Sunumları
Abstract
Göz hareketleri ile duyarsızlaştırma ve yeniden işlemleme [Eye Movement Desensitization and
Reprocessing (EMDR)] yöntemi ile ele alınan iki olgu sunulmuştur. Olguların ilki dokuz yaşında cinsel
istismara maruz kalan, olaydan 29 yıl sonra travma sonrası stress bozukluğu (TSSB) ve depresyon
tanıları ile izlenen, son iki yıldır işlevselliği önemli ölçüde etkilenen bir kadın hastadır. İkinci olgu ise
uçak, vapur, asansöre binme fobisi bulunan bu yüzden yurtdışına ziyarete gidemeyen, tatillerde vapur
turu ile seyahat edemeyen, kötü bir şey yaşayacağı ya da bayılacağı korku ve endişesi içinde yaptığı
tatillerden hiçbir zevk alamayan kadın hastadır. Tedavide EMDR uygulanan her iki olgunun terapi
süreci ve takiplerinde hastaların tedaviye yanıt verdiği ve işlevsellikte önemli derecede düzelme olduğu
görüldü. Sonuç olarak hem TSSB hem de özgül fobide, EMDR diğer tedavi yöntemlerine alternatif
olarak hatta ilk tedavi seçeneği olarak kullanılabilir.
Keywords
Supporting Institution
destekleyen kurum yoktur.
References
- 1.Öztürk MO, Uluşahin A. Ruh Sağlığı ve Bozuklukları. 13.basım, s261-296. Nobel Tıp Kitapevi, Ankara, 2015.
- 2. Sungur MZ. Fobik Bozukluklar. Psikiyatri dünyası, 1997; 1(1): 5-11.
- 3. Polusny MA, Follette VM. Long-term correlates of child sexual abuse: theory and review of the empirical literature. Appl Prev Psychol 1995; 4:143-166.
- 4. Widom CS. Posttraumatic stress disorder in abused and neglected children grown up. Am J Psychiatry 1999;156(8):1223-9.
- 5. Shapiro S, EMDR: Göz hareketleri ile duyarsızlaştırma ve yeniden işleme, temel prensipler, protokoller ve prosedürler, (M.Şahzade ve I. Sansoy çev.). Okyanus yayınları, İstanbul, 2016.
- 6. Murphy TK, Bengtson MA, Tan JY ve ark. Selective serotonin reuptake inhibitors in the treatment of paediatric anxiety disorders. A rewiev. Int Clin Psychopharmacol, 2000; 2: 47-63.
- 7. Maxfield L, Melnyk WT. Single Session Treatment of Test Anxiety with Eye Movement Desensitization and Reprocessing (EMDR) Int J Stress Management, 2000; 7(suppl. 2): 87-101.
- 8. Laker M. Specific phobia: flight. Act Nerv Super 2012; 54:108- 117.
Eye Movement Desensitization and Reprocessing (EMDR) in Post-Trauma Stress Disorder and Specific Phobi Treatment: Case Reports
Abstract
In this article, two cases that were handled with eye movement desensitization and reprocessing
(EMDR) method are presented. The first of the cases was a female patient who was exposed to sexual
abuse when she was nine years old, was followed up with a diagnosis of post-traumatic stress disorder
(PTSD) and depression 29 years after the event, and whose functionality was significantly affected
for the last two years. The other case is a female patient who has a phobia of flying, ferry, taking the
elevator and therefore cannot visit abroad, cannot travel on a ferry tour on holidays, cannot enjoy any of
the holidays she has done with fear and anxiety that she will experience something bad or faint. In both
cases in which EMDR was applied in the treatment, it was observed that the patients responded to the
treatment and that there was significant improvement in functionality during the therapy process and
follow-up. As a result, EMDR can be used as an alternative to other treatment methods, even as the first
treatment option, in both PTSD and specific phobia.
References
- 1.Öztürk MO, Uluşahin A. Ruh Sağlığı ve Bozuklukları. 13.basım, s261-296. Nobel Tıp Kitapevi, Ankara, 2015.
- 2. Sungur MZ. Fobik Bozukluklar. Psikiyatri dünyası, 1997; 1(1): 5-11.
- 3. Polusny MA, Follette VM. Long-term correlates of child sexual abuse: theory and review of the empirical literature. Appl Prev Psychol 1995; 4:143-166.
- 4. Widom CS. Posttraumatic stress disorder in abused and neglected children grown up. Am J Psychiatry 1999;156(8):1223-9.
- 5. Shapiro S, EMDR: Göz hareketleri ile duyarsızlaştırma ve yeniden işleme, temel prensipler, protokoller ve prosedürler, (M.Şahzade ve I. Sansoy çev.). Okyanus yayınları, İstanbul, 2016.
- 6. Murphy TK, Bengtson MA, Tan JY ve ark. Selective serotonin reuptake inhibitors in the treatment of paediatric anxiety disorders. A rewiev. Int Clin Psychopharmacol, 2000; 2: 47-63.
- 7. Maxfield L, Melnyk WT. Single Session Treatment of Test Anxiety with Eye Movement Desensitization and Reprocessing (EMDR) Int J Stress Management, 2000; 7(suppl. 2): 87-101.
- 8. Laker M. Specific phobia: flight. Act Nerv Super 2012; 54:108- 117.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 25, 2021 |
| Acceptance Date | October 13, 2021 |
| Published in Issue | Year 2021 Volume: 5 Issue: 3 |
