Background and aims: Symptoms of post-traumatic stress disorder (PTSD) frequently co-occur in individuals experiencing psychosis, and this overlap is linked to greater severity of psychotic symptoms, elevated hospitalization rates, and poorer functioning [1,2,3]. In recent years, interest in trauma-focused interventions for psychosis has increased, and a growing number of randomized controlled trials (RCTs) has begun to explore the feasibility and outcomes of such approaches [4,5]. Despite this emerging evidence, many clinicians remain hesitant to offer trauma-focused treatments to individuals with psychosis [6]. To address these gaps, we developed an integrated protocol specifically for individuals with psychosis and PTSD symptoms Our study aims to: (1) determine the feasibility of implementing this trauma-integrated intervention in a public mental health setting for severe mental disorders, (2) evaluate its effectiveness by comparing post-treatment outcomes in an experimental group versus a waitlist control.

Method: The intervention is delivered in eleven sessions, each guided by the three-phase model of trauma recovery [7]: (1) cultivating safety and stabilization, (2) reprocessing traumatic experiences using Eye Movement Desensitization and Reprocessing [8]; and (3) enhancing connection and future orientation. To date, 65 participants with psychotic-spectrum diagnoses and clinically significant PTSD symptoms have been randomized (1:1) to either the intervention or a waitlist condition.

Results and conclusions: Outcome measures include posttraumatic and psychotic symptom severity, overall functioning, and well-being. Preliminary results on these domains will be presented, followed by a discussion of the clinical implications for improving trauma-focused care within public mental health services.

Abstract topics: Posttraumatic stress disorder, EMDR, psychosis.

The learning objectives are: 1) Identify the rationale and growing evidence base for implementing trauma-focused interventions in individuals with severe mental disorders, particularly psychosis. 2) Describe the key components and phases of an integrated trauma protocol. 3) Evaluate preliminary findings on the feasibility, efficacy, and effectiveness of this intervention, and discuss implications for practice and future research.

Background and aims: Eye Movement Desensitization and Reprocessing (EMDR) therapy has demonstrated efficacy in treating trauma in adults [1]. However, its adaptations and effectiveness across different traumatic events in children and adolescents remain less systematically explored. This systematic review examines how EMDR has been adapted for various types of trauma in children and adolescents, identifying key protocol modifications and treatment outcomes.

Methods: A systematic search of peer-reviewed studies was conducted following PRISMA guidelines. Databases included PubMed, PsycINFO, and Scopus. Studies were included if they examined EMDR use in children/adolescents (0-18 years) for trauma-related symptoms and reported treatment effectiveness. Extracted data were categorized by trauma type and adaptation. Treatment effectiveness was summarized based on the outcome measures used in each study, primarily PTSD symptoms, but also assessments of anxiety, depression, and other clinical outcomes. Risk of bias was assessed using the Cochrane tool for clinical trials and the Newcastle-Ottawa Scale for observational studies.

Results: Data extraction is in progress. Preliminary findings suggest that EMDR adaptations vary by trauma type, with differences in preparation phases, caregiver involvement, and bilateral stimulation. Effectiveness outcomes reported in each study will be analyzed to describe trends in treatment response across different trauma types.

Conclusions: Findings will highlight EMDR protocol modifications for different trauma types in children and adolescents, identify gaps in the literature, and provide recommendations for clinical practice and future research.

Abstract topics: Posttraumatic stress disorder, EMDR, childhood and adolescence.

Learning Objectives: 1. Identify how EMDR protocols have been adapted for different trauma types in children and adolescents. 2. Summarize the reported effectiveness of EMDR across studies examining PTSD, anxiety, depression, and other clinical outcomes. 3. Recognize gaps in the current literature and propose directions for future research on trauma-specific EMDR adaptations.

References [1] de Jongh, A., de Roos, C., & El‐Leithy, S. Journal of Traumatic Stress, 37, 205-216. (2024).

Background and Aims: A large transportation company approached an EMDR nonprofit agency and asked to prepare its employees for possible critical incidents. Eye Movement Desensitization and Reprocessing (EMDR) concepts and somatic and cognitive interventions will be used to prepare transportation workers for potential mass catastrophic events. Very brief trauma-focused and AIP techniques for emergencies will be introduced. The Johns Hopkins’ model of “Resistance–Resilience–Recovery” for disasters will be utilized.

Methods: Seven nonprofit EMDR agency staff members and thirty transport employees will engage in a one-day preparation program. Intervention activities will include: trauma psychoeducation, EMDR self-regulation, Psychological First Aid (PFA), somatic and cognitive interventions, and teaching very brief group trauma protocols. Assessments will be conducted before and after the day program. The "State-Trait Anxiety Inventory" (STAI) and the "Rate your PFA abilities" questionnaire will be used.

Results: Statistical analysis and qualitative narratives are expected to significantly reduce State Anxiety while increasing PFA abilities.

Conclusions: If the company is pleased with the intervention, a much larger group of staff will be trained. A larger sample is recommended for further research.

Abstract Topic: Developing Crisis Response Capacity with EMDR concepts and Psychological First Aid for transport workers preparing for critical incidents

Learning Objectives: Understanding the specific needs of a private transport company facing possible natural and man-made disasters. Learning how to choose the most effective EMDR tools for the task. Discussing and encouraging the creation of a “crisis response team” within the company in order to keep training updated.

Jarero, Ignacio (2023), Butterfly Hug Method for Psychoemotional Self-Care. Scaling Up EMDR

Kaminsky, M. J., McCabe, O. L., Langlieb, A. M., & Everly, G. S. Jr. (2007). An evidence-informed model of human resistance, resilience, and recovery: The Johns Hopkins' outcome-driven paradigm for disaster mental health services. Brief Treatment and Crisis Intervention, 7(1), 1–9.

Papanikolopoulos, Penny (2023) EMDR training manual. Published by TACT HELLAS

Quinn, Gary (2018) Immediate Stabilization Procedure (ISP) and Emergency Response Procedure (ERP),

World Health Organization (WHO) (2011), Psychological First Aid: Guide for field workers.

Background and aims: The most accepted explanation for EMDR’s therapeutic effect is the working memory (WM) taxation hypothesis [1]. However, this model fails to explain key clinical phenomena, such as symbolic processing, spontaneous insights, and the emergence of countless memories, including some consciously forgotten. This study introduces a novel hypothesis based on clinical observations and neuroimaging findings.

Method: This hypothesis is derived from thousands of hours of clinical observation and supported by functional neuroimaging literature. Evidence suggests that repetitive, predictable, and irrelevant sensory input induces sensory gating, inhibiting attention. This process allows WM to disengage from EMDR stimuli and efficiently interact with the default mode network (DMN), which orchestrates introspective processes essential for trauma reprocessing [2].

Results: The key clinical phenomena outlined above align with the established functions of the DMN, which becomes activated through the automation of perceptive/tracking stimulus tasks. These findings suggest (see diagram) that WM unload by the external perceptual-motor tasks automation and subsequent DMN activation, rather than the mere overload of the WM, is crucial to the EMDR mechanism.

Conclusions: This hypothesis provides a novel neurophysiological framework for EMDR, challenging existing WM-taxation-based models. If validated, it may refine treatment protocols and drive further neurobiological research on trauma processing.

Abstract topic: Neurophysiology of EMDR reprocessing.

Learning objectives: 1. Understand the limitations of the working memory taxation hypothesis in explaining EMDR’s clinical effects. 2. Recognize the role of attentional inhibition and DMN activation in trauma reprocessing. 3. Explore the implications of this model for optimizing EMDR therapeutic strategies.

Background and Aims: Seeking individual therapy is considered to be a sign of weakness or financial luxury by many. Accrediting thousands of trauma practitioners yearly and creating new individual trauma programs seem to be of minimal impact upon suicide and depression rates which have continued to increase over the decades [1]. New innovative EMDR group protocols should be developed. Furthermore, the belief that AIP restoration is exclusive to Phases 4-8 lacks support. EMDR with highly dissociated patients and RDI protocol research suggest that reprocessing occurs during Phases 1-3 without fast BLS [2]. We propose a new protocol which challenges the “resourcing vs. reprocessing” dichotomy and elucidates the urgency of creating larger group protocols limited to “Phase 1-3 involuntary exposure” and psychoeducation.

Methods: Since 2023, the Prelude-EMDR group protocol (p-EMDR) has enabled access to Phase 1-3 tools among therapy-reluctant populations. Participation was accessible via a pragmatic PTSD symptom management workbook and 5 in-person Masterclasses.

Results: During resourcing: 1) we observed a type of exposure we named “involuntary exposure,” 2) AIP restoration resulted from participants’ improved symptom management, without Phase 4 pathogenic memory treatment, and 3) deep trait modifications traditionally thought to be exclusive to Phases 4-8 emerged as participants learned to better self-regulate. Key leaders in institutions (e.g. military) are showing interest in implementing p-EMDR due to its large-group/cost-efficient format.

