Innovations In Clinical Neuroscience

JAN-FEB 2018

A peer-reviewed, evidence-based journal for clinicians in the field of neuroscience

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C A S E R E P O R T 48 ICNS Innovations in Clinical Neuroscience • January–February 2018 • Volume 15 • Number 1–2 despite comorbid aphasia and that these patients have more treatment options than previously thought. CONCLUSION This is the first reported case demonstrating that EMDR can be effective for depression, even in those with severe expressive aphasia. In our case, there was no reluctance to disclose information, simply a neurological inability to do so. Through preparation, patience, perseverance, and plasticity (clinician flexibility, though perhaps also neuroplasticity), the patient's PSD gradually improved, and she was able to reinvent her life within her limitations. ACKNOWLEDGMENTS The authors gratefully acknowledge Eugene Schwartz, E.C. Hurley, and Mark Hubner for providing consultation during patient care. REFERENCES 1. Dickey L, Kagan A, Lindsay MP, et al. Incidence and profile of inpatient stroke- induced aphasia in Ontario, Canada. Arch Phys Med Rehabil. 2010;91:196–202. 2. Byars JA, Jorge RE. Neuropsychiatric sequelae of stroke: issues and implications for clinicians. Psychiatr Times. 2015;32(3):36G– H. 3. Code C, Hermann M. The relevance of emotional and psychosocial factors in aphasia to rehabilitation. Neuropsychol Rehabil. 2003;13(1/2):109–132. 4. Code C, Hemsley G, Herrmann M. The emotional impact of aphasia. Semin Speech Lang. 1999;20:19–31. 5. Code C. The quantity of life for people with chronic aphasia. Neuropsychol Rehabil. 2003;13(3):379–390. 6. Joseph R. Frontal lobe psychopathology: mania, depression, confabulation, catatonia, perseveration, obsessive compulsions, and schizophrenia. Psychiatry. 1999;62(2): 138–172. 7. Kouwenhoven SE, Kirkevol M, Engedal K, Kim HS. Depression in acute stroke: prevalence, dominant symptoms and associated factors. A systematic literature review. Disabil Rehabil. 2011;33(7):539–556. 8. Ramasubbu R. Therapy for prevention of post-stroke depression. Expert Opin Pharmacother. 2011;12(14):2177–2187. 9. Thomas SA, Walker MF, MacNiven JA, et al. Communication and low mood (CALM): A randomized controlled trial of behavioural therapy for stroke patients with aphasia. Clin Rehabil. 2013;27(5):398–408. 10. Cunningham R. Counselling someone with severe aphasia: an explorative case study. Disabil Rehabil. 1998;20(9):346–354. 11. Nichols F, Varchevker A, Pring T. Working with people with aphasia and their families: An exploration of the use of family therapy techniques. Aphasiology. 1995;10(8):767– 781. 12. Blore DC, Holmshaw EM, Swift A, et al. The development and uses of the "blind to therapist" EMDR protocol. J EMDR Practice Research. 2013;7(2):95–105. 13. Blore DC, Holmshaw EM. EMDR "blind to therapist protocol." In: Luber M (ed). Eye movement desensitization and reprocessing: EMDR scripted protocols basic and special situations. New York, NY: Springer;2009:233–240. 14. Hase M, Balmaceda UM, Hase A, et al. Eye movement densitization and reprocessing therapy in the treatment of depression. Brain Behav. 2015;5(6):e00342. doi: 10.1002/ brb3.342 15. Hofmann A, Hilgers A, Lehnung M, et al. J EMDR Practice Research. 2014;8:103–112. 16. Moghadam MB, Moghadam AB, Salehian T. Efficacy of eye movement desensitization and reprocessing (EMDR) on depression in patient with myocardial infarction (MI) in a 12-month follow up. Iran J Crit Care Nurs. 2015;7(4):221–226. 17. Cole MG, Elie LM, McCusker J, et al. Feasibility and effectiveness of treatments for depression in elderly medical inpatients: a systematic review. Int Psychogeriatr. 2000;12(4):453–461. 18. Stahl SM. Stahl's Essential Psychopharmacology, fourth edition. New York, NY: Cambridge;2013. 19. Anda RF, Butchart A, Felitti VJ, Brown DW. Building a framework for global surveillance of the public health implications of adverse childhood experiences. Am J Prev Med. 2010;39:93–98. 20. Hull AM. Neuroimaging findings in post- traumatic stress disorder. Br J Psychiatry. 2002;181(2):102–110. 21. van der Kolk BA. Posttraumatic stress disorder and the nature of trauma. Dialogues Clin Neurosci. 2000;2(1):7–22. 22. Rauch SL, van der Kolk BA, Fisher RE, et al. A symptom provocation study of post-traumatic stress disorder using positron emission tomography and script driven imagery. Arch Gen Psychiatry. 1996;53(5):380–387. 23. Shin LM, McNally RJ, Kosslyn SM, et al. A positron emission tomographic study of symptom provocation in PTSD. Ann N Y Acad Sci. 1997;821:521–523. 24. Shin LM, McNally RJ, Kosslyn SM, et al. Regional cerebral blood flow during script-driven imagery in childhood sexual abuse-related PTSD: A PET investigation. Am J Psychiatry. 1999;156(4):575–584. 25. Cottraux J, Lecaignard F, Yao SN, et al. Magneto-encephalographic (MEG) brain recordings during traumatic memory recall in women with post-traumatic stress disorder: a pilot study. Encephale. 2015;41(3):202–208. ICNS

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