Eye Movement Desensitisation and Reprocessing (EMDR) is a psychological treatment used for improving symptoms of post trauma sequeale. Whilst NICE recommends its treatment for PTSD, newer indications and it’s application as a treatment have increased over the years. Working as a Consultant Psychiatrist in Wales and as part of my medico-legal practice in Personal Injury, recently I have treated someone for Travel Anxiety following a RTA who had been struggling to pass a particular point on the road and had anxiety symptoms when on the road in general. The outcomes were very good as the EMDR phases were very useful and all the symptoms improved within 6 sessions. The desensitisation phase was one phase that was very useful to get past the particular point on the road for the patient and by the end of sessions, the patient had commenced driving, had gone past the struggling point, felt more relaxed on the road in general and scored 0 on all scales used in the therapy.
The crucial element was the use of ‘Eclectic’ tools to help the individual to regain control over the situation and in Neuroanatomical terms, what we now know in Trauma work is that once the ‘Chronic Hyperarousal’ is modulated and regulated, the symptoms begin to improve.