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Ptsd treatment: Reconsolidation of Traumatic Memories

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 HouseOfPlane (original poster member #45739) posted at 3:02 PM on Tuesday, July 11th, 2023

From an article in the Washington Post titled "The Best PTSD treatment you’ve never heard of "

Google it (mods…add link?)

Established treatments such as Cognitive Processing Therapy and Prolonged Exposure have limited capacity to achieve symptom remission and loss of diagnosis, require prolonged sessions, and have dropout rates of 50 percent and higher.
In contrast, RTM requires only three to four sessions, totaling about five hours, and involves no drugs or re-traumatization. Therapists can be trained in three days, and treatment can be conducted online. Best of all, the effects last. As one veteran put it, "Who knew that you could retrain your brain in a few hours, without medication, to remove yourself from the traumatic events that have been crushing you and making you wish you would just die?"


How does RTM work? Bourke explains it like this: "The technique is actually a neurological intervention that takes a traumatic memory and restructures it using several exercises like visualizing it as a black-and-white movie. The revised memory updates the original — reconsolidation" [\quote]

DDay 1986: R'd, it was hard, hard work.

“Tell me, what is it you plan to do
with your one wild and precious life?”
― Mary Oliver

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TheEnd ( member #72213) posted at 4:04 PM on Tuesday, July 11th, 2023

It sounds similar to EMDR. Is it the same thing?

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leafields ( Guide #63517) posted at 4:42 PM on Tuesday, July 11th, 2023

I've alerted Mods regarding posting a link.

BW M 34years, Dday 1: March 2018, Dday 2: August 2019, D final 2/25/21

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StillGoing ( member #28571) posted at 4:57 PM on Tuesday, July 11th, 2023

This is not a scientifically supported therapy.

Tempus Fuckit.

- Ricky

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WalkinOnEggshelz ( Administrator #29447) posted at 5:35 PM on Tuesday, July 11th, 2023

HOP, in order to get a link approved, please send it via pm to staff.

If you keep asking people to give you the benefit of the doubt, they will eventually start to doubt your benefit.

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 HouseOfPlane (original poster member #45739) posted at 6:19 PM on Tuesday, July 11th, 2023

This is not a scientifically supported therapy.

There is a 2019 peer reviewed article titled "Reconsolidation of Traumatic Memories for PTSD: A randomized control trial of 74 male veterans" that is googleable. It is cited by more recent articles.

One of The citing articles is from 2021, "An open label randomized control of the reconsolidation of traumatic memories protocol (RTM) in military women".

Both demonstrate high efficacy.

There is currently a clinical trial ongoing. Results expected out in December. Being conducted by the military. Can be found at clinical trials dot gov site.

The End, RTM is not EMDR.

DDay 1986: R'd, it was hard, hard work.

“Tell me, what is it you plan to do
with your one wild and precious life?”
― Mary Oliver

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id 8799020
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MangledHeart ( Webmaster) posted at 6:23 PM on Tuesday, July 11th, 2023

Worry does not empty tomorrow of its sorrow; it empties today of its strength. ~Corrie Ten Boom

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 HouseOfPlane (original poster member #45739) posted at 6:31 PM on Tuesday, July 11th, 2023

HOP, in order to get a link approved, please send it via pm to staff.

Sent to you, along with links to the studies not behind paywalls.

[This message edited by HouseOfPlane at 6:46 PM, Tuesday, July 11th]

DDay 1986: R'd, it was hard, hard work.

“Tell me, what is it you plan to do
with your one wild and precious life?”
― Mary Oliver

posts: 3260   ·   registered: Nov. 25th, 2014
id 8799023
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StillGoing ( member #28571) posted at 7:24 PM on Tuesday, July 11th, 2023

My reply was worded poorly. I don't believe there is really enough evidence to say this therapy is "the best ptsd treatment" or even reliably comment on its general efficacy. It's based on legitimate science, but it is effectively directed confabulation.

I am skeptical of these kinds of treatments because revisiting a traumatic memory can reinforce the trauma if not approached properly.

I apologize for being unnecessarily harsh in my previous post.

Tempus Fuckit.

- Ricky

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 HouseOfPlane (original poster member #45739) posted at 7:38 PM on Tuesday, July 11th, 2023

You nudged me to back my assertion, so all good!

DDay 1986: R'd, it was hard, hard work.

“Tell me, what is it you plan to do
with your one wild and precious life?”
― Mary Oliver

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WhatsRight ( member #35417) posted at 1:43 AM on Wednesday, July 12th, 2023

Brief t/j…

Can someone point me in the best direction to read about PTSD. I feel I have it on some level, but because for me it pales in comparison to what some people go through, I have always hated to even mention it.

End t/j.

"Noone can make you feel inferior without your concent." Eleanor Roosevelt

I will not be vanquished. Rose Kennedy

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MangledHeart ( Webmaster) posted at 6:09 PM on Wednesday, July 12th, 2023

Worry does not empty tomorrow of its sorrow; it empties today of its strength. ~Corrie Ten Boom

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leafields ( Guide #63517) posted at 2:40 PM on Thursday, January 18th, 2024

bump

BW M 34years, Dday 1: March 2018, Dday 2: August 2019, D final 2/25/21

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 HouseOfPlane (original poster member #45739) posted at 12:47 PM on Friday, January 19th, 2024

This is an ongoing trial on RTM, seeing if it is non-inferior to another method. Says it is still open. While hosted by a military hospital, it doesn’t say it is exclusive to veterans, so perhaps access to some free care for someone struggling with PTSD from infidelity (or any other reason)?

