Name: Clinical Applications of Behavior Modifications
Uploaded: 2024-11-19
Duration: 3 min 54 s
Description: Clinical Applications of behavior modifications by Sydney Snell, Washington state university psyh 328.

[Audio] Clinical Applications of behavior modifications by Sydney Snell, Washington state university psyh 328. 

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Clinical Applications of Behavior Modifications

Sydney Snell Washington State University Psych 328: Behavior Modification Hannah Gogulski November 18, 2024

[Audio] The clinical application technique I was assigned for this project was eye movement desensitization and reprocessing also known as EMDR for treatment of Post Traumatic Stress Disorder also known as PTSD. 

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Clinical application Technique:
Eye Movement Desensitization and Reprocessing (EMDR)

[Audio] A quick definition of post traumatic stress disorder is a disorder that one develops when a person has experienced a traumatic event. This can make one feel anxious, stressed, have nightmares, etc even after the event is no longer taking place. 

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“Substance Abuse and Mental Health Services Administration” (2023) defines PTSD as: Post-traumatic stress disorder (PTSD) is a real disorder that develops when a person has experienced or witnessed a scary, shocking, terrifying, or dangerous event. These stressful or traumatic events usually involve a situation where someone’s life has been threatened, or severe injury has occurred. Children and adults with PTSD may feel anxious or stressed even when they are not in present danger.

[Audio] EMDR is a structured therapy that encourages the patient to briefly focus on the trauma memory while simultaneously experiencing bilateral stimulation (typically eye movements), which is associated with a reduction in the vividness and emotion associated with the trauma memories. 

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A structured therapy that encourages the patient to briefly focus on the trauma memory while simultaneously experiencing bilateral stimulation (typically eye movements), which is associated with a reduction in the vividness and emotion associated with the trauma memories. (Maxfield & Soloman, 2017)

[Audio] The article I decided to use was completed in Clarksville Tennessee, it was 5 days long and the client received edmr therapy two times per day. The sessions were focused on ten target events from the patients experiences in combat and one childhood experience. Results for this client was mainly focused about their seventh session.. 

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Location: Clarksville, Tennessee

 Length: 5 days, receiving EDMR therapy 2x daily

 Focused on 10 target events from combat and 1 from childhood

 Seventh session was the focus point for the article

[Audio] I have presented some simple background information on the client, such as his name, age, occupation history, and a couple random facts that were also included in the article about him.. 

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Individual: Mike

 Age:32

 History: Army Veteran, served in Iraq for two tours being a flight medic

 Facts: Divorced, has a young child.

[Audio] The method that the therapist used for this technique was the eight phase approach, scales, hand movements, and breathing techniques. The eight phases included history taking phase includes a full history and assessment, in this step the patient and therapist identify targets, triggers, and goals. Preparation is the second step where the therapist explains treatments and they practice components such as eye movements; and arranging a safe place exercise if it would ever be needed. The third step is the assessment, this is when they asses the memory that will be focused on in that session. The 4th step is desensitization where the client focuses on the memory while engaging with eye movements. Installation is next, which is where positive cognition comes into play to attempt to change the outlook of the event. Body scan is started for clients to observe their physical responses remembering this event but with now the positive outlook to follow. Closure is to end the session with hopes the memory is fully processed. Lastly the therapist will re-evaluate to measure effectiveness. SUD and VOC scales are also used in the treatment phase and as needed to measure effectiveness.. 

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Eight Phase Approach

 (1) History-taking

 (2) Preparation

 (3) Assessment

 (4) Desensitization

 (5) Installation

 (6) Body Scan

 (7) Closure

 (8) Reevaluation

Scale from 0-10 on each event for  subjective units of disturbance (SUD)  (0 being no disturbance, 10 being worst disturbance) Validity of Cognition (VOC) Scale ranging from 1-7 after the new positive beliefs on the traumatic event (1 being completely  false, 7 being completely true) Hand movements to be followed by the client with their eyes; deep breathes; reapproach event

[Audio] The results of the ten session for mike were that he felt refreshed and that he had a different outlook on the situations that were addressed. He did not report continuing symptoms of PTSD and the therapist was able to follow him for 18 months before he relocated, and he also did not report any worsening symptoms.. 

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Client stated he felt refreshed and had a different perspective on events Client no longer reported symptoms of PTSD Therapist kept in contact for 18 months, and client reported no worsening symptoms

[Audio] Here is my reference page, thank you for taking the time to watch my video.. 