Conclusions: p-EMDR can innovatively address the mental health crisis and creates EMDR access for individuals previously reluctant to consult. Further exploration in larger group settings may maximize its full potential.

Background and aims: Chronic pain is a prevalent medical issue, often leading to disability and a diminished quality of life. Traditional pain management approaches, primarily pharmacological, show limited effectiveness and carry potential side effects. Many chronic pain patients also experience comorbid psychological disorders such as depression and anxiety. EMDR therapy has shown promise in pain management, as evidenced by several randomised controlled trials (Tesarz et al., 2014). However, as an exposure therapy, it may also cause adverse reactions, and data on these effects are limited. This review explores the side effects of EMDR in chronic pain patients and identifies potential predictors.

Methods: The PerPain project, funded by the German Federal Ministry of Education and Research (BMBF), examines personalized therapeutic approaches for pain patients. Of 105 participants, 33 received twelve weeks of individual EMDR therapy. Negative effects were measured using the Negative Effects Questionnaire (NEQ), Patients Global Impression of Change (PGIC), and the West Haven-Yale Multidimensional Pain Inventory (MPI-D), which assessed changes in emotional distress, pain intensity, and pain-related disability. Predictors included the Patient Expectation (PATHEV), Childhood Trauma Questionnaire (CTQ), and the Hospital Anxiety and Depression Scale (HADS). Statistical analyses, including regression and zero-inflated models, examined side effects and predictors.

Results: Findings show that adverse effects in EMDR therapy are common, especially affecting emotional responses. Patients' therapy expectations significantly predict these effects.

Conclusion: This poster aims to (1) detail adverse effects in chronic pain patients and (2) identify underlying predictors, contributing to a better understanding of EMDR’s safety and treatment optimisation.

Abstract topic: adverse effects of EMDR

Learning objectives: -Understand the Prevalence and Nature of Adverse Effects in EMDR for Chronic Pain -Recognize Key Predictors of Adverse Effects -Apply Findings to Improve EMDR Treatment Strategies

Background and aims: Moral Injury (MI) occurs when individuals experience emotional distress from participating in, witnessing, or failing to prevent events that conflict with their moral values (1). Healthcare workers are highly vulnerable to MI, Posttraumatic stress symptoms (PTSD), and burnout due to repeat exposure to traumatic situations (2,3). To tackle this issue, we propose CARE-MI, a novel, structured group intervention specifically designed for mental healthcare workers, professionals who are vulnerable to secondary traumatic stress, vicarious trauma, and burnout (4). This study examines MI in these professionals and evaluates CARE-MI efficacy in reducing MI symptoms and improving psychological well-being.

Methods: The randomized controlled trial will involve 40 participants, at the "Buen Samaritano" Foundation, randomly assigned to either the CARE-MI group or a waiting-list control group. The intervention will be delivered in six groups, each completing four 60–90-minute sessions integrating three components: emotional regulation and stress management, processing stressful events using the EMDR IGTP-OTS protocol (5), and well-being reconnection. Primary outcomes include MI severity, PTSD symptoms, well-being, and job satisfaction using validated questionnaires.

Results: We hypothesize that CARE-MI participants will show significant improvements in all measured outcomes compared to the waiting list group.

Conclusions: This evidence-based, multicomponent group intervention represents an important step in addressing MI among mental health professionals, highlighting the necessity of maintaining healthcare workers' well-being through targeted interventions.

Abstract topic: Moral injury, health care workers, EMDR group,

Learning Objectives: 1. Health care professionals work under significant emotional burden and experience high MI, PTSD symptoms and burnout levels. 2. Current treatments for MI lack empirical support 3. CARE-MI, using the EMDR IGTP-OTS protocol, is a feasibility and efficacy intervention to reduce MI.

References [1] Griffin, B.J, et al. (2019). J Trauma Stress,32(3):350–362 [2] Riedel P.L, et al. (2022). Int J Environ Res Public Health. 19(3):1666. [3] Benavides, et al. (2024). Informe SESPAS 2024. Gaceta Sanitaria. https://doi.org/10.1016/j.gaceta.2024.102378 [4] Leung, et la. (2023). Psychological trauma: theory, research, practice, and policy, 15(S2), S213. [5] Jarero,I.,& Artigas,L.(2014). In M. Luber (Ed.). Implementing EMDR Early Mental Health Interventions for Man-Made and Natural Disasters (pp. 253-265). New York, NY: Springer.

The ongoing conflict in Ukraine has resulted in profound psychological trauma among civilians, military personnel, and children, necessitating effective and accessible mental health interventions. Traditional therapeutic approaches, including Eye Movement Desensitization and Reprocessing (EMDR) therapy, may face challenges of engagement and scalability in wartime contexts. This presentation proposes the integration of a cutting-edge virtual reality (VR) technology, adapted from the BRAVEMIND™ system, designed to create culturally relevant and therapeutically safe scenarios. By combining this VR platform, called "Virtual Ukraine," with EMDR therapy, the aim is to enhance trauma-focused treatment outcomes by immersing diverse populations in realistic environments that facilitate trauma recovery and resilience-building. Therapists can guide clients through immersive scenarios to process traumatic memories and rehearse adaptive responses to trauma-related triggers. The realistic VR environments are expected to enable effective processing of traumatic experiences and the development of adaptive coping strategies, potentially resulting in improved resilience in real-world situations. This innovative approach suggests that culturally sensitive VR technology could substantially augment EMDR therapy for war-affected populations by overcoming barriers of engagement and accessibility, representing a transformative advancement in trauma therapy utilizing EMDR theoretical approaches. Future research is planned to explore outcomes both quantitatively and qualitatively.

Learning Objectives: 1. Address Diverse Wartime Experiences in EMDR Therapy Participants will gain insights into how Virtual Ukraine scenarios enhance EMDR therapy by addressing the unique experiences of civilians, military personnel, and children affected by war. 2. Incorporate Cultural Sensitivity into VR Therapeutic Tools Participants will understand the importance of integrating cultural and contextual sensitivity into the design of VR-based tools to effectively augment EMDR protocols. 3. Utilize Immersive Environments for Trauma Processing Participants will explore how realistic, immersive VR environments can be combined with EMDR therapy to support trauma processing and resilience-building among war-affected populations.

Background: EMDR (Dra. Francine Shapiro, 1989) is a first line therapy for individuals who have experienced traumatic events and studies on the efficacy and applicability of EMDR therapy online are scarce.

Aims: The purpose of this study was to assess the efficacy of Eye Movement Desensitization and Reprocessing (EMDR-online) in resolving trauma memories in subjects (n=30) who lived a traumatic event (Critical incident, Run over, Aggression and Road accident) whilst carrying out their duties. Methods: Patients were 15 males and 15 females, and aged between 21 and 62 years old (M=38). The online sessions were carried out by patients via smartphone (90%) and the others (10%) used a PC or Tablet. Bilateral stimulation mode was performed via the Light Bar. The intervention was carried out by a Psychologist (EMDR Consultant) The IES-R Scale[1] (The Impact of Event Scale-Revised, by Weiss & Marmar, 1997) and the SUDS (Subjective Units of Disturbance Scale) from the Standard EMDR Therapy Protocol[2] (Shapiro, F., 1989) were used to evaluate the result of the EMDR Therapy intervention on the impact of the traumatic event. The assessment was carried out at 2 moments: T0 (before the patients started the intervention with EMDR Therapy) and T1 (after having completed a minimum of 10 sessions). The Statistical Analysis results (t student) showed that after 10 sessions, the values of the two scales decreased significantly in all patients (n=30) (Fig 1, Fig 2).

Results: Regardless of the different types of traumatic events, EMDR intervention succeeded in reducing significantly all the disturbing memories of patients.

Conclusions suggest the potential of EMDR online as an applicable alternative method to face-to-face. EMDR Therapy online has efficacy in reducing significantly disturbing memories of patients. This study is also consistent with scientific literature (Balkin, et al 2022)[3] and with international recommendations about the efficacy of EMDR as a first line therapy for treating traumatic events[4] https://emdr-europe.org/research/national-international-guidelines/

Keywords EMDR Therapy, EMDR-online, Trauma, Memories, IES-R, SUDS

Background and aims: This study explores an intervention integrating EMDR and Positive Psychotherapy for a 33-year-old female client with childhood trauma. At age five, she experienced abuse, leading to recurrent traumatic imagery, sexual dysfunction, psychosomatic issues, and headaches, all associated with PTSD.

Methods: The intervention combined the eight-phase EMDR protocol with the balance model of Positive Psychotherapy. Pre-test, post-test, and follow-up assessments were conducted using the Brief Symptom Inventory and Trauma Post-Stress Inventory.