Clinical trials

[This message edited by HouseOfPlane at 12:49 PM, Friday, January 19th]

DDay 1986: R'd, it was hard, hard work.

“Tell me, what is it you plan to do
with your one wild and precious life?”
― Mary Oliver

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leafields ( Guide #63517) posted at 6:11 PM on Saturday, July 13th, 2024

Bumped by request of OP.

BW M 34years, Dday 1: March 2018, Dday 2: August 2019, D final 2/25/21

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 HouseOfPlane (original poster member #45739) posted at 9:43 PM on Monday, July 15th, 2024

Thanks Leafields!

For those interested, here is a good paper with lots of science, but also a description of the protocol.

PTSD: Extinction, Reconsolidation, and the Visual-Kinesthetic Dissociation Protocol, Richard M. Gray1 and Richard F. Liotta1, Traumatology 18(2) 3–16, DOI: 10.1177/1534765611431835

The protocol has actually been around for 40 years, under the name Visual Kinesthetic Dissociation (V-KD). RTM riffs on it, as have other protocols (Rapid Rewind, NLP, etc.)

Here is a grab of the protocol from another paper (NLP and PTSD: the Visual-Kinesthetic Dissociation Protocol, Richard M. Gray - Fairleigh Dickinson University), which is amazingly simple.

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The V/KD procedure

The following description of the basic protocol depends upon extensive personal communications with Steve Andeas, Robert Dilts and Tim Hallbom and continued reference to their descriptions of the protocol in several written sources (Andreas and Andreas, 1989; Bandler, 1985; Dilts and DeLozier, 2000).

The procedure is relatively simple.

1 Insure that the client has a phobic type response to the stimulus or the trauma. That is, in the presence of reminders of the trauma, he must experience the quick onset of fear, panic, flashbacks; his life may be characterized by hypervigilance, he may be nervous around others, he may need to be in control and unable to feel safe; and he may have nightmares in which the trauma reappears. The protocol is inappropriate for PTSD sufferers for whom these are not the main symptoms.

2 Evoke the trauma, with or without description (most NLP interventions can be completed content free).

3 Interrupt the re-emergence of the trauma as soon as the client begins to show physiological signs of its onset. Changes in breathing, skin color, posture, pupil dilation and eye fixation are typical signs of memory access. As they appear, the state is to be broken by reorienting the client to the present, by changing the subject, redirecting their attention into a different sensory system, or firing off a preexisting anchor. However it is accomplished, it is important to stop the development of the symptoms before they take control of the client's consciousness.

4 After a few minutes away from the trauma, ask the client to think of a time before the trauma when they were doing something pleasant in a safe, neutral context.

5 Instruct the client to imagine that they are sitting in a movie theatre and that they are watching that scene on the screen.

6 Have the client imagine that they can float out of that body (in the theatre) and into the projection booth, perhaps behind a thick window, where they can watch themselves, seated in the theatre, watching the safe, neutral picture.

7 Ask the client to imagine that the movie on the screen, watched by their dissociated body seated in the theatre, becomes a black and white movie of the trauma that runs from the safe place before the trauma to a safe place after the trauma.

8 From the perspective of the safe projection booth, have the client focus on the responses of the dissociated watcher in the theatre as THEY watch the movie.

9. Repeat the black and white movie process until the client can do it with no discomfort.

10 After completing the dissociated movies, have the client imagine floating down from the projection booth and stepping into their own body that is seated in the theatre. Having re-associated into that body, let them imagine getting out of the seat, walking to the movie screen and stepping into the black and white image of the safe, neutral activity with which they ended the black and white rehearsal.

11 As the client steps into the movie screen, have them turn on the sound, color, motion, smells and tastes of the safe neutral representation on the screen. Then, instruct them to experience a movie of the trauma in full sensory detail, BACKWARDS and very quickly (two to three seconds). Let them end the movie with a still color picture of themselves in the safe, neutral place from before the problem ever started.

12 Repeat the reversed representation enough times so that it can be done easily and quickly, and the client has a sense of being comfortable. When the client can repeat the process easily with no experience of discomfort the process is finished.

13 Attempt to reactivate the trauma. Ask the client to go back to it, to think of things that normally brought the problem to life. Test for the trauma in as many ways as can be found.

14 If the client still has an experience of distress repeat the reversed movie several more times.

15 When the trauma cannot be evoked, the procedure is over.

Unlike other treatments for phobias or PTSD, the V/KD either eliminates the memory completely, or leaves the memory intact but without traumatic affect so that the client can now talk about it without distress. In other treatments, especially exposure treatments, this does not happen and the results tend to be impermanent. Why? Gray and Liotta (in press) have suggested that the mechanism of memory reconsolidation can explain these results.

DDay 1986: R'd, it was hard, hard work.

“Tell me, what is it you plan to do
with your one wild and precious life?”
― Mary Oliver

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Topic is Sleeping.
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