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Bridley, A., & Daffin Jr, L. W. (2022). 5.6.4. In Fundamentals of Psychological Disorders Alexis Bridley. essay, 	Washington State University.  Hurley, E. C., Maxfield, L., & Soloman, R. (2017, July 31). Case example: Eye movement desensitization and 	reprocessing. American Psychological Association. https://www.apa.org/ptsd-	guideline/resources/eye-	movement-reprocessing-example  Maxfield, L., & Soloman, R. M. (2017, July 31). Eye movement desensitization and reprocessing (EMDR) 	therapy. 	American Psychological Association. https://www.apa.org/ptsd-guideline/treatments/eye-	movement	-reprocessing  Post-traumatic stress disorder (PTSD). SAMHSA. (2023, April 24). https://www.samhsa.gov/mental-	health/post-	traumatic-stress-	disorder#:~:text=Post%2Dtraumatic%20stress%20disorder%20(PTSD)%20is%20a%20real%20disorder,	or%20severe%20injury%20has%20occurred.

Clinical Applications of Behavior Modifications   

Clinical Applications of behavior modifications by Sydney Snell, Washington state university  psyh 328

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The clinical application technique I was assigned for this project was eye movement desensitization and reprocessing also known as E-M-D-R for treatment of Post Traumatic Stress Disorder also known as P-T-S-D

A quick definition of post traumatic stress disorder is a disorder that one develops when a person has experienced a traumatic event. This can make one feel anxious, stressed, have nightmares, etc even after the event is no longer taking place

E-M-D-R is a structured therapy that encourages the patient to briefly focus on the trauma memory while simultaneously experiencing bilateral stimulation (typically eye movements), which is associated with a reduction in the vividness and emotion associated with the trauma memories

The article I decided to use was completed in Clarksville Tennessee, it was 5 days long and the client received edmr therapy two times per day. The sessions were focused on ten target events from the patients experiences in combat and one childhood experience. Results for this client was mainly focused about their seventh session.

I have presented some simple background information on the client, such as his name, age, occupation history, and a couple random facts that were also included in the article about him.

The method that the therapist used  for this technique was the eight phase approach, scales, hand movements, and breathing techniques. The eight phases included history taking phase includes a full history and assessment, in this step the patient and therapist identify targets, triggers, and goals. Preparation is the second step where the therapist explains treatments and they practice components such as eye movements; and arranging a safe place exercise if it would ever be needed. The third step is the assessment, this is when they asses the memory that will be focused on in that session. The 4th step is desensitization where the client focuses on the memory while engaging with eye movements. Installation is next, which is where positive cognition comes into play to attempt to change the outlook of the event. Body scan is started for clients to observe their physical responses remembering this event but with now the positive outlook to follow. Closure is to end the session with hopes the memory is fully processed. Lastly the therapist will re-evaluate to measure effectiveness. S-U-D and 5-O-C scales are also used in the treatment phase and as needed to measure effectiveness.

The results of the ten session for mike were that he felt refreshed and that he had a different outlook on the situations that were addressed. He did not report continuing symptoms of P-T-S-D and the therapist was able to follow him for 18 months before he relocated, and he also did not report any worsening symptoms.

Here is my reference page, thank you for taking the time to watch my video.

 Bridley, A., & Daffin Jr, L. W. (2022). 5.6.4. In Fundamentals of Psychological Disorders Alexis Bridley. essay, 	Washington State University.  Hurley, E. C., Maxfield, L., & Soloman, R. (2017, July 31). Case example: Eye movement desensitization and 	reprocessing. American Psychological Association. https://www.apa.org/ptsd-	guideline/resources/eye-	movement-reprocessing-example  Maxfield, L., & Soloman, R. M. (2017, July 31). Eye movement desensitization and reprocessing (EMDR) 	therapy. 	American Psychological Association. https://www.apa.org/ptsd-guideline/treatments/eye-	movement	-reprocessing  Post-traumatic stress disorder (PTSD). SAMHSA. (2023, April 24). https://www.samhsa.gov/mental-	health/post-	traumatic-stress-	disorder#:~:text=Post%2Dtraumatic%20stress%20disorder%20(PTSD)%20is%20a%20real%20disorder,	or%20severe%20injury%20has%20occurred. 