Results: During the initial assessment, the most distressing memory was identified as "the moment the man pulled down his pants." The negative cognition was "I am helpless," while the positive cognition evolved to "I can overcome this," with an initial VOC score of 4. Throughout therapy, the client explored strengths and developed adaptive scenarios. Follow-up assessments indicated reduced intestinal problems and headaches, improved sexual satisfaction, and a more balanced outlook on life, spirituality, and growth. The Trauma Post-Stress Inventory score decreased from 74 (pre-test) to 26 (post-test) and 5 (follow-up). Anxiety scores on the Brief Symptom Inventory declined from 23 to 5, then 0, with significant reductions in depression, somatization, negative self-concept, and hostility.

Conclusions: Integrating EMDR with Positive Psychotherapy effectively reduced PTSD symptoms and enhanced well-being. The client described the spirituality aspect of the balance model as "finding oneself-when one is at peace with oneself, one knows their Lord." This case highlights the efficacy of combining these approaches. Abstract topic: This case study demonstrates the eclectic use of EMDR and Positive Psychotherapy.

References
[1] Şahin, N. H., Batıgün, A. D., & Yılmaz, B. (2002). TC Milli Eğitim Bakanlığı ve Birleşmiş Milletler Çocuk Fonu (UNICEF) psikososyal okul projesi değerlendirme çalışması [Psychosocial School Project Effectiveness Research: Psychosocial Risk Factors and Post-Disaster Trauma]. Ankara: MEB/UNICEF Psikososyal Okul Projesi.
[2] Şahin, N. H., Batıgün, A. D., & Uğurtaş, S. (2002). Kısa semptom envanteri (KSE): Ergenler için kullanımının geçerlik, güvenirlik ve faktör yapısı. Türk Psikiyatri Dergisi, 13(2), 125-135.
[3] Rydberg, J. A., & Machado, J. (2020). Integrative psychotherapy and psychotherapy integration: The case of EMDR. European Journal of Trauma & Dissociation, 4(3), 100165. https://doi.org/10.1016/j.ejtd.2020.100165

Learning objectives:
(1) Explore how EMDR integrates with Positive Psychotherapy through the Four-Balance Model (body, achievement, spirituality, relationships).
(2) Understand how an eclectic EMDR approach enhances bodily awareness, improving sexual well-being and engagement.
(3) Recognize how this approach fosters a holistic perspective, strengthening self-awareness and meaning.

Abstract (poster) for EMDR G-TEP early psychological intervention with refugees from Ukraine

Monika Szpringer 1, Eliza Mazur 2, Edyta Laurman-Jarząbek 3, Krzysztof Beyger 4

1, 2,3,4 Jan Kochanowski University in Kielce, Collegium Medicum, al. IX Wieków Kielce 19a, 25-516 Kielce, Poland

1 e-mail: mszprin@poczta.onet.pl, 2 e-mail: elizamazur@o2.pl, 3 e-mail: ejarzabek@o2.pl, 4 e-mail: krzysztof.beyger@gmail.com

Background and aims: EMDR traumatic episode protocol (G-TEP) intervention for war victims can improve their quality of life and reduce the long-term effects of trauma. The aim of this study was to evaluate the effectiveness of a group EMDR G-TEP intervention in reducing anxiety, PTSD and depressive symptoms in refugees from Ukraine.

Methods: The study involved 110 adult refugees divided into eleven groups of 10 participants each. Each group received four sessions of EMDR G-TEP. Anxiety were assessed using the State-Trait Anxiety Inventory (STAI), PTSD symptom were assessed using the DSM-5 PTSD List (PCL-5), and depressive symptoms were assessed using the Beck Depression Inventory (BDI).

Results: Prior to the intervention, study participants showed very high levels of anxiety, PTSD and depressive symptoms. The G-TEP intervention significantly reduced anxiety, PTSD and depressive symptoms. Participants meeting diagnostic criteria for PTSD decreased from 95.0% to 34.8% immediately after the intervention and was 41.3% after five weeks of follow-up.

Conclusion: The study suggests that the EMDR G-TEP procedure is an effective form of early psychological intervention for refugees from war zones. It significantly reduces anxiety, PTSD, and depressive symptoms, offering support in reducing the psychological impact of trauma.

EMDR G-TEP intervention with Ukrainian refugees learning objectives:
1. Evaluation of the effectiveness of EMDR G-TEP for refugees from war zones.
2. Assessment anxiety, PTSD, and depressive symptoms among refugees.
3. To prevent further trauma and PTSD development among war victims.

Introduction: The increasing need for mental health services, particularly for trauma-related disorders, is hampered by limited resources.

Objective: This study assessed the impact of a newly developed EMDR group stabilization protocol on participants outcomes and health care resources.

Method: We have compared two arms of participants, one arm following a three-session group protocol, and one arm following a one individual session (EMDR Phase 2). We have developed The Group Safety, Resources and Stabilization (G-SRS) protocol, to be applied before starting individual EMDR treatment. It is a group protocol practice which includes Phase 2 elements, compiling psychoeducation, stabilization exercises, and adding a first experience of gentle confrontation with current triggers.

Participants: 95 patients with traumatic experiences were selected. In the first arm, 46 participants, split in 4 group sessions, were allocated to the G-SRS protocol, receiving three one-hour sessions. In the second arm, 49 participants received individual stabilization, consisting of one one-hour session. All participants completed the Security, Resource, Stabilization Scale (S-SRS) before and after the intervention to assess perceived security, resourcefulness and stability.

Results: The S-SRS evaluation showed an improvement of 24% and respectively 22% in the first arm versus the second one, with no observed statistically significant difference. Therapist-resource wise, the G-SRS protocol required 24 therapist-hours for the first arm, while the second arm required 49 therapist-hours, representing a significant saving in therapist time.

Background and aims: Complex trauma represent a significant challenge in modern healthcare, as it is a transversal factor in various psychopathological disorders and medical conditions encountered in hospitals and local health services (AUSL). A contemporary trauma management system relies on evidence-based pre-, intra-, and post-hospital interventions, including the Eye Movement Desensitization and Reprocessing (EMDR) approach. The primary aim of this work is to implement EMDR therapy in different hospital departments and services, focusing on a structured intervention framework comprising training, clinical intervention, research, and supervision.

Methods: The implementation process involves several key steps:
1. Training healthcare professionals on EMDR principles and applications in medical settings.
2. Intervention through EMDR therapy for various clinical conditions, including acute and chronic illnesses, psychological distress due to high-impact life events, and stress-related disorders.
3. Research to evaluate the effectiveness of EMDR in hospital settings, comparing its impact with standard psychological care.
4. Supervision to support clinicians in their application of EMDR and ensure quality treatment delivery.

Results: Preliminary data from different hospital units and health services show promising outcomes, with EMDR contributing to significant symptom reduction in acute stress disorder, adjustment disorder, and PTSD. Moreover, its integration into multidisciplinary teams has improved patient adherence to medical treatments and overall well-being.

Conclusions: EMDR proves to be a valuable tool in hospital and healthcare contexts, supporting both patients and healthcare professionals. Its structured implementation across departments enhances trauma-informed care, improves psychological resilience, and fosters holistic health management.

Abstract topic: Trauma Therapy in Hospital and Healthcare Settings.

Learning objectives:
1. Understand the role of EMDR in managing trauma-related symptoms in hospital environments.
2. Recognize the structured approach to implementing EMDR in healthcare settings, including training, intervention, research, and supervision.
3. Evaluate the benefits of EMDR for both patients and healthcare professionals in reducing psychological distress and enhancing overall care quality.

Background and aims: Post-Traumatic Stress Disorder (PTSD) significantly impacts individuals exposed to potentially traumatic events, especially during the acute phase following trauma. Interventions using Eye Movement Desensitization and Reprocessing (EMDR) protocols have shown the potential to mitigate acute symptoms and prevent chronic PTSD. However, the evidence of EMDR’s protocols application in acute PTSD remains fragmented [1-2]. This study aims to review studies using EMDR protocols specifically designed for acute PTSD cases, identifying their main characteristics, components, feasibility and efficacy.

Methods: This narrative review will comprehensively search databases such as PubMed, and Scopus for studies published between 2000 and 2024. Inclusion criteria will focus on studies evaluating EMDR protocols for acute PTSD within the first six months post-trauma. Data on the type of participants, intervention design, protocol elements, outcomes, feasibility and efficacy, will be extracted to synthesise current knowledge and identify areas requiring further investigation.

Expected outcomes: This review will summarise existing evidence on EMDR protocols for acute PTSD, providing a comprehensive overview of their effectiveness and highlighting gaps in current research. The findings aim to inform clinical practice and guide future studies in optimizing early EMDR interventions.

