Ad de Jongh

psychologist | professor of anxiety and behavioral disorders | PSYTREC | driven | mission: to give people good treatments for their fears (Complex) PTSD |

[Ad de Jongh @AdJongh]

A new study shows that a strong therapeutic alliance does not depend on having one fixed therapist. Even in intensive trauma-focused treatment for #PTSD with rotating therapists, a meaningful alliance can be built and maintained.

The alliance also appears closely linked to symptom change: higher symptom severity may weaken the later alliance, while a stronger alliance predicts greater subsequent symptom reduction.

Importantly, unresolved tensions or conflicts in treatment were associated with both weaker alliances and poorer outcomes.
https://t.co/z2NKEfr2kw

[Ad de Jongh @AdJongh]



+3

This problem may not so much about psychopathological symptoms (e.g., depression or psychotic symptoms) but rather about what created these symptoms. Research conducted by Yvette Hendrix and colleagues showed that early trauma-focused (i.e. EMDR) therapy is an effective, safe treatment for reducing postpartum posttraumatic stress disorder (PTSD) symptoms following a traumatic birth. The study showed that early intervention significantly improves mental health, bonding, and reduced fear of childbirth. https://t.co/kGMi6E5Kps

[Ad de Jongh @AdJongh]

A new, comprehensive meta-analysis provides strong support for the application of intensive treatment for PTSD (especially at 270 min. per week), but also for individual adjustments to the protocol.
https://t.co/FVgsArOhba

[Ad de Jongh @AdJongh]

Childhood adversity isn’t just a risk factor but it may drive personality disorders. A large longitudinal study (N=8,199) shows ACEs, especially emotional abuse/neglect, strongly predict PDs, ↑ risk for borderline PD ×5. Supports trauma-focused treatment (e.g. #EMDR), even without PTSD.

[Ad de Jongh @AdJongh]

A new meta-analysis based on 40 studies showed that EMDR therapy was associated with reductions in symptoms of depression and anxiety compared with control conditions in adults and adolescents. Reductions were generally larger for anxiety, although the difference was not statistically significant. Follow-up findings indicated that benefits were generally maintained over time.
https://t.co/e0ZuDsVWZc

[Ad de Jongh @AdJongh]

We are happy to hear that our review article on #EMDR therapy has been so well-read. If you haven't seen it yet, and are interested in an up-to-date overview of the mechanism of action and the scientific research, you can find it here. @sharifelleithy
https://t.co/NHXTvMKuQn

[Ad de Jongh @AdJongh]

Conceptualising borderline personality disorder as a disorder of maladaptive memory processing shifts the therapeutic focus toward the effective processing of traumatic experiences which
may prove to be a central mechanism in achieving broad and durable changes in borderline personality pathology. https://t.co/yniyFgFgzK

[Ad de Jongh @AdJongh]

@CernaDusha @PM_ViktorOrban @ZelenskyyUa Grok: "No credible evidence supports claims of him owning dozens of luxury homes abroad, and multiple fact-checks have identified such allegations as disinformation, often originating from pro-Russian sources."

[Ad de Jongh @AdJongh]

@SabourinTherapy Buying our book on case conceptualization for EMDR therapy is a great idea. It will help you make efficient choices and expand your options for applying EMDR therapy. I am sure you will enjoy reading it!

[Ad de Jongh @AdJongh]

New study (n=6,125) finds that starting trauma-focused psychotherapy for PTSD while using psychotropic medication is linked to reduced therapeutic gains. The strongest negative associations appeared for antidepressants. https://t.co/lEbUF7WxdC

[Ad de Jongh @AdJongh]

@deepwatrcreatur Thank you. I realize that old-school therapists don't immediately and automatically welcome new developments - albeit scientifically sound - and often see them as a threat rather than an inspiration.

[Ad de Jongh @AdJongh]

This is absolute nonsense, Melissa. See the results of this randomized controlled trial where only and specifically trauma-focused treatment was used. https://t.co/jbWIcVB2k2 Treatment for people with BPD and PTSD and those without PTSD was found to be equally effective, and this with a treatment protocol of only 10 sessions.

[Anwer Khan @deepwatrcreatur]

@romyromy21_ Oh you mean reconnecting to the current environment, where there are no guns. This technical language can get really tricky

[Ad de Jongh @AdJongh]

Thank you for the feedback. I apologize for the erroneous tone, but unfortunately, I often encounter therapists who give clients an incorrect message that isn't based on available evidence-based knowledge. This reference is new and based on a recent trial. Therefore, my message was actually meant to inspire hope.

[Ad de Jongh @AdJongh]

New study (n=6,125) finds that starting trauma-focused psychotherapy for PTSD while using psychotropic medication is linked to reduced therapeutic gains. The strongest negative associations appeared for antidepressants. https://t.co/lEbUF7WxdC

[Ad de Jongh @AdJongh]

🚨 Nieuwe studie over PTSS-behandeling
Bij 6.125 patiënten bleek psychofarmaca bij start van traumagerichte psychotherapie (EMDR + PE) samen te gaan met aanzienlijk minder behandelwinst. Dit gold zelfs na correctie voor 27 baseline-variabelen.

Met target trial emulatie en causale machine learning werden de sterkste negatieve associaties gevonden voor antidepressiva—met name amitriptyline en mirtazapine—en vergelijkbare patronen voor anticonvulsiva, antipsychotica en Z-drugs. De effecten hielden stand tot 6 maanden follow-up.

Opvallend: sommige effecten waren groter dan die van SSRI-monotherapie, de huidige eerstelijns farmacologische behandeling voor PTSS.

🔗 https://t.co/lN9yZiwy2C

[Ad de Jongh @AdJongh]

Even with people with low IQ and severe behavioral problems it is possible to conduct intensive trauma-focussed therapy using #EMDR therapy with a team of rotating therapists. https://t.co/yHupPoRQmU

[Ad de Jongh @AdJongh]

Important study! EMDR therapy, but also IMRs and imaginal exposure, do not have negative effects on memory, as is sometimes suggested. https://t.co/bpGHq2nNaV

[Youssef Kobo @Youssef_Kobo]

Greta Thunberg,
wereld’s bekendste activiste

-gestript
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Door Israëlische soldaten.

Geen enkele reactie v Westerse pers & politieke klasse

Zijn er nog mensen die geloven i/h fabeltje v/d Westerse normen & waarden?

[Ad de Jongh @AdJongh]

"Een langdurige, reguliere behandeling (dialectische gedragstherapie) voor persoonlijkheidsstoornissen voegt niets toe aan een relatief korte traumagerichte behandeling met #EMDR therapie": prof Slotema op de #Psychologenconferentie in Heiloo.

[Ad de Jongh @AdJongh]

Op de #Psychologenconferentie in Heiloo spreekt prof. Slotema. Zij laat zien dat een traumagerichte behandeling enorm effectief is bij de behandeling van persoonlijkheidsstoornissen.