Case Histories: 3 Month Follow Up

Car collision
Pathological Grief
Barcelona Terrorist Attack
Child Abuse
Sexual Abuse
Sexual Assault
Father tried to drown his son
Rape
Bullying

 Female (with Asperger’s Syndrome) Age: 26 Date of trauma: 2016Nature of trauma: Client had a collision with another car. Client was the driver. Client suffered whiplash but other than that not physically hurt. The person in the other car suffered bruising but was not hurt otherwise. 

How has the trauma impacted the person’s life until now? Client does not want to drive. She is anxious while being a passenger when others drive. Client attended therapy because she gets highly anxious in social situations and this is because she feels “different” to other people. Socialising, making friends is difficult. She wants a partner, friendships. Client informed me about her fear of driving during one therapy session and said that it would be helpful to get the courage to drive again as she had to catch 2 buses to therapy which sometimes made her late.  Also, client finds herself feeling nervous while with her parents when her father is driving and this leads to arguments because her parents tell her to calm down and she “snaps” at them.

 Any previous therapy? Yes, but in relation to Asperger’s Syndrome.
IES before Rewind: 24.
Rewind sessions: 5 sessions after second attempt.  Client found it difficult moving forward in memory while recounting the situation. She said that she could not remember the sequence of what happened and as she tried to remember she got quite frustrated in the session saying that she thought EMDR would be better. I then helped the client ground herself using a mindfulness exercise and visualisation. I wanted to know if my client was able to use visualisation techniques. She enjoyed the relaxation and showed that she was able to use visualisation.  We did not continue with Rewind as I felt that the client wasn’t ready. During the next session, the client came with some notes. She had written down the sequence of events as she remembered them. I asked the client to visualise during the Rewind exercise and not read from the notes. The forward movement went well but Rewind was taking too long. The image of a tape being rewound was the best description that my client understood but the act of Rewind was difficult again and it took 5 attempts before the client managed to Rewind in 2 minutes. I was however, pleased that my client was calm by the end of the exercise  
IES after 2 weeks: 5.
Client said that she did not feel as anxious while driving in her father’s car. Client hoped to start driving again but felt that she needed a bit more time to gain confidence. 
IES after 2 months: 0.
Client driving to and from work. Client expressed feeling that she is like another person and that it was “an old self” who was anxious about driving. Client continued with therapy for another 6 weeks and made progress meeting new friends, socialising and joining social groups.  

Gender: Male
Age: 45
Nature of Trauma: Witnessed mother dying traumatic death in hospital
Date of Trauma: September 2019
Impact of trauma: Client has debilitating flashbacks.  He believes these are stopping him from being able to move forward with the grieving process.  Any sort of machine beeping triggers flashbacks along with certain smells.  Client wants to meet at hospital with consultant who looked after his mother but feels this would be highly triggering and therefore unable to.  Flashbacks have impacted client’s ability to run his businesses are also impacting relationship.
Previous Therapy: None
IES Date: 11.12.2019 Score: 49
Client did rewind twice.
IES Date: 24.12.2019 Score: 24  2 week follow up
IES Date: 09.03.2020 Score: 7    3 month follow up
Effect on client’s life: Client no longer experiencing regular debilitating flashbacks. Has been able to visit the hospital and meet with consultant to discuss the death.  He has been able to run businesses more effectively and feels relationship is better.  He feels he is now able to process his grief.

Gender: Male
Age: 24
Nature of Trauma: Witnessed Barcelona Terror attack
Date of Trauma: August 2017
Impact of trauma: Initially unnoticed, gradually developed flashbacks, panic attacks, paranoia about discussing trauma with others, triggers include sounds of children screaming, sounds of a van behind client.  Client started to isolate himself from friends and family by staying at home to avoid flashbacks.
Previous Therapy: None
IES Date: 21.01.2020 Score: 36
Client did rewind 3 times.  (He is a videographer and struggled at first with technical detail like which angle he should be watching it from.)
IES Date: 02.02.2020 Score: 3 2 week follow up
IES Date: 24.04.2020 Score: 1 3 month follow up (via zoom due to lockdown)
Effect on client’s life: Client has been able to go out and meet friends again without being triggered.  Feels comfortable in groups of people again. He no longer agonises over whether he should share experience with friends and new people he meets.  He has also been on skiing holiday - all of the above he never thought he would be able to do again.

