EMDR for panic disorder with or without agoraphobia: Looking for the roots of the disorder for a better treatment outcome
Description
EMDR is known by clinicians to be efficient in the treatment of panic disorder with or without agoraphobia (PDA), but there is little research on this topic. Cognitive-behavioural therapy is recognized as the best evidence-based treatment to reduce symptoms that develop after the onset of the first panic attack (PA) but about 30% of patients do not respond and about 30% relapse. Furthermore the roots of PA are rarely assessed nor considered in the research treatment protocols.
In some cases, the roots of PA are recent stressful events or traumas. In other cases, Jacobs & Nadel (1999) propose that the first PA has its roots in early critical experiences when the hippocampus was not mature yet (before age 2), leading to incomplete or dysfunctional integration of that experience. With Jacobs & Nadel we believe that the reprocessing of the critical experiences that have led latter to the onset of PA will maximize treatment outcome and best prevent relapse, particularly when the critical experiences occurred at a very young age.
In this presentation we bring together the AIP model (and the work of Katie O’Shea), cognitive-behavioural concepts, the neurodevelopmental model of the etiology of PDA (Jacobs & Nadel, 1999) and extensive clinical observations and trials, with the goal to maximize the use of EMDR and treatment outcome. Case studies of EMDR treatments will illustrate a proposed categorization of PDA subtypes, based on the different possible origins of panic attacks. We will also present differentiated adapted procedures for each subtype.
In some cases, the roots of PA are recent stressful events or traumas. In other cases, Jacobs & Nadel (1999) propose that the first PA has its roots in early critical experiences when the hippocampus was not mature yet (before age 2), leading to incomplete or dysfunctional integration of that experience. With Jacobs & Nadel we believe that the reprocessing of the critical experiences that have led latter to the onset of PA will maximize treatment outcome and best prevent relapse, particularly when the critical experiences occurred at a very young age.
In this presentation we bring together the AIP model (and the work of Katie O’Shea), cognitive-behavioural concepts, the neurodevelopmental model of the etiology of PDA (Jacobs & Nadel, 1999) and extensive clinical observations and trials, with the goal to maximize the use of EMDR and treatment outcome. Case studies of EMDR treatments will illustrate a proposed categorization of PDA subtypes, based on the different possible origins of panic attacks. We will also present differentiated adapted procedures for each subtype.
Format
Conference
Language
English
Original Work Citation
Piedfort-Marin, O. (2014, June). EMDR for panic disorder with or without agoraphobia: Looking for the roots of the disorder for a better treatment outcome. In EMDR clinical practice symposium (Ana Christina Santos, Chair). Symposium presented at the 15th EMDR Europe Association Conference, Edinburgh, Scotland
Citation
“EMDR for panic disorder with or without agoraphobia: Looking for the roots of the disorder for a better treatment outcome,” Francine Shapiro Library, accessed May 17, 2024, https://francineshapirolibrary.omeka.net/items/show/22882.