Conclusions: The study will contribute to understanding the role of EMDR in early PTSD intervention, with a focus on acute cases. It will highlight the need for further research to refine protocols and adapt them to diverse populations and trauma contexts.

Abstract topic: EMDR Protocols for Acute Trauma.

Learning objectives:
1. Explore the proposed methods for evaluating EMDR protocols in acute PTSD cases.
2. Understand the potential benefits and limitations of early EMDR interventions for acute PTSD symptoms.
3. Identify research gaps and future directions for optimizing EMDR protocols in acute trauma care.

EMDR Therapy on a Case of Trypophobia

Salih Deniz, M.S.1, Ümran Korkmazlar, Ph. D.2

1 Lethe Psychology Center

Baris Mh. Sumer Sk. No:2/16 16140

Bursa, Turkey

e-mail: psksalihdeniz@gmail.com

2 Fide Psychological Counseling Center

Besiktas Akat Mh. Yaren Sk. No:8 Ozderici C Blok D:1

34335 Istanbul, Turkey

Trypophobia is a condition characterized by discomfort, disgust, or fear triggered by surfaces or textures with repetitive patterns of holes. Some studies indicate that trypophobia may be a purely biological response, as such visual stimuli provoke heightened sensory reactions in the human brain.

This presentation discusses an EMDR (Eye Movement Desensitization and Reprocessing) intervention conducted with a 15-year-old male client. The client’s symptoms included discomfort and disgust toward round and repetitive textures or surfaces, such as perforated buttons or water droplets on glass. Due to the distress caused by the buttons on his teachers’ coats and shirts, the client had recently stopped attending school.

A history-taking process revealed no traumatic experiences related to the client’s condition. In the second phase of EMDR, calming, safe place and stabilization exercises, and resource installation were applied. Since no traumatic experiences were identified, therapy focused on the client’s primary trigger (the buttons) and the significant functional impairment they caused. Five scenarios were designed hierarchically, ranging from the least to the most distressing. The least distressing scenario involved observing someone wearing a shirt with buttons from a one-meter distance, while the most distressing scenario involved holding several buttons in the hand. Each scenario was addressed through desensitization using bilateral stimulation (BLS) within the EMD framework. At the end of each scenario, the SUD scores reached zero. Exposure tasks related to the scenarios addressed were assigned as homework following each session. After completing the fifth scenario, the client resumed attending school and regained functional capacity.

Learning objectives:
1. EMDR effect on trypophobia.
2. Being able to use EMDR without trauma.
3. To draw attention to the problem of trypophobia.

References:

NA

Learning Disability (SLD) is a neurodevelopmental condition that causes children to struggle with fundamental academic skills such as reading, writing, and mathematics. These difficulties may lead to adverse experiences such as loss of self-confidence, social isolation, and peer bullying, negatively affecting the learning process.

The aim of this presentation is to demonstrate the effects of EMDR therapy in two children diagnosed with SLD. The therapy aimed to desensitize the children to traumatic memories and replace negative beliefs with positive ones, contributing to their academic, emotional, and social challenges.

The intervention was conducted with two male clients aged 7 and 8. Symptoms of the SLD cases included forgetfulness, conflict with friends and siblings, lack of motivation, difficulties completing homework, and being teased by peers. Each client participated in nine sessions based on the Developmental EMDR Protocol. During the preparation phase, exercises such as safe place, container, emotion regulation and resource development/installation exercises were implemented. Subsequently, desensitization and reprocessing of traumatic experiences were carried out. Negative emotions/ cognitions such as "I am stupid, lazy, a loser" were transformed into positive ones such as "I can learn and succeed." After EMDR therapy, both clients showed improvements in their reading and writing motivation, self-confidence, social relationships, and homework habits. Problems with peers decreased, and they developed a positive attitude toward learning processes.

In conclusion, EMDR therapy can be an effective method for improving emotional and social issues and enhancing academic performance in children with SLD. Additionally, it is recommended that the cognitive deficits of these cases be monitored and regularly evaluated over the long term.

References:
[1] J. Morris-Smith & M. Silvestre EMDR for the Next Generation. 2nd edition. Academic Publishing International Limited, Reading UK. (2014).
[2] İ. Melis & İ. Berrin. EMDR E. Devrim EMDR EMDR through the eyes of children. Nobel Medical Publishing House. (2020).

Learning objectives:
1. Traumatic experiences of children with SLD.
2. EMDR with SLD children.

Cognitive Behavioral Therapy (CBT) is widely recognized as one of the most effective treatments for Obsessive-Compulsive Disorder (OCD). However, trauma-focused therapies, such as Eye Movement Desensitization and Reprocessing (EMDR), have shown potential in addressing OCD symptoms associated with traumatic experiences. While EMDR has demonstrated success in trauma treatment, its application to OCD remains relatively underexplored. This study aims to investigate the effectiveness of the Trio-View-EMDR-OCD Protocol, an innovative therapeutic approach specifically designed to target trauma-related components of OCD.

This study will employ a double-blind, placebo-controlled, randomized controlled trial design. A total of 240 individuals diagnosed with OCD based on DSM-5 criteria and deemed suitable for psychotherapy will be included. Participants will be stratified by age, gender, and symptom severity, and then randomly assigned to one of the four groups in a 1:1 ratio using a computer-based randomization system. CBT/ERP, 2) standard EMDR, 3) Trio-View-EMDR-OCD Protocol, and 4) waitlist control. The Trio-View Protocol integrates: Assessments occur at baseline, post-therapy, and at 1, 3, and 6 months using the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). Data are analyzed using mixed ANOVA.

This study introduces the TR-V-OCD Protocol as a trauma-informed approach for OCD and aims to enhance outcomes for trauma-related OCD. Initial findings will be shared at the congress.

Learning objectives: This framework encourages therapists to view OCD through three distinct yet interconnected lenses—trauma processing, trauma resolution, and symptom desensitization.

Abstract topic: Evaluating the Effectiveness of the TR-V-OCD Protocol.

Background: EMDR group therapy is effective in reducing trauma symptoms and can also be applied in coaching for individuals without significant psychopathology.

Aim: This pilot study examines the feasibility of EMDR group coaching for medical advisors in a pharmaceutical company, focusing on distressing work-related interactions that may impact communication skills.

Methods: A preparatory session was held for all participants to explain the principles of EMDR, its clinical applications and the current evidence. Participation was voluntary, and all participants provided informed consent before coaching began. The coaching program consisted of three group sessions, each lasting 2 to 2.5 hours. Participants completed the Perceived Stress Scale at the beginning of each session. Coaching sessions incorporated stress management techniques, the IGTP and G-TEP protocols, future template work, as well as group discussions and feedback.

Results: The group included 10 participants, all of whom found EMDR group coaching to be a useful and acceptable approach for addressing work-related stress. Distress associated with stressful memories decreased during the IGTP and G-TEP sessions. Participants also reported learning new strategies for managing stress.

Conclusion: EMDR group coaching appears to be a valuable tool for supporting stress management and occupational health among high-performing professionals.

Neurodevelopmental disorders arise as a result of disruptions in the brain’s structural and functional development during fetal brain development, influenced by genetic, biological, and environmental factors. These disorders, which begin in childhood, cause difficulties in areas such as learning, behavior, motor skills, and social interaction.

The aim of this presentation is to demonstrate the effectiveness of therapy processes using EMDR and the Healing Story Technique in children with neurodevelopmental disorders. The combination of EMDR and the Healing Story Technique can have a significant impact, especially in addressing symptoms related to early trauma. In this presentation, the effects of EMDR and Healing Story Technique on three male cases with neurodevelopmental disorders, aged 6 and 8, will be discussed. Common symptoms of the cases include increased alertness to environmental stimuli, sensory sensitivities, difficulty adapting to new situations, sibling problems, toilet training problems, learning and attention difficulties, feelings of inadequacy and regression.

Interventions, adjusted developmentally according to the stages of EMDR, included history taking, safe place and container exercises, stabilization, and resource development exercises. The stories tailored to the early trauma experiences of the cases were first presented to the parents and then, to the child with the parents by applying BLS. After the "Healing Story Technique with EMDR," the cases showed improvements in relationship building and communication skills, easier toilet training, and reduced sensory sensitivities.

It is believed that EMDR and the Healing Story Technique are effective psychotherapeutic methods for enhancing the social relationships, communication skills, and daily living skills of children with neurodevelopmental disorders.

Background and aims: Post-traumatic stress symptoms (PTSS) are common following first episode psychosis (FEP), with up to one-third of individuals meeting criteria for PTSD. Eye Movement Desensitisation and Reprocessing Therapy Early Interventions (EMDR-EIs), like the Recent Traumatic Episode Protocol (R-TEP), can offer a timely approach to address these symptoms and promote psychosocial recovery. This case study illustrates the effectiveness of R-TEP in reducing PTSS in a young Māori woman, a member of the Indigenous population of Aotearoa (New Zealand), incorporating the Meihana Model and Hui Process for cultural responsivity.

