Treating domestic violence ptsd with quick remap

www.remapinstitute.org www.remap.net

Treating Domestic Violence PTSD -- Quick REMAP

Case Study

http://www.remapinstitute.org/

http://www.remap.net/

2

Assault by an Ex-BoyfriendPTSD Case

• He was drunk (and on drugs)• She found Cocaine in his closet—flushed it• He became enraged and lost control—threw

her into a wall (11 bruises)• She fled to bathroom, called 911 and his sister• He kicked the door in—threatened to kill her

and the police if they came• He grabbed the phone was ranting




3

Assault by an Ex-BoyfriendPTSD Case

• He then fell unconscious—fell like a board• His sister arrived—he woke-up and got violent

again—tore a cabinet door off and threw it • His sister got him to leave—the apartment

was wrecked• Police came with hands on their guns—

he was gone• Later he tried to commit suicide




4

Treatment with Quick REMAP

• One session• Three rounds of treatment:– Quick REMAP 12-point Protocol– Quick REMAP 4-point Protocol– Quick REMAP 12-point Protocol

• 55 minutes in length


See Introducing Quick REMAP

http://www.remap.net/Quick_REMAP_Intro.html



http://www.remap.net/Quick_REMAP_Page.html

5

Psychological Measures• Subjective Units of Distress Scale (SUD)• State-Trait Anxiety Inventory (STAI-s)• Impact of Event Scale (IES-r)• Physical Symptoms of Emotional Distress

Physical Measures• Heart Rate Variability Analysis


http://www.psychotherapy-center.com/Measuring_the_Impact_of_an_Event.html



6

Treating an Assault Related PTSD CaseSUD

05-03-07 05-15-07 05-22-07 06-27-07

Treating an Assault Related PTSD Case with Quick REMAP

9

3

0 00

1

2

3

4

5

6

7

8

9

10

1 2 3 4

Pre Tx Post Tx Follow-up Follow-up

Su

bje

cti

ve

Un

its

of

Dis

tre

ss

(S

UD

)

www. remapinstitute.org www.remap.net



7

Treating an Assault Related PTSD CaseSTAI-s

05-03-07 05-15-07 05-22-07 06-27-07


70

43

23 25

20

30

40

50

60

70

80

1 2 3 4

Pre Tx Post Tx Follow-up Follow-up

Sta

te-T

rait

An

xie

ty In

ve

nto

ry

(ST

AI-

s)




8

Treating an Assault Related PTSD CaseIES-r

05-03-07 05-22-07 06-27-07


60

2 10

10

20

30

40

50

60

70

1 2 3

Pre Tx Follow-up Follow-up

Imp

ac

t o

f E

ve

nt

Sc

ale

(IE

S)www. remapinstitute.org www.remap.net



Physical MeasuresHeart Rate Variability Analysis (HRV)

In addition to the following slides, further information on HRV and the meaning of the measures that were used can be found in the REMAP Pilot Study –

Soothing the Sympathetic Nervous System with the REMAP process: Results from Treating 8 Trauma Survivors

And Measuring Treatment Effect with Heart Rate Variability Analysis


http://www.psychotherapy-center.com/remap-HRV_research1.html

http://www.psychotherapy-center.com/remap-HRV_research1.html



Using HRV to measure the effect of treatment

with Quick REMAP• Electrocardiograph (ECG) data obtained during

three different 5 minute recordings:– Baseline (neutral-positive thoughts – walk in park)– Pre-Treatment (the traumatic event) 55 minutes of treatment with Quick REMAP

– Post Treatment (the traumatic event) All 3 recording took place within 80 minutes




Recordings were made while:• Client breathed normally• Sat comfortably upright• Refrained from movement and• Without talking

ECG signals were measured:• With special conductive electrodes• Placed at both wrists and one ankle




MEDICORE

SA 3000p

Heart Rate Variability

Analyzer

Instrument Used to Measure HRV




FDA Approval

Medical Device




Detailed RESULTS

• The results of the first 3 recordings were compared to assess whether there were any quantifiable changes in the SNS (Sympathetic Nervous System) and PNS (Para-Sympathetic Nervous System) activity as revealed through the HRV measures.

• The following is a summary of 3 HRV components and a comparison between pre-treatment and post treatment results.




15

ResultsPhysical Measures of Heart Activity (ECG/HRV)

Heart Rate

67.7

82.4

63.8

40

45

50

55

60

65

70

75

80

85

1 2 3

Baseline Trauma Pre Tx Trauma Post Tx

Be

ats

pe

r M

inu

te

Walk in the Park Traumatic Memory Traumatic Memory

05-15-07w

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16


Para-Sympathetic Activity

68.6

40.3

76.7

0

10

20

30

40

50

60

70

80

90

1 2 3


RM

S-S

D (

mill

ise

co

nd

s)

Walk in the Park Traumatic Memory Traumatic Memory

05-15-07w

ww

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17


05-15-07

Sympathetic vs. Para-Sympathetic Balance

0.63

1.63

0.87

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

1.8

1 2 3


LF

/HF

Ra

tio

(n

orm

aliz

ed

un

its

)

Walk in the Park Traumatic MemoryTraumatic Memory

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18

Follow-up Report on 05-22-07

• She got home on 05-15-07 (after treatment) and all distress was gone

• No panicky feelings that week• No nightmares that week• It was “just an event in the past”• “Felt very indifferent to it”• Her current boyfriend noticed that she was

not “freaking-out” and yelling if he accidentally startled her




19

Follow-up ResultsPhysical Measures of Heart Activity (ECG/HRV)

06-05-07

Heart Rate

83.7 82.6

40

45

50

55

60

65

70

75

80

85

1 2

Baseline Trauma Follow-up

Be

ats

pe

r M

inu

te

Walk in the Park Traumatic Memory

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w. r

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insti

tute

.org

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.rem

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20

Physical Measures of Heart Activity (ECG/HRV)

Para-Sympathetic Activity

33.3 34.5

0

10

20

30

40

50

60

70

80

90

1 2


RM

S-S

D (

mill

ise

co

nd

s)


Follow-up Results 06-05-07w

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stitu

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rg

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21

Physical Measures of Heart Activity (ECG/HRV)

Sympathetic vs. Para-Sympathetic Balance

0.480.43

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1 2


LF

/HF

Ra

tio

(n

orm

aliz

ed

un

its

)


Follow-up Results 06-05-07w

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apin

stitu

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rg

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.net



• The REMAP Institute provides training for psychotherapists who want to develop skills in working with Quick REMAP, the REMAP process and the REMAP Visual Field Treatment. The training is designed to build skills in the treatment of anxiety disorders including PTSD.

http://remapinstitute.org/training/quick-remap-level-1-workshop/ Quick REMAP Distance Learning Materials

• For individual treatment visit www.remap.net or look for therapists certified in Quick REMAP.

www. remapinstitute.org

http://www.remap.net/Quick_REMAP_Page.html

http://www.psychotherapy-center.com/the_remap_process_toc.html

http://www.remap.net/REMAP_Visual_Field_Treatment_Seminar-sos.html

http://remapinstitute.org/training/quick-remap-level-1-workshop/

http://remapinstitute.org/training/quick-remap-level-1-workshop/

http://www.remap.net/Quick_REMAP_Learn_Quick_REMAP.html



Health & Medicine

Treating domestic violence ptsd with quick remap