Abstract
The incidence of traumatic brain injuries (TBI) has increased in recent years, now comprising 2.5 million emergency room visits, hospitalizations, and deaths each year in the United States. TBI is frequently a chronic condition with persisting symptoms and disability. This chapter presents a case study in which self-hypnosis, hypnosis-assisted psychotherapy, and palliative care strategies were provided within a multi-modal integrative treatment program for a 38-year-old woman with TBI secondary to motor vehicle accident. Self-hypnosis was helpful in anxiety reduction and pain management. Hypnosis-assisted psychotherapy was beneficial in desensitizing many post-traumatic memories, and in managing post-concussion pain, including neuropathic pain and post-traumatic migraine headaches. A variety of palliative care techniques and spiritual interventions were applied to enhance sleep, moderate cognitive deficits, and enhance quality of life.
This chapter is adapted with permission of the Annals of Palliative Care from a previous version that appeared as: D. Moss (2018), I hurt so: Hypnotic interventions and palliative care for traumatic brain injury. Annals of Palliative Medicine, 7(1),151–158.
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The device used was a David Paradise® device, from Mind Alive, Ltd., in Calgary.
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Possible adverse effects of audio-visual entrainment were discussed with the patient. Strobe lights can trigger onset of migraine or seizure, usually at faster frequencies. The patient agreed to trials of the AVE device in the office. In her case neither the protocol for sleep onset nor the protocol used later in her treatment for daytime alertness triggered any adverse effects.
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McGrady, A., Moss, D. (2018). A Pathways Model Approach for Traumatic Brain Injury. In: Integrative Pathways. Springer, Cham. https://doi.org/10.1007/978-3-319-89313-6_14
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