Age: 51Gender: MaleDate of Trauma: Between ages 15 - 18Nature of Trauma: Childhood sexual abuse 

Impact of Trauma:Adult survivor of childhood sexual abuse.  Client supressed memories throughout adult life. Trauma memories triggered when client became ill and was diagnosed with a life limiting illness.  Client presents with severe post traumatic symptoms, low self-esteem , shame , guilt ,flashbacks, nightmares, sleep issues, memory loss, anxiety.Client has had person centred therapy in the past did not disclose this abuse. 

 Before Rewind 02/12/2019 I.E.S: Score 71

After Rewind   I.E.S: 12/05/2018 I.E.S: Score 10

3 Month follow up: I.E.S: Score 1

How has this affected the client’s life:  All trauma symptoms reduced, flashbacks and nightmares have stopped is now able to sleep in his own bed, regaining confidence and self-worth , is challenging self to make new friends and start new relationship.  Feeling empowered in control again. Blame directed at perpetrator rather than self, Self-blame, guilt and shame overcome.Client said “I went into the session full of scepticism, but I actually can’t believe the difference I am so impressed, I feel completely different now”

Male aged 55 years, employed (furloughed), married with son and step-son. Presentation: depression, obsessive-compulsive disorder, challenging job in support role has ‘taken its toll’, wants to be more ‘present’, enjoy life more, enjoy his upcoming retirement, restore relationship with step-son, ‘move on’.Events: childhood neglect, physical abuse, significant health concerns as a result. Developed health anxiety in teens and early adulthood. Married young, had son, difficult relationship between his family and his wife, found her in suicide attempt unconscious, hospital visit. Blamed himself. Second occasion years later, wife attempted suicide again, found her, hospitalised, blamed himself. Relationship with step-son broken down. Marital relationship strong, wife has recovered. He has strong need to control his environment, to prevent further events. His family unsupportive and uncommunicative, especially when wife in hospital, offered him no support during her suicide attempts. Pre-Rewind score 57Conducted discussion of Rewind technique, confirmed understood the process, carried out Rewind on his childhood memories – maternal neglect and subsequent injury, paternal relationship. Ran it three times to make sure good quality beginning and end point and progress through the memories.2 weeks later IES score 22Asked if he could do Rewind technique on wife’s suicide attempts. Work on his childhood was ‘so effective, I feel I have my life back again’, has been able to talk to his wife about his experiences whilst she was in hospital.  Conduct Rewind again. Ran it three times to make sure good quality beginning and end point and progress through the memories.6 weeks later IES score 0Client feels secure in relationship, looking forward to his retirement.

CASE BY RASA Merseyside, Liverpool 2018Age: 61Gender: FemaleDate of Trauma: 1971Nature of Trauma: historical childhood sexual abuseImpact of Trauma: Adult survivor of childhood sexual abuse, auditory flashbacks intenseand intrusive, nightmares causing fear of sleep, anxiety, depression, social anxiety,suicide ideation, guilt, shame, self-blame, low self-esteem.Any previous therapy: Client has attended various therapies over many years, CBT,various group based settings privately and through NHS.Before I.E.S: 23/07/2018 I.E.S: Score 56After I.E.S: 06/08/2018 I.E.S: Score 5How has this affected the client’s life: Notable reduction of auditory flashbacks, triggerresponse reduced, sleep improved, sense of control restored. Depression and anxietyreduced. Feels able to face every day activities.

Rewind Case - Laura Keegan RASA Merseyside, Liverpool 2018 Age: 23 Gender: Female Date of Trauma: Various ongoing 2002-2005Nature of Trauma: Childhood sexual abuseImpact of Trauma: Adult survivor of childhood sexual abuse, Client pushed awaymemories of abuse until they were triggered at the age of 22 causing severe post traumasymptoms, Anxiety, depression, eating disorder, sleep problems, study affected,concentration impaired, nightmares, flashbacks, social anxiety, self-harm, suicideideation, guilt, shame, self-blame, low self-esteem.Any previous therapy: NoneBefore I.E.S: 02/05/2018 I.E.S: Score 71After I.E.S: 16/05/2018 I.E.S: Score 93 Month follow up: I.E.S: Score 2How has this affected the client’s life: All trauma symptoms reduced, flashbacks andnightmares minimal, regaining confidence and the ability to resume studies, all 3rd yearexams passed. Feeling empowered in control again. Blame directed at perpetrator ratherthan self, Self-blame, guilt and shame overcome.Client wrote in card, “You have allowed me to re order so many emotions, and put to bedmemories that have haunted me for years. Words cannot describe how grateful I am,you’ve essentially given me my life back. I don’t feel broken any more.”