Methods: The client completed four R-TEP sessions after an initial assessment. Seven Points of Disturbance (PODs) were processed. Baseline measures included the DASS-21 and Impact of Events Scale-Revised (IES-R). Post-intervention measures and qualitative feedback will be presented. The client also created artwork reflecting her psychosis, recovery and post-traumatic growth.

Results: Preliminary findings indicate significant reductions in emotional and somatic distress related to the episode. Cognitive interweaves and psychoeducation supported these shifts. The client reported feeling much better about the episode, and now experiences a ‘calling’ to help others.

Conclusions: R-TEP is a brief, effective intervention for addressing PTSS after FEP. When combined with indigenous frameworks, it ensures cultural safety and enhances engagement, highlighting its value for recovery.

Abstract topic: EMDR Early Intervention, Psychosis, and Cultural Adaptations.

Learning objectives:
1. Understand application of R-TEP for PTSS following first episode psychosis.
2. Recognise the value of cultural responsivity and indigenous models.
3. Explore how creative processes can enhance therapy and illustrate therapeutic outcomes.

This abstract presents a case study on the innovative application of EMDR Intensive therapy for an adult client presenting with Dissociative Identity Disorder (DID) at the Stress & Trauma Clinic in Australia. The approach involved a collaborative treatment model where the main clinician provided full-day sessions targeting the adult parts of the client, while a secondary clinician with child-specific training focused on the child parts. This division of roles allowed for tailored and focused therapeutic interventions for each distinct part of the client’s Adaptive Information Processing (AIP) network. Using EMDR and parts work, each part's specific traumatic memories and adaptive blockages were identified and re-processed. The adult parts were treated through intensive EMDR sessions spanning entire days, allowing for deep exploration and resolution of complex trauma. The secondary clinician employed child-focused EMDR and parts work to address developmental traumas, employing a compassionate and adaptive approach suited to younger emotional states. Following treatment, the client demonstrated a remarkable reduction in PTSD symptoms, no longer meeting the diagnostic criteria for PTSD and no longer requiring medication. Moreover, the frequency and intensity of intrusive parts significantly decreased, marking a substantial improvement in the client’s overall integration and functioning. This case study underscores the benefits of utilising EMDR in an intensive format and highlights the unique challenges and successes of addressing the distinct AIP networks of adult and child parts in clients with DID. It also examines the collaborative dynamic between clinicians and discusses implications for future practice and research.

References: [1] Shapiro, F. (2001). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures. Guilford Press. [2] van der Kolk, B. A., et al. (2007). A randomized clinical trial of EMDR in the treatment of PTSD. Journal of Clinical Psychiatry, 68(1), 37-46. [3] Paulsen, S. (2016). When there are no words: Repairing early trauma and neglect from the attachment period with EMDR therapy. Bainbridge Institute for Integrative Psychology.

Abstract topics: Posttraumatic stress disorder, EMDR, psychosis.

The learning objectives are: 1.Understand the role of EMDR Intensives in addressing complex dissociative conditions like DID. 2.Explore the benefits of targeting distinct AIP networks through parts work and collaborative clinician roles. 3.Examine the practical and ethical considerations in treating DID using EMDR.

Context and Objectives: This pilot study investigates the efficacy of an integrated therapeutic approach combining osteopathy and Eye Movement Desensitization and Reprocessing (EMDR) therapy for psychosomatic disorders. We hypothesize that this integration, by addressing the complex mind-body interaction, yields superior outcomes compared to conventional and single-modality treatments, enhancing both physical and psychological symptom reduction.

Methods: Fifteen participants assigned to three groups (n=5). Group1 received 5 osteopathic treatments integrated with EMDR; Group2 had 5 osteopathic treatments osteopathy combined with non-EMDR psychotherapy; Group3 had EMDR therapy alone. Outcomes were assessed at baseline, after 4 and 8 weeks. Pain, posture, and overall well-being were measured using validated questionnaires: the SF-36 [1] for health-related quality of life, the Visual Analogue Scale (VAS) [2] for pain intensity, and the APECS system [3] for postural analysis and core system efficiency.

Results: Participants receiving integrated EMDR and osteopathy demonstrated significant improvements across all assessed domains, exhibiting greater stability and consolidation over time compared to the osteopathy with non-EMDR psychotherapy group. While EMDR alone effectively reduced pain, it did not produce the same benefits on posture.

Conclusions: The integration of EMDR and osteopathy creates a synergistic therapeutic effect, with EMDR targeting the psychological-physical axis and osteopathy supporting physical-psychological recovery, amplifying the combined benefits for remission lasting symptoms. Future research will focus on: a large-scale randomized controlled trial including an osteopathic-only control group; study neurophysiological and psychological mechanisms via neuroimaging; define ad hoc protocols and identify predictive factors of response to treatment.

The parents of a 4 year-old girl contacted with us because of girl’s a background of stuttering issue which might have occurred during the Festival of Sacrifice. A follow-up treatment was initiated on her with symptoms, in addition to stuttering, of rejection of nutrients containing meat, crowd anxiety, and separation anxiety. Though they were directed to the speech therapy, they could proceed the treatment only for 2 sessions due to some troubles for separating the girl from the mother. Target stuttering occurred during the process of EMDR therapy. During the assessment phase, the EMDR therapist claimed a hypothesis that the girl might have witnessed the moment of sacrifice, and that stuttering and refusal to eat meat might have initiated after the relevant testimony since she painted the ceremony of sacrifice as the worst unpleasant scene. A decision was made to treat her by means of play therapy and EMDR therapy. After studying the worst memory of sacrifice ceremony using the EMDR process, the symptoms of stuttering and inability to eat meat disappeared. Following the treatment, it was observed that the symptom of separation anxiety also eased. Though the family was informed of the necessity to sustain the process for the symptoms of separation anxiety, the family terminated the process. Afterwards, the family contacted us again with the symptoms of separation anxiety and avoidance of social environments when the case started primary school at the age of 6.5. The studies regarding stuttering and inability to eat meat accomplished in the past revealed that the treatment continued in a favourable course. During the second application, the troubles such as avoiding crowded environments and having difficulty in separating from the mother were detected as the treatment target. After completing the treatment using EMDR therapy, the skill to safe and sound leaving and the capacity to stay in crowded environments appropriate to her age level improved accordingly.

Massed/intensive forms of different psychotherapies including EMDR [1] are effective for treatment of psychological trauma in military and civilian populations [2] Advantages include reduced treatment drop-out and faster improvement [1].

In 2024, the Irish Defence Forces (DF) ran a pilot of a residential intensive treatment program for psychological trauma. This ran for 5 days The pilot tested practicality and acceptability.

Methods:

• Ethics approval was via Trinity College Dublin.
• Patients with active symptoms of psychological trauma including PTSD were invited to take part.
• Baseline measures were recorded including Clinician-rated PTSD Symptoms (CAPS), PCL-5, MINI Plus, ITEC.
• Twice-daily EMDR sessions interspersed with physical activity were delivered over 4.5 days.
• Measures were repeated at the end of the program and at points thereafter.

Results: All participants had significant, sustained symptom reduction. All participants found the program acceptable.

Conclusions: EMDR delivered in an intensive, residential, format, was practicable, effective and acceptable for a military population with PTSD.

Abstract Topic: Intensive EMDR

Learning Objectives:
1. Massed/intensive treatment formats are effective.
2. There are specific advantages to these formats.
3. Massed/Intensive formats are practical and acceptable.

References
[1] Sciarrino N.A et al., Journal of Traumatic Stress, 443–454, 33 (2020).
[2] Auren T.J.B.A, Klæth J.R. et al., European Journal of Psychotraumatology 13:2., 2128048 (2022).

Background and aims: Childhood sexual abuse is a painful societal reality, necessitating responses from institutions and healthcare professionals to attend its severe long-term consequences in victims1.We present an intervention comprising two psychotherapeutic approaches recommended by the WHO and international clinical guidelines for addressing short-, medium-, and long-term posttraumatic symptomatology: Trauma- Focused Cognitive Behavioral Therapy (TF-CBT) and Eye Movement Desensitization and Reprocessing (EMDR) 2. Both approaches are conducting in group format for implementation in small online groups via Zoom.

Methods: A sample of 19 women who were victims of childhood sexual abuse were included in a Randomized Clinical Trial3 comparing EMDR G-TEP and Trauma-Focused Cognitive Behavioral Therapy after a baseline period. Intra and inter comparison were made using statistics appropriate to the sample.

