알코올사용장애를 동반한 외상후스트레스 장애의 EMDR 치료 증례

EMDR for Post-Traumatic Stress Disorder Combined with Alcohol Use Disorder : In a Korean Survivor of the 2010 New Zealand Earthquake

Objectives ： The aim of this study is to share the therapeutic potential of eye movement desensitization and reprocessing (EMDR) in post-traumatic stress disorder (PTSD) with alcohol use disorder. Methods ： This case report concerns a Korean survivor of an earthquake that occurred in New Zealand in 2010. The subject was a female patient in her late 20s who presented with almost all symptoms of the PTSD. In addition, she had reached a degree corresponding to the diagnosis of alcoholism. Results ： Four 90-min sessions were delivered weekly by the first author for 4 weeks with 1-week intervals between sessions. At 6 months post-EMDR, one additional EMDR was performed to treat residual symptoms. Conclusion ： She became greatly stable after 3rd session. She was able to sleep without relying on alcohol and to return to her daily life. Before EMDR was car-ried out, the patient’s the clinician administered PTSD scale (CAPS) score was 78, the Alcohol Use Disorders Identification Test (AUDIT) score was 17, and the Korean version of the Alcohol Dependence Scale (ADS-K) score was 15. At 6 months after EMDR, her CAPS score was 28, which fell outside the diagnostic level for PTSD. AUDIT and ADS-K scores were 13 and 10, respectively.