GENDER: FemaleAGE: 20DATE OF TRAUMA: Aug 2016NATURE OF TRAUMA: Sexual abuseHOW HAS THIS IMPACTED ON THE PERSONS LIFE TILL NOW:Client was sexually abused whilst attending University.Continued attending – unable to focus due to flashbacks and sleepless nights.Accessed counselling at Uni – found this difficult as continuouslytriggered throughout sessions.Horrific mood swings affecting – course work, friendships andfamily relationships. Left Uni in May 2017 as felt emotionallyunable to continue.Client spent last year at home feeling depressed as no focus to life.ANY PREVIOUS THERAPY: Counselling at university (unsure which approach)IES BEFORE REWIND: 60The Rewind sessions: how many did you actually do, that is, the actual twominutes, how many times till you felt happy to let go home, for exampletwice, three times etc.3 timesOnce you decide to use the Rewind, how many sessions per trauma did you do.1IES after Rewind: 24IES after Rewind 3 month follow up: 1How has this affected the clients life:Client immediately saw an improvement – no longer having flashbacksand nightmares, these both ended after the initial session.Relationships have improved and mood stabilised.Re-enrolled to complete final year at university beginning September 2018.

Female35DATE OF TRAUMA: Over 6-7 years, its 25 years ago since it stoppedNATURE OF TRAUMA: Sexual abuseHOW HAS THIS IMPACTED ON THE PERSONS LIFE TILL NOWIf she sees someone a similar age or who looks similarly becomes distressed. There is anactor on TV who triggers the client. Avoids things he is in on TV, flashbacks. Reacting tosituations that are unfair, which can impact on her work. Being talked down to is atrigger.PREVIOUS THERAPY No IES BEFORE REWIND 55The Rewind sessions: how many did you actually do, that is, the actual two minutes,how many times till you felt happy to let go home, for example twice, three times etc:Did rewind twice on 1st session. On second session there were still specific triggersaround the person on TV that looks like the abuser so we did a specific rewind just forthat and did that once.Also, once you decide to use the Rewind, how many sessions per trauma did you do.2 sessions for 1 trauma1 IES after Rewind : two weeks, score was 4 IES after Rewind: 3 months was score: 5 How has this affected theclients life since? At 3 monthcheck up -The client had situations arise where she thought she would trigger but found thatalthough she was aware of how she usually trigger there was no emotion coming up.On the 3 month follow up the client was aware that she maybe triggered by going backto Ireland and someone she knows talking about it so she has been thinking about itmore. Apart from that she says it isn’t there, she is not focused on it or emotional. Whenthe man comes up on TV that looks similar she gets some recognition but not emotion or any shuddering she had before.

GENDER: Female Age 26DATE OF TRAUMA: 1996/1997NATURE OF TRAUMA: sexual abuseHOW HAS THIS IMPACTED ON THE PERSONS LIFE TILL NOWFlashbacks triggering panic attacks, feeling hysterical, on one occasion violent,ANY PREVIOUS THERAPY: NoBEFORE REWIND: IES 43The Rewind sessions: (how many did you actually do, that is, the actual two minutes,how many times till) 3 timesAlso, once you decide to use the Rewind, how many sessions per trauma did you do: 1AFTER Rewind: two weeks IES 13AFTER Rewind: three months (follow up in September) IES 13HOW THIS AFFECTED CLIENT’S LIFEEven with starting new job which is not as great, feeling a bit stressed, what wouldpreviously trigger flashbacks and panic attacks, client is feeling fine, much calmerand didn’t think about the past eventsFeeling good

Gender Female. Lives independently. Works inpharmacy as an assistant. Walks to workas prefers not to drive unlessnecessary.Age 29Date of trauma 3/4/2004Nature of Trauma Client was abused by father from aged 8but this trauma is isolated at age 14. Onoccasions he would take her out in thecar and drive fast. If he had beendrinking her would rape her thenbecome violent and client spoke of aspecific time when he hit her headagainst the dashboard of the car andshe thought she would not survive theordeal.How has this impacted on the person’slife until now?Panic and heart palpitations at timeswhen driving in her car. Flashbacksstrong. Can cause client to need to pullto side of road and vomit. Triggers arespeed, specific wooded local areaswhich cause imagined smell of alcohol.Will avoid specific trigger areas ifpossible causing diversions which canincrease travel distance and may causelateness for appointments. Walking ispreferred. Sleeping can be affectedwith violent dreams and nightmarescausing extreme tiredness andirritability.Any previous therapy? Yes, counsellingIES before Rewind 60The Rewind Sessions. How many didyou actually do, that is the actual 2minutes, how many times until you felthappy to let go home; for exampletwice, three times etc?twiceAlso, once you decide to do therewind, how many sessions pertrauma did you do?1IES after Rewind (2 weeks) 11IES after 3 months 2How has this affected the client’s life? Can drive along same roads withoutexperiencing flashbacks. Has animproved driving experience; morepleasurable.Does not get sense of nausea at all. Can drive direct to places without having to reroute. Hasbought a new car! Sleeping is more restful and in general terms she feels more in control of her life and therefore happier.

