{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T07:44:08Z","timestamp":1789976648833,"version":"4.0.1"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2022,5,11]],"date-time":"2022-05-11T00:00:00Z","timestamp":1652227200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1478951522000542_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>Eye movement desensitization and reprocessing (EMDR) is an established treatment for post-traumatic stress disorders (PTSD). Some patients diagnosed with amyotrophic lateral sclerosis (ALS) experience PTSD following choking or suffocation in the course of progressive loss of the ability to breathe. Although a loss of breathing functions in ALS is relatively common, there are currently no studies available on treatment for the fear of choking following advanced ALS.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951522000542_sec_a2\"><jats:title>Methods<\/jats:title><jats:p>In this case study, we describe the positive effects of EMDR, an evidence-based form of trauma therapy, in a 48-year-old female, suffering from advanced ALS. As the consequence of ALS, she was not able to speak or breath independently, but could communicate through a speech-generating device. She experienced panic attacks, flashbacks, nightmares, and severe anxiety after her tracheostomy jammed, and she almost suffocated.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951522000542_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Mediative treatment was started by instructing the care staff to respond neutrally with step-by-step instructions following tracheostomy jam, resulting in significantly less panic attacks and flashbacks. EMDR was initiated two weeks later, and resulted in full remittance of the trauma symptomatology.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951522000542_sec_a4\"><jats:title>Significance of the results<\/jats:title><jats:p>The present case study suggests that symptoms of PTSD, namely the strong fear of suffocation, can be successfully treated by means of mediative behavioral therapy combined with EMDR.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1478951522000542","type":"journal-article","created":{"date-parts":[[2022,5,11]],"date-time":"2022-05-11T08:52:31Z","timestamp":1652259151000},"page":"181-183","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Eye movement desensitization and reprocessing (EMDR) and mediative behavioral therapy for the treatment of suffocation related post-traumatic stress disorder (PTSD) in amyotrophic lateral sclerosis (ALS): A case report"],"prefix":"10.1017","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4441-0365","authenticated-orcid":false,"given":"Erik","family":"Oudman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill C.M.","family":"Baert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,5,11]]},"reference":[{"key":"S1478951522000542_ref9","first-page":"232","article-title":"[Schema therapy and EMDR combined for complex traumarelated problems] in Dutch","volume":"47","author":"Driessen","year":"2014","journal-title":"Gedragstherapie"},{"key":"S1478951522000542_ref14","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.644369"},{"key":"S1478951522000542_ref7","volume-title":"Handbook EMDR: A Protocolled Treatment for the Consequences of Psychotrauma","author":"de Jongh","year":"2019"},{"key":"S1478951522000542_ref2","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013"},{"key":"S1478951522000542_ref18","first-page":"A6295","article-title":"[Terminal care in patients with amyotrophic lateral sclerosis] in Dutch","volume":"157","author":"Van Leeuwen","year":"2013","journal-title":"Nederlands Tijdschrift voor Geneeskunde"},{"key":"S1478951522000542_ref17","doi-asserted-by":"publisher","DOI":"10.1891\/1933-3196.13.1.51"},{"key":"S1478951522000542_ref16","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02103"},{"key":"S1478951522000542_ref11","first-page":"45","article-title":"Wants talk psychotherapy but cannot talk: EMDR for post-stroke depression with expressive aphasia","volume":"15","author":"Guina","year":"2018","journal-title":"Innovations in Clinical Neuroscience"},{"key":"S1478951522000542_ref12","doi-asserted-by":"publisher","DOI":"10.1111\/ene.14393"},{"key":"S1478951522000542_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/1744629514560638"},{"key":"S1478951522000542_ref13","doi-asserted-by":"publisher","DOI":"10.1891\/EMDR-D-20-00039"},{"key":"S1478951522000542_ref1","doi-asserted-by":"publisher","DOI":"10.1891\/1933-3196.12.1.16"},{"key":"S1478951522000542_ref3","doi-asserted-by":"publisher","DOI":"10.1038\/35097565"},{"key":"S1478951522000542_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2019.02.003"},{"key":"S1478951522000542_ref6","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2011.20.22.1443"},{"key":"S1478951522000542_ref8","doi-asserted-by":"publisher","DOI":"10.1891\/1933-3196.13.4.261"},{"key":"S1478951522000542_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.cca.2016.01.011"},{"key":"S1478951522000542_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s10615-010-0300-7"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951522000542","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T05:50:07Z","timestamp":1677131407000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951522000542\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,11]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["S1478951522000542"],"URL":"https:\/\/doi.org\/10.1017\/s1478951522000542","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,11]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}