End-point nystagmus and EMDR

Abstract

Eye movement desensitization and reprocessing (EMDR) is a psychotherapy that helps people to heal from trauma or other disturbing life experiences. In this article, the appearance of nystagmus in the eye during the application of the EMDR method was discussed while treating a 16-year-old adolescent girl who presented with a complaint of not eating meat following a traumatic event. Although, eye movements are used in EMDR, nystagmus can impede the patient’s ability to maintain eye movements. After excluding additional pathologies related to the eye, alternative bilateral stimulations can be used in EMDR.

Keywords

• Adolescent
• Chidhood trauma
• EMDR
• Nystagmus

References

1. Shapiro F. Eye Movement Desensitization and Reprocessing (EMDR) Therapy: Basic Principles, Protocols, and Procedures. New York: Guilford Publications, 2017.
2. American Psychiatric Association. DSM-5 Task Force.: Diagnostic and statistical manual of mental disorders : DSM- 5. 5th ed. Washington, D.C: American Psychiatric Association, 2013.
3. Sekhon RK, Rocha Cabrero F, Deibel JP: Nystagmus types. in StatPearls. Treasure Island (FL) 2022.
4. Nash DL, Diehl NN, Mohney BG. Incidence and types of pediatric nystagmus. Am J Ophthalmol 2017; 182: 31-4. doi:10.1016/j.ajo.2017.07.006
5. Abel LA, Parker L, Daroff RB, Dell’Osso LF. End-point nystagmus. Invest Ophthalmol Vis Sci 1978; 17: 539-44.
6. Levo H, Aalto H, Petteri Hirvonen T. Nystagmus measured with video-oculography: methodological aspects and normative data. ORL J Otorhinolaryngol Relat Spec 2004; 66: 101-4. doi:10.1159/000079327
7. Ritter MS, Bertolini G, Straumann D, Bogli SY. Prevalence and characteristics of physiological gaze-evoked and rebound nystagmus: Implications for testing their pathological counterparts. Front Neurol 2020; 11: 547015. doi:10.3389/ fneur.2020.547015
8. Whyte CA, Petrock AM, Rosenberg M. Occurrence of physiologic gaze-evoked nystagmus at small angles of gaze. Invest Ophthalmol Vis Sci 2010; 51: 2476-8. doi:10.1167/ iovs.08-3241