Results: Both therapeutic approaches significantly reduced symptomatology, suggesting their efficacy in improving the quality of life for these individuals. Following CBT-FT treatment, patients exhibited enhanced emotional regulation, reduced reexperiencing, and avoidance. The EMDR G-TEP group protocol, significantly improved dissociation, along with other crucial clinical variables and the perception of quality of life.

Conclusions: Although the limitations of this study must be taken into account due to the size of the sample and the lack of long-term follow-up, the results align with existing scientific literature, underscoring the benefits of trauma-focused psychological treatments. The online group format appears promising for enhancing the accessibility of psychological treatment. Furthermore, the differential outcomes of each treatment support recent research advocating for the inclusion of both approaches for individuals with trauma-related symptomatology4.

Abstract topic: Adult women from childhood sexual abuse – EMDR Group therapy – CBT-TF group therapy – long-term trauma symptoms

References
[1] Tichelaar HK, Deković M, Endendijk J. Exploring effectiveness of psychotherapy options for sexually abused children and adolescents: A systematic review of randomized controlled trials. Children Youth Serv Rev. (2020) 119:105519. doi: 10.1016/j.childyouth.2020.105519.
[2] World Health Organization. Guidelines for the managements of conditions specifically rellated to stress. Ginebra, Suiza: WHO (2013).
[3] Molero-Zafra M, Mitjans-Lafont MT, Hernández-Jiménez MJ, Pérez-Marı́n M. Psychological intervention in women victims of childhood sexual abuse: an open study–protocol of a randomized controlled clinical trial comparing EMDR psychotherapy and trauma-based cognitive therapy. Int J Environ Res Public Health. (2022) 19(12):7468. doi: 10.3390/ijerph19127468
[4] Kowalski J, Elżanowski A, Śliwerski A. A review of selected psychotherapies for PTSD, their efficacy and treatment guidelines in adults. Psychiatr Pol. (2023) 303:1–11. doi: 10.12740/PP/OnlineFirst/157105

Background and aim. Work on emotional regulation appears central in psychotherapy and transversal to different approaches. Aim of this work is to propose a Protocol that cantains some useful tools for working with young patients (and their parents) on the topic of emotions and emotional regulation

Methods. Within the "Educating on emotions" Protocol (Malacrida, M. FrancoAngeli, 2021) there is an illustrated musical story that is proposed as a useful tool in the therapeutic process with children with emotional dysregulation. The story is accompanied by integrative activities and therapeutic tools that can be used:

• in phase 1 of the EMDR protocol to delve into functional and dysfunctional ways of emotional management of the child and his context;
• in phase 2 of preparation for EMDR therapy to work on emotional awareness, on resources and safe place.
• in phase 3 of assessment for the identification of dysregulation targets inherent different emotions which can be desensitized through the application of EMDR protocol.

Results and Conclusions. This protocol has been applied to several children with good results. We will present the results of some of these cases. The protocol presented appears useful because it offers practical tools to introduce and facilitate therapeutic work with EMDR, centered on the processing of unfavorable emotional experiences or on the reinforcement of resource emotional experiences.

Topic: emotional regulation.

Learning Objectives:
1. How to promote emotional regulation in children.
2. How to assess emotional awareness and regulation.
3. Therapeutic Tools to identify emotional dysregulation targets.

Background and aims. Current and former smokers diagnosed with lung cancer often experience stigma related to their smoking history, leading to feelings of guilt, self-blame, and psychological distress. This stigma, more pronounced in lung cancer than in other diseases, may negatively impact emotional well-being and treatment adherence. Similarly, individuals attempting to quit smoking may face stigma-related challenges.

Eye Movement Desensitization and Reprocessing (EMDR) therapy has proven effective in processing trauma and supporting behavioral changes, including smoking cessation.

This study aims to:
1. Assess stigma among lung cancer patients and individuals participating in smoking cessation programs.
2. Analyze the relationship between stigma, anxiety, depression, quality of life, and psychophysical well-being across different disease stages.
3. Evaluate the impact of EMDR therapy in reducing distress, depression, and anxiety.

Methods. A total of 65 participants were recruited, including lung cancer patients (n=16) and individuals enrolled in a smoking cessation program (n=49). All participants underwent an EMDR-based intervention consisting of eight sessions, including two assessments. Post-intervention psychological evaluations measuring stigma perception, anxiety, depression, quality of life, and smoking cessation outcomes are yet to be conducted.

Results. It is anticipated that EMDR therapy will reduce stigma-related distress, improve emotional well-being, and enhance smoking cessation success rates.

Conclusions. This study will provide valuable insights into the psychological burden of stigma in lung cancer and smoking cessation, supporting the development of targeted interventions to improve patient outcomes.

Keywords: Lung Cancer, Stigma, Smoking Cessation, EMDR Therapy

Learning objectives:
1. Understand the stigma impact on lung cancer patients and individuals in smoking cessation programs.
2. Analyze the relationship between stigma, psychological distress, and quality of life.
3. Evaluate the effectiveness of EMDR in reducing distress and supporting smoking cessation.

Bowel/bladder obsession, or bowel/bladder control anxiety (BDCA), involves excessive anxiety about bowel and bladder functions, leading to a constant need to access the toilet due to fear of involuntary leakage. This condition, resembling obsessive-compulsive disorder (OCD), includes intrusive thoughts and repetitive behaviors to reduce anxiety. This case report explores the use of the TR-V-OCD EMDR Protocol, a trauma-focused therapy for OCD, in treating bowel/bladder obsession. The protocol treats OCD as a trauma, targets symptoms, and processes underlying traumatic memories through a three-dimensional approach.

A 24-year-old male with OCD received 13 sessions of the TR-V-OCD EMDR Protocol alongside medication. Pre- and post-treatment assessments included the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and Beck Anxiety Inventory (BAI), alongside evaluation of daily functioning. Post-treatment, significant reductions were observed in Y-BOCS (pretest: 35, posttest: 10) and BAI (pretest: 28, posttest: 11) scores. The patient reported fewer obsessive thoughts and compulsive behaviors, with improved daily functioning.

These findings suggest the TR-V-OCD EMDR Protocol may be an effective adjunctive treatment for OCD and related conditions like bowel/bladder obsession. However, further research with larger samples is needed to validate its efficacy.

Abstract Topic: Effectiveness of the TR-V-OCD EMDR Protocol in Treating Obsessive-Compulsive Disorder.

Learning Objectives:
1. Evaluate the clinical features and treatment response of bowel/bladder obsession.
2. Assess the potential role and effectiveness of the TR-V-OCD EMDR Protocol in treating bowel/bladder obsession.
3. Discuss the protocol’s effectiveness in OCD treatment and the need for future large-scale studies.

Background and aims: This research explores the mechanisms of Eye Movement Desensitization and Reprocessing (EMDR) therapy, specifically examining the role of dual attention in trauma processing. The study investigates competing hypotheses about Bilateral Stimulation (BS)'s therapeutic role: whether it facilitates episodic memory access or reduces traumatic memory's cognitive and emotional intensity by occupying working memory resources [1] [2]. Despite EMDR's established effectiveness in treating post-traumatic symptoms, the precise neurological mechanisms remain uncertain [3] [4]. By comparing different dual attention techniques—BS, fixed point focus (FP), and no visual focus—the research aims to clarify how these interventions contribute to trauma treatment.

Methods: This randomized controlled trial recruited participants from the University Psychology Clinic who were randomly assigned to three conditions of EMDR protocol (BS, FP or eyes-closed). The intervention included ten sessions, integrating three components: evaluation and traumatic experience selection, processing stressful events using EMDR protocol, and well-being reconnection. The assessment of PTSD symptoms and psychological adjustment was conducted at three time points: pre-intervention, post-intervention, and six-month follow-up.

Results: Currently, 21 cases have been included: 8 participants received BS, 6 participants received FP, and 7 participants received eyes-closed protocol. A mixed-effect model, including time and treatment group as fixed effects and single participants as a random effect will be conducted to assess the efficacy of dual attention on PTSD symptoms.

Conclusions: Findings will clarify the role of dual attention in EMDR and its impact on long-term trauma processing. The implications of these preliminary analyses will be discussed.

Abstract topic: EMDR, dual attention, Posttraumatic stress disorder

Learning Objectives:
• Clarifying the role of dual attention in EMDR therapy helps to identify the underlying mechanisms involved in its efficacy and to improve therapeutic approaches.
• Understand the potential benefits of the EMDR intervention for PTSD symptoms.
• To assess the long-term stability of treatment outcomes with and without dual care at a six-month follow-up.

References
[1] Jeffries, F. W., & Davis, P. (2013). Behavioural and cognitive psychotherapy, 41(3), 290-300.
[2] Landin-Romero, R., et al. (2018). Frontiers in psychology, 9, 1395.
[3] Servan-Schreiber, D., et al. (2006). Psychotherapy and Psychosomatics, 75(5), 290-297.
[4] Sack, M., et al.. (2016). Psycotherapy and Psychosomatics, 85, 357-365.