Age 61Gender: FemaleDate of Trauma: 1971Nature of Trauma: historical childhood sexual abuseImpact of Trauma: Adult survivor of childhood sexual abuse, auditory flashbacksintense and intrusive, nightmares causing fear of sleep, anxiety, depression, socialanxiety, suicide ideation, guilt, shame, self-blame, low self-esteem.Any previous therapy: Client has attended various therapies over many years,CBT, various group based settings privately and through NHS.Before I.E.S: 23/07/2018 I.E.S: Score 56After I.E.S: 06/08/2018 I.E.S: Score 5How has this affected the client’s life: Notable reduction of auditory flashbacks,trigger response reduced, sleep improved, sense of control restored. Depression andanxiety reduced. Feels able to face every day activities.Since the Rewind I have not once thought aboutthat moment and even when I have come intocontact with my brother that it involved I havemanaged to stay calm and stable. Miracle. (Clienttestimonial). Further update from mother19/04/18, relationship much improved, nowenjoys spending time with brother and girlfriend,she is a lot less lonely now too.Impact on person’s life

Male AGE: 42 DATE OF TRAUMA: 1980 - 1990IMPACT TO LIFE: Client experienced prolonged intra familia sexual abuse and has struggled in adulthood with anger, poor self-concept and alcohol abuse. This has led to the break-down of his marriage and poor relationship management with his child. He experiences flashbacks, poor sleep and bouts of anger culminating in violent outbursts for which he is then remorseful knowing it is misplaced. He also struggles with the loss of his mum and aunt and cannot engage with the grieving processes as he struggles with the trauma of the childhood abuses.
Multiple trauma work
ANY PREVIOUS THERAPY: CBT, PCT
IES SCORE PRIOR TO REWIND: 58
REWIND SESSIONS, HOW MANY DONE BEFORE THERAPIST HAPPY 2 MINUTES HAD BEEN ACHIEVED AND CLIENT WENT HOME: 7 HOW MANY REWIND PER TRAUMA WAS AGREED UPON: 1 
IES AFTER REWIND – TWO WEEKS: 13 
IES AFTER REWIND – THREE MONTHS: 3
EFFECT TO CLIENTS LIFE AFTER REWIND: Client reports sleep has improved as has the general feelings around the abuse he sustained and is able to assist his brother in care for elderly father without anger now, though this is done remotely. He reports no bouts of angry aggression which has resulted in relationship building with his ex-wife and contact with his child. He has also addressed his drinking habits and this has seen a marked improvement. He has undertake n a number of short courses and secured a part time job.

Female22DATE OF TRAUMA: Over 5 years, its 5 years ago since it stoppedNATURE OF TRAUMA: Sexual abuse/ RapeHOW HAS THIS IMPACTED ON THE PERSON'S LIFE TILL NOWUnable to trust men, anxious and jumpy, believes it will happen again, lacks confidence and avoids going out. Angry and aggressive if challenged and falling out with manager and colleagues at work. Suffers from flashback and nightmares. Triggers: being around or near people who are associated with the abuser or the abuser himself. PREVIOUS THERAPY YES - Counselling and has seen several counsellorsIES BEFORE REWIND – Score 38The Rewind sessions: how many did you do, that is, the actual two minutes,how many times till you felt happy to let go home, for example twice, three times etc:Did Rewind Technique once at the first session. A second session was not required.At the two weeks follow up session no rewind was required. The client was happy and explained they had said out loud in a conversation to her new partner that “that it will never happen again…” and cried for some time thereafter and then felt good. She no longer feels anxious or angry about the experience and has walked past her abuser in the local high street with her head held high. session 2 was 51 IES after Rewind: two weeks, score was 5IES after Rewind: 3 months was score: 3How has this affected the client’s life since? At the 3rdcheck-up:The client was well in mind and body, taking good care of herself. She said the abuse no longer occupies her mind and is not triggered by seeing those associated with the abuser and her emotions are under control. The nightmares and flashbacks have stopped. She appeared more confident in herself.

