Lessons learned from V.R.E.t. with 200 accident victims: a review of 50 consecutive cases

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David Walshe Cork, Ireland

description

Lessons learned from V.R.E.t. with 200 accident victims: a review of 50 consecutive cases. David Walshe Cork, Ireland. Literature review of accident victims. Diagnosis at 1 year post accident (Mayou R 2001) Accident Phobia 17% P.T.S.D. 17% - PowerPoint PPT Presentation

Transcript of Lessons learned from V.R.E.t. with 200 accident victims: a review of 50 consecutive cases

Page 1: Lessons learned from V.R.E.t. with 200 accident victims: a review of 50 consecutive cases

David WalsheCork, Ireland

Page 2: Lessons learned from V.R.E.t. with 200 accident victims: a review of 50 consecutive cases

Diagnosis at 1 year post accident (Mayou R 2001)

Accident Phobia 17%

P.T.S.D. 17%

G.A.D. 18%

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Combination VR software +video games effective Walshe et al (2003)

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‘tweaking the systemIncreasing immersionrate from 50% to 92%

Walshe et al (2005)

taping sessions useful Walshe et al (2006)

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QuickTime™ and aYUV420 codec decompressor

are needed to see this picture.

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Sex: M 14, F 36

Age: 25-77 yrs Mean = 44 yrs

VR range 4-25 Mean = 7 sessions

Drop outs = 16

More than 1 dx = 30 (60%)

Litigants= 34/50 (68%)

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Page 8: Lessons learned from V.R.E.t. with 200 accident victims: a review of 50 consecutive cases

60% >1 diagnosis(P.T.S.D., anxiety disorder,

depression, panic disorder,)

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Pharmacotherapy taped imaginal

exposure E.M.D.R.

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Drop-outs Anxiety factors V.R.E.T. can be counter-

productive

Compensation factors (68% litigants)

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Expect success from VRET 70% ‘non phobic’ if

complete treatment but warn of possibility of

residual anxiety

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‘Exposure in vivo’ or V.R.E.T. Driving

exposure

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link with driving instructor ? +

virtual car? - better software for

VR/games + ‘px’. video games

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