Treatment of a Patient with Borderline Personality Disorder Based on Phase-Oriented Model of Eye Movement Desensitization and Reprocessing (EMDR): A Case Report
Objective: This study aimed at reporting the effect of the 3-phase model of eye movement desensitization and reprocessing in the treatment of a patient with borderline personality disorder.
Method: A 33-year-old female, who met the DSM-IV-TR criteria for borderline personality disorder, received a 20-session therapy based on the 3-phase model of eye movement desensitization and reprocessing. Borderline Personality Disorder Checklist (BPD-Checklist), Dissociative Experience Scale (DES-II), Beck Depression Inventory-II-second edition (BDI-II), and Anxiety Inventory (BAI) were filled out by the patient at all treatment phases and at the 3- month follow- up.
Results: According to the obtained results, the patient’s pretest scores in all research tools were 161, 44, 37, and 38 for BPD-Checklist, DES-II, BDI-II, and BAI, respectively. After treatment, these scores decreased significantly (69, 14, 6 and 10 respectively). So, the patient exhibited improvement in borderline personality disorder, dissociative, depression and anxiety symptoms, which were maintained after the 3-month follow-up.
Conclusion: The results supported the positive effect of phasic model of eye movement desensitization and reprocessing on borderline personality disorder.
Schmahl CG, Elzinga BM, Ebner UW, Simms T, Sanislow C, Vermetten E, et al. Psychophysiological reactivity to traumatic and abandonment scripts in borderline personality and posttraumatic stress disorders: a preliminary report. Psychiatry Res 2004; 126: 33-42.
Zlotnick C, Franklin CL, Zimmerman M. Does "subthreshold" posttraumatic stress disorder have any clinical relevance? Compr Psychiatry 2002; 43: 413-419.
Korzekwa MI, Dell PF, Pain C. Dissociation and borderline personality disorder: an update for clinicians. Curr Psychiatry Rep 2009; 11: 82-88.
Harned MS. The combined treatment of PTSD with borderline personality disorder. Curr Treat Options Psych 2014; 1: 335-344.
Van der Hart O, Nijenhuis ERS, Solomon RM. Dissociation of the personality in complex trauma-related disorders and EMDR: theoretical consideration. Journal of EMDR Practice and Research 2010; 4: 76-92.
Van der Hart O, Groenendijk M, Gonzalez A, Mosquera D, Solomon RM. Dissociation of the Personality and EMDR Therapy in Complex Trauma-Related Disorders: Applications in Phases 2 and 3 Treatment. EMDR practice and research 2014; 8: 33-48.
Mosquera D, Leeds AM, Gonzales A. Application of EMDR therapy for borderline personality disorder. Journal of EMDR Practice and Research 2014; 8: 74-89.
Shapiro F. Eye movment desensitization and reprocessing, basic principles, protocols and procedures. New York: GuilFord pree; 2001.
Korn DL, Leeds AM. preliminar evidence of efficacy for EMDR resource development and installation in the stabilization phase of treatment of complex posttraumatic stress disorder. J Clin Psychol 2002; 58: 1465-1487.
Brawn S, Shapiro F. EMDR in the treatment of borderline personality disorder. Clinical Case Studies 2006; 5: 403-420.
Gassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a persian-language version of the Beck Depression Inventory-second edition: BDI-persian. Depress Anxiety 2005; 21: 185-192.
Kaviani H, Moosavi A. [Psychometric properties of Beck Anxiety Inventory in Iranian pupulation (Persian)]. Tehran Medicin University 2008; 66: 136-140.
Kianpoor M, Bahredar MJ, Ommidzade SJ. Comparing the Level of Dissociative Experience in Prisoners with and without Opioid Dependence Disorder in Shiraz and its Relationship with Other Psychiatric Disorders. ijpbs 2010; 4: 18-22.
Salavati M, Yazdandost R, Atefvahid K, Arntz A. [Dysfunctional schemas and the efficacy of schema therapy for borderline personality disorder (Persian)]. PhD Thesis on clinical psychology, Tehran Psychiatric Institute, Iran Medicine University: 2006.
Sachsse U, Vogel C, Leichsenring F. Results of psychodynamically oriented trauma-focused inpatient treatment for women with complex posttraumatic stress disorder (PTSD) and borderline personality disorder (BPD). Bull Menninger Clin 2006; 70: 125-144.
|Issue||Vol 13 No 1 (2018)|
|Borderline Personality Disorder Dissociative Symptoms Eye Movement Desensitization and Reprocessing|
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