• Background and aims Migration can be important in psychotherapy. It implies different customs, cultural and family beliefs, habits and, most important, different languages. Memories get imprinted connecting the words we associate to images, cognitions, emotions, physical sensations. A majority of these words may be remembered in the native language, the mother tongue, as it is so symbolical expressed. Sometimes the language we use in our therapy sessions is different to our patient’s mother tongue. That might play an important part when the patients processes. We aimed to question the need for the standard protocol to be adjusted in regard to using different languages in psychotherapy.

• Methods Starting with different case presentations we conceptualize a need to change the standard protocol adjusting it to polyglot patients. This presentation shows cases, written and filmed material, of EMDR sessions adjusted to switching languages.

• Results During a session a polyglot patient presented with a SUD 0 after processing in English/Romanian but then changed to SUD 6 when mentioning words in Hungarian, her native language. Following the hypothesis that language may have an important role in processing, the therapist started checking the SUD in the native language of the patient, or the language used in the dysfunctional stored memory. This endeavor seems to play a role in the outcome of the session. Following this, we show how standard protocol, short desensitization or future templates are processed differently when language is switched.

• Conclusions Language seems to be relevant when using EMDR processing, changing the SUDS significantly for our patients. Checking for the level of SUDS in the native language of the patient or the language used in the dysfunctional stored memory may be significant for our EMDR treated patients.

• Abstract topic The impact of language in EMDR processing

• 3 Learning objectives at the end of the abstract We propose and demonstrate the standard protocol adjustment to polyglot clients.

Dr. Carina Dragu carinadragu@gmail.com
EMDR Consultant EMDR Romania, Psychiatrist at Spitalul CF Timisoara Outpatient Clinic
300086 Calea A.I.Cuza nr 8 ap 74, Timisoara, Romania
0040721236888
Dr Anca Panfil anca.livia.panfil@gmail.com EMDR level 1,2, Psychiatrist at Spitalul Judetean de Urgenta“Pius Brizeu” Timisoara, Outpatient Clinic

Software companies are developing innovative autonomous treatments that leverage artificial intelligence (AI) to enhance accessibility and consistency in trauma therapy. We conducted a comprehensive literature review to evaluate the integration of autonomous systems into therapeutic practice and their potential impact on treatment efficacy [1]. Building on these insights, a research study is being conducted in Ukraine to assess the effectiveness of an autonomous EMDR software in reducing PTSD symptoms, improving user satisfaction, and increasing engagement compared to traditional therapy methods. Preliminary findings suggest that AI integration can address therapist shortages and reduce barriers to treatment, potentially revolutionizing the field of trauma therapy [2]. Our conclusions highlight the necessity for further research to validate these findings and optimize the software for diverse populations.

Learning Objectives:
1. Understand the development and application of autonomous EMDR technology.
2. Assess the potential impact of AI-driven therapies on mental health treatment accessibility.
3. Evaluate the effectiveness and user experience of autonomous EMDR software compared to traditional EMDR therapy.

References
[1] Babu, A., & Joseph, A. P. (2024). Artificial intelligence in mental healthcare: transformative potential vs. the necessity of human interaction. Frontiers in Psychology, 15, 1378904-. https://doi.org/10.3389/fpsyg.2024.1378904
[2] Gutierrez, G., Stephenson, C., Eadie, J., Asadpour, K., & Alavi, N. (2024). Examining the role of AI technology in online mental healthcare: opportunities, challenges, and implications, a mixed-methods review. Frontiers in Psychiatry, 15, 1356773–1356773. https://doi.org/10.3389/fpsyt.2024.1356773

Abstract Topic
Aim: This study presents the clinical outcomes of a single case of Obsessive-Compulsive Disorder (OCD) treated with the TR-V OCD EMDR protocol (Ozmeydan 2019), part of a semi randomized controlled trial (RCT) in Turkey. The study evaluates the protocol’s effectiveness through quantitative and qualitative measures.

Methods: A 29-year-old female (university graduate) with severe contamination obsession and cleaning compulsion was included. The participant was diagnosed with OCD based on DSM-5 criteria and received 12 EMDR therapy sessions using the TR-V OCD protocol. The Yale-Brown Obsessive-Compulsive Scale (YBOCS) and the Obsessive-Compulsive Inventory (OCI) were used to assess symptoms at baseline and post-treatment. Additionally, semi-structured interviews were conducted for qualitative analysis.

Results: The participant’s YBOCS score decreased from 40 (severe OCD) to 13 (mildly severe OCD), showing an 67,5% symptom reduction. Thematic analysis revealed improved emotional regulation, reduced obsessive-compulsive thoughts, and increased daily functionality. The participant reported a shift in their relationship with contamination fears and a significant decrease in compulsive cleaning behaviors.

Conclusion: The TR-V OCD protocol was effective in reducing OCD symptoms and addressing underlying traumatic memories. These findings support the use of trauma-informed approaches in OCD treatment and emphasize the need for further large-scale research to confirm these results.

Learning Objectives:
1. Examine the effectiveness of the TR-V OCD protocol in OCD treatment.
2. To be able to evaluate the effect of TR-V OCD on OCD- specific obsessions and compulsion.
3. Discuss how to include TR-V OCD when creating an individualized treatment plan for OCD.

References
Ozmeydan, Z. (2019, March 17). Obsessive-Compulsive Disorder: EMDR for clients with OCD.
Workshop presented at EMDR Turkey Association Workshop, Istanbul, Turkey.

Aim: This study presents the clinical outcomes of a single case of Obsessive-Compulsive Disorder (OCD) treated with the TR-V OCD EMDR protocol, (Ozmeydan 2019), as part of a semi randomized controlled trial (RCT) in Turkey.The study evaluates the protocol’s effectiveness through quantitative and qualitative measures.

Methods: A 32-year-old famale with severe contamination obsession was included. The participant was diagnosed with OCD based on DSM-5 criteria and received 12 EMDR therapy sessions using the TR-V OCD protocol.The Yale-Brown Obsessive-Compulsive Scale (YBOCS) and the Obsessive-Compulsive Inventory (OCI) were used to assess symptoms at baseline and post-treatment.Additionally,semi-structured interviews were conducted for qualitative analysis.

Results: The participant’s YBOCS score decreased from 34(severe OCD) to 2(subclinical symptoms),showing an 90% symptom reduction. Thematic analysis revealed improved emotional regulation,reduced obsessive-compulsive thoughts, and increased daily functionality.The participant reported a shift in their relationship with contamination fears and a significant decrease in compulsive cleaning behaviors

Conclusion: The TR-V OCD protocol was effective in reducing OCD symptoms and addressing underlying traumatic memories.These findings support the use of trauma-informed approaches in OCD treatment and emphasize the need for further large-scale research to confirm these results. Abstract Topic: Treatment Of Contamination Obsessions with TR-V-OCD EMDR Protocol

Learning Objectives:
1. Examine the effectiveness of the TR-V OCD protocol in OCD treatment.
2. Investigate the effectiveness of the protocol for severe contamination obsession.
3. Examine the effectiveness of the TR-V-OCD protocol on contamination obsession.

Abstract and Aim: Obsessive thoughts, images, or impulses arise involuntarily, causing distress. Individuals with Obsesive Compulsive Disorder (OCD) struggle to manage these obsessions. This case study examines the Trio-View-OCD (TR-V-OCD) EMDR Protocol( Ozmeydan 2019) applied to a patient with contamination obsessions and cleaning compulsions. The protocol conceptualizes OCD as a trauma-related disorder, targeting both symptoms and underlying traumatic memories through a three-dimensional therapeutic approach.

This study aims to evaluate the effectiveness of the TR-V-OCD EMDR Protocol in reducing OCD symptoms and improving daily functionality. It explores the possibility of classifying OCD within a trauma-focused framework.

Method :A 45-year-old female patient diagnosed with OCD received weekly TR-V-OCD EMDR sessions for 15 weeks. Pre- and post-treatment assessments included:
Yale-Brown Obsessive-Compulsive Scale (38 → 17)
Obsessive Beliefs Questionnaire (243 → 213)
Childhood Trauma Questionnaire (37 → 34)
Padua Inventory (47 → 27)
Beck Depression Inventory (16 → 3)
Three-Dimensional Attachment Styles
Dissociative Experiences Scale.

Results: Significant reductions were observed in OCD symptoms, dysfunctional beliefs, and dissociation. The patient’s obsessive thoughts and compulsions decreased, leading to improved daily functioning. The findings suggest that OCD may be approached as a trauma-related disorder, but further studies are required.

