Hallucinaties na EMDR: Iets om je zorgen over te maken?
Hallucinations after EMDR: Something you worry about?
A GP referred a patient to me who was from ' PTSS with leave Begin', due to a car accident that had taken place six years ago. Possible the intrusions were aired by a period of great tax on her work with an absence period thereafter by a complicated pneumonia. This period reminded the rehabilitation process after the accident. I have made an assessment of the problems and the firmness of this lady to be able to EMDR. The problem initially seemed unambiguous and defined. That is to say: typical PTSS complaints including jumping, reexperiences and sometimes flooded by fear. She suffered a lot from this. Ten years ago she had a treatment for a Burned out and there was-maybe not coincidentally-in the family of origin, there are a number of patterns, including the keeping of emotions and certainly not whining. Both parents have a war history with many nasty experiences. to assess the emotional stability of my patient I used ' The three Tests ' of Joanny Spierings. There were no major details of this, except for then its tendency to keep nasty emotions away. In the conversation showed them a great deal of sadness, which they could handle. Then she felt relief. All in all was my estimation that we could start with EMDR to reduce the reduction in complaints and then investigate what there was still remaining. We had one EMDR session in which the car accident was central. This went fine. There were in the beginning many violent emotions including sadness, fear and anger, where the SUD dropped from 8 to 0.5. I also have imagery rescripting, taking her anger to the the driver of the car that popped at her back. The first session we have concluded positively. Then arose there is peace and more distance to the picture. She also experienced less intensity of emotions. In the days thereafter she reported some stomach upset but they went away by themselves. She felt tremendous relief and more tranquility. She can now look at the picture and talk without crying. Four days after the EMDR session was my patient, however, a hallucination of the policeman who during the accident has meant a lot to her. By its way of acting, he managed to create peace and security. This hallucination came back two days after that. She knows that the appearance was not real and felt there also, no fear at all, only rest. However, this is of course not a ' normal ' reaction. Have you experienced this more often or here ever heard of it? How worrisome is this? And what is your experience with regard to the policy to be used in this be? I have the psychiatrist who is connected to our practice enabled. She has promised to think along and possible to see the patient once. In short, what should I do and how should I proceed with the treatment now?