Wants Talk Psychotherapy but Cannot Talk: EMDR for Post-stroke Depression with Expressive Aphasia

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 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. Byars JA, Jorge RE. Neuropsychiatric sequelae of stroke: issues and implications for clinicians. Psychiatr Times. 2015;32(3):36G–H. Code C, Hermann M. The relevance of emotional and psychosocial factors in aphasia to rehabilitation. Neuropsychol Rehabil. 2003;13(1/2):109–132. Code C, Hemsley G, Herrmann M. The emotional impact of aphasia. Semin Speech Lang. 1999;20:19–31. Code C. The quantity of life for people with chronic aphasia. Neuropsychol Rehabil. 2003;13(3):379–390. Joseph R. Frontal lobe psychopathology: mania, depression, confabulation, catatonia, perseveration, obsessive compulsions, and schizophrenia. Psychiatry. 1999;62(2): 138–172. Kouwenhoven SE, Kirkevol M, Engedal K, Kim HS. ...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Case Report Current Issue Neurologic Systems and Symptoms Neurology Psychotherapy Stroke aphasia depression EMDR Source Type: research