Learning Objectives:
Understand OCD as a trauma-related disorder.
Evaluate the TR-V-OCD EMDR Protocol’s effectiveness.
Analyze trauma-focused interventions in OCD treatment.
Recognize the need for further research.

Abstract Topic: TR-V-OCD emdr protocol: a case report

References: Ozmeydan, Z. (2019, March 17). Obsessive-Compulsive Disorder: EMDR for clients with OCD. Workshop presented at EMDR Turkey Association Workshop, Istanbul, Turkey (Unpublished Protocol)

Aim: This study presents the clinical outcomes of a single case of Obsessive-Compulsive Disorder (OCD) treated with the TR-V OCD EMDR protocol, developed by Özmeydan, as part of a semi randomized controlled trial (RCT) in Turkey. The study evaluates the protocol’s effectiveness through quantitative and qualitative measures.

Methods: A 40-year-old male (elementary school graduate, transgender identity: travesti) with severe contamination obsession was included. The participant was diagnosed with OCD based on DSM-5 criteria and received 15 EMDR therapy sessions using the TR-V OCD protocol. The Yale-Brown Obsessive-Compulsive Scale (YBOCS) and the Obsessive-Compulsive Inventory (OCI) were used to assess symptoms at baseline and post-treatment. Additionally, semi-structured interviews were conducted for qualitative analysis.

Results: The participant’s YBOCS score decreased from 35 (severe OCD) to 8 (subclinical symptoms), showing an 80% symptom reduction. Thematic analysis revealed improved emotional regulation, reduced obsessive-compulsive thoughts, and increased daily functionality. The participant reported a shift in their relationship with contamination fears and a significant decrease in compulsive cleaning behaviors.

Conclusion: The TR-V OCD protocol was effective in reducing OCD symptoms and addressing underlying traumatic memories. These findings support the use of trauma-informed approaches in OCD treatment and emphasize the need for further large-scale research to confirm these results.

Learning Objectives:
1.Examine the effectiveness of the TR-V OCD protocol in OCD treatment.
2.Evaluate the role of quantitative and qualitative methods in therapy outcomes.
3.Discuss future research directions in EMDR and OCD.

Abstract topic: Treatment of Sexual Obsessions with TR-V-OCD EMDR Protocol

Background and Aims: Recent years have seen a rise in complex social and cultural changes, emphasizing the need for interdisciplinary approaches to sexual dysfunctions. This study investigates the efficacy of combining Eye Movement Desensitization and Reprocessing (EMDR) therapy with pelvic floor rehabilitation (PFR) in treating genito-pelvic pain and penetration disorder (GPPPD).

Methods: Fifteen women with GPPPD (age 29-59) participated in this pilot study. Treatment involved weekly EMDR and PFR sessions over a year. The Female Sexual Function Index assessed sexual interest, arousal, lubrication, orgasm, relationship with the partner, and pain symptomatology before and after treatment. Statistical analysis explored the correlation between these factors and demographic data.

Results: Post-treatment, significant improvements were observed in sexual interest and arousal, enhanced lubrication, more frequent and satisfying orgasms, improved partner relationships, and reduced pain. Notably, 87% of participants reported increased sexual desire, and 73% experienced heightened arousal post-treatment. Orgasm frequency and satisfaction improved, with 87% reporting no difficulty. Pain during and after penetration decreased significantly, enhancing overall sexual satisfaction.

Conclusions: The integrated approach of EMDR and PFR shows promise in treating GPPPD. Addressing both psychological and physical aspects leads to significant improvements in sexual health, highlighting the importance of a holistic, interdisciplinary treatment model.

Abstract Topic: Interdisciplinary Treatment of Sexual Dysfunctions

Learning Objectives:
1.Understand the role of EMDR therapy in addressing sexual disorders of traumatic origin.
2.Recognize the importance of PFR in treating GPPPD.
3.Appreciate the benefits of integrating psychological and physical therapies for holistic patient care.

Abstract And Aim: This study aims to present the therapeutic process and outcomes of a patient with sexual obsessions treated with the TR-V-OCD EMDR protocol (Ozmeydan 2019). The protocol takes a trauma-focused approach to OCD, targeting symptoms with comprehensive strategy.

Case Description: The patient is a 21-year-old male experiencing obsessive fears of being a pedophile, harming a child, and losing control over unwanted sexual urges. His symptoms caused significant impairment in daily life, including severe anxiety in crowded places and a persistent fear of involuntary erections. He frequently sought access to restrooms, engaged in constant self-monitoring. These obsessive thoughts occupied his mind persistently, leading to repetitive compulsive behaviors aimed at reducing anxiety.

Method: He underwent 16 weekly sessions using the TR-V-OCD EMDR protocol. The effectiveness of the treatment was assessed using the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)/The Beck Anxiety Inventory before/after therapy. Daily functioning, activities were evaluated.

Results: The Y-BOCS score decreased from 33-to-13 post-treatment. Significant reductions were observed in obsessive thoughts, compulsive behaviors, anxiety levels decreased, daily functioning improved.

Conclusion: The TR-V-OCD EMDR protocol shows promise as an effective intervention for OCD patients with sexual obsessions. Study highlights the importance of addressing OCD from a trauma-based perspective, suggests that further large-scale studies are needed to support findings.

Learning Objectives:
1.Evaluate the clinical characteristics and treatment response of OCD/sexual obsessions.
2.Discuss the role of the TR-V-OCD EMDR protocol in treating OCD/sexual obsessions.
3.Examine the effectiveness of the protocol in OCD treatment and the need for future research.

Abstract topic: Treatment of Sexual Obsessions with TR-V-OCD EMDR Protocol.

Background and Aims: Neglected tropical diseases, such as leprosy, have profound effects on mental health, often leading to PTSD, anxiety, and depression [1,2]. Despite this, mental health interventions tailored to individuals affected by leprosy remain limited. This poster presentation will outline an study evaluating the effectiveness and acceptability of and EMDR based intervention -Traumatic Stress Relief- for individuals with leprosy in Ethiopia [3].

Methods: This RCT recruits participants affected by leprosy to receive four group sessions of the Traumatic Stress Relief intervention. The intervention is co-facilitated by a mental health practitioner and a community member with lived experience of leprosy. Quantitative data are collected through self-report measures assessing PTSD, anxiety, and depression, complemented by qualitative interviews to explore participants’ experiences.

Results: Preliminary findings will be presented, highlighting changes in mental health outcomes following the intervention. Trends in PTSD, anxiety, and depression scores will be discussed, alongside qualitative themes reflecting participants’ perspectives on the feasibility and acceptability of the program.

Conclusions: This poster will offer insights into the feasibility of implementing EMDR-based interventions in populations affected by leprosy. Findings will contribute to the evidence base on mental health support for individuals with leprosy and inform future trials assessing.

Abstract Topic: Mental health interventions for individuals affected by neglected tropical diseases.

Learning Objectives:
1. Understand the impact of leprosy and the need for mental health interventions.
2. Explore the effectiveness of Traumatic Stress Relief for people with leprosy.
3. Discuss the potential implications of findings in neglected tropical disease contexts.

The unyielding conflict in Ukraine has precipitated a mental health crisis of unprecedented scale, leaving civilians and soldiers grappling with profound psychological trauma [1]. Traditional therapeutic interventions may falter in these contexts due to barriers in accessibility, engagement, and the sheer magnitude of need. This session unveils "Virtual Ukraine," an innovative virtual reality (VR) platform that transcends conventional therapy limitations by immersing clients in a controlled yet realistic environment. By integrating this technology with evidence-based therapies like Eye Movement Desensitization and Reprocessing (EMDR), Virtual Ukraine offers a transformative approach to trauma treatment. Attendees will witness a live demonstration illustrating how VR can heighten therapeutic engagement, enabling clients to confront and process traumatic memories more effectively. The platform facilitates the rehearsal of adaptive responses to trauma-related triggers, empowering clients to build resilience and coping strategies that are directly transferable to real-world situations. This convergence of advanced technology and established therapeutic methods not only enhances treatment outcomes but also provides a scalable solution to address the critical need for trauma care in wartime contexts. The session will delve into practical strategies for implementing Virtual Ukraine in clinical practice.

Learning Objectives:
1. Enhance Therapeutic Engagement and Retention Participants will gain practical insights into how Virtual Ukraine may boost therapeutic engagement and client retention in PTSD treatment by offering immersive experiences that traditional therapies may lack.
2. Integrate VR with Evidence-Based Therapies Participants will understand specific strategies for seamlessly integrating Virtual Ukraine into EMDR, amplifying the effectiveness of trauma-focused treatment.
3. Facilitate Adaptive Response Planning Participants will observe how virtual reality enables clients to plan and rehearse adaptive responses to trauma-related triggers within a safe, controlled environment, preparing them for real-world application and improving long-term outcomes.