My shield will protect me against the ANTS: treatment of PTSD in a client with an intellectual disability.
BACKGROUND
There are limited interventions for individuals with posttraumatic stress disorder (PTSD) who also have an intellectual disability. This paper reports the successful treatment of a client with an intellectual disability who experienced PTSD following abuse in an intimate relationship. We describe the use of an innovative coping technique ("the shield") developed by the first author to allow exposure to intrusive traumatic memories.


METHODS
Treatment involved exposure, stress reduction techniques, and modified cognitive techniques.


RESULTS
After 9 sessions of therapy over 3 months, the client had experienced no flashbacks. These gains were maintained at a 5-month follow-up.


CONCLUSIONS
PTSD symptoms were successfully treated and the client reported additional improvements in overall functioning. Limitations and questions about the mechanism of action are raised.
Fernando
Kumari
K
Psychological Medicine, University of Otago, Christchurch, PO Box 4345, Christchurch, New Zealand. kumari.fernando@otago.ac.nz
Medlicott
Louisa
L
D000223:Adaptation, Psychological; D015928:Cognitive Behavioral Therapy / Q000379:methods; D015897:Comorbidity; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006801:Humans; D007360:Intelligence; D011569:Psychiatric Status Rating Scales; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult