Psychiatry and Clinical Psychopharmacology

Psychosocial and other nonbiological therapies and interventions Treatment of chronic phantom pain with Eye Movement Desensitization and Reprocessing (EMDR) method: a case report

Psychiatry and Clinical Psychopharmacology 2013; 23: Supplement S148-S148
Read: 584 Published: 20 March 2021

Chronic phantom pain is defined as pain and feelings of the presence of the limb, which was amputated due to an accident or surgery. We aimed to present this case for the treatment of chronic phantom limb pain with EMDR method due to the small number of related literature. Our case was a twenty-four years old, married, male patient. His left leg was amputated from the level of the knee about 3 years ago as a result of a mine explosion. About a week after the traumatic amputation, he started to feel severe pain at his broken limb. While hospitalized in the orthopedic clinic, antidepressant and pregabalin treatment was initiated for insomnia, severe pain, re-experiencing the explosion of the mine and extreme nervousness. Because he did not show any improvement, the patient was admitted to psychiatry clinic. In the psychometric evaluation; the scores of Impact of Event Scale (IES-R), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), the Visual Analogue Scale (VAS) were 65, 43, 37, 9, respectively. While continuing to the pharmacological treatment, nine sessions of EMDR were applied to the patient. He showed a marked improvement clinically and his IES-R, BDI, BAI, VAS scores were 13, 5, 9, 0, after the therapy and were 7, 5, 10, 0 at the 3th month follow up visit, respectively. In our case, both of the pain and the psychiatric symptoms improved significantly with EMDR. EMDR may be an effective method for the treatment of post-amputation phantom pain and psychiatric problems.

EISSN 2475-0581