Nature of Trauma: Sexual assaultImpact of Trauma: Guilt, shame, self-blame, social anxiety, depression, panic attacks,self-harm, suicide ideation, isolation from friends/family. Lack of concentration,impact on studies, trust issues, low self-esteem, questioning own sexuality. Flashbacks, nightmares and sleep affected.Any previous therapy: noneBefore I.E.S: 09/04/2018 I.E.S: Score 60After I.E.S: 23/04/2018 I.E.S: Score 353 month follow up 12/08/2018 I.E.S: Score 3How has this affected the client’s life: Correctly placed the blame with the perpetratorrather than own self, able to study, passed all final exams, does not blame self for “gettinginto the situation” as they previously did. Able to talk about what happened and accesssupport with friends, reducing isolation, started to go out socially with friends again,feels secure in own sexuality, flashbacks under control, can now access the memory as amemory rather than an intrusive thought. Sleep problems reduced and nightmares notpresent. Working on trust issues. Feels more confident in self.

Female Age in her twneties  Date of trauma: 2016  Previously had had 6 sessions of counselling which helped reduce some symptoms.
Impact of trauma: occupied entire thoughts, nightmares, flashbacks, anxiety, constantly trying to manage anxiety to carry on with life, uncomfortable in social situations scanning the room/group and looking for escape roots.

IES score before Rewind: 51
IES score 2 weeks after Rewind: 24
IES score 3 months after Rewind: 14
Impact of treatment: no nightmares, no involuntary recall, relaxed in social situations, the event is now not disrupting life. The client says, “it has been remarkable. I’m surprised how much it has changed. It’s a relief. I wish this [Rewind] could have happened sooner.”

Age: 50Gender: MaleDate of Trauma: 1982Nature of Trauma: Sexual assaultImpact of Trauma: Guilt, shame, self-blame, anxiety, depression, panic attacks, suicideideation, isolation, trust issues, low self-esteem, triggers, Flash backs, nightmares andsleep affected.Any previous therapy: CBTBefore I.E.S: 18/09/2018 I.E.S: Score 70After I.E.S: 09/10/2018 I.E.S: Score 1How has this affected the client’s life: Score of 1 in last week’s session reflects the resultof rewind, told me that after 30 plus years of intrusive thoughts he has not thought aboutthe assault once in the last 2 weeks, unless he tried to, sleep and general mooddramatically improved, no trigger response reported. Feels he cannot believe it hasreally worked. Generally more positive overall, will continue therapy.

Age: 22Gender: FemaleDate of Trauma: November 2017Nature of Trauma: Sexual assaultImpact of Trauma: Guilt, shame, self-blame, social anxiety, depression, panicattacks, self-harm, suicide ideation, isolation from friends/family. Lack ofconcentration, impact on studies, trust issues, low self-esteem, questioning ownsexuality. Flash backs, nightmares and sleep affected.Any previous therapy: noneBefore I.E.S: 09/04/2018 I.E.S: Score 60After I.E.S: 23/04/2018 I.E.S: Score 353 month follow up 12/08/2018 I.E.S: Score 3How has this affected the client’s life: Correctly placed the blame with theperpetrator rather than own self, able to study, passed all final exams, does notblame self for “getting into the situation” as they previously did. Able to talk aboutwhat happened and access support with friends, reducing isolation, started to goout socially with friends again, feels secure in own sexuality, flashbacks undercontrol, can now access the memory as a memory rather than an intrusive thought.Sleep problems reduced and nightmares not present. Working on trust issues. Feelsmore confident in self.

43 year old female. In 1985 she was repeatedly sexually assaulted by a male relative. She was 9 at the time.This impacted on her life making it difficult for her to trust men and to constantly feel that she as not good enough or worth anything. She through herself into her school work and excelled, becoming the first person in her family to go to University. She settled down and married her husband, who is kind and caring, but she always kept this part of herself secret as she felt that she was damaged.She never sought any help but suffered constant flashbacks and nightmares. She was unable to return to the area that she grew up in as it made her feel physically sick. When her father was sick, she took a 50 minute detour in an already 3 hour journey, so that she could avoid the area that these incidents happened in.Impact of Event Scale on 15/05/2018 scored at 49.We did three rewinds during our session.Impact of Event Scale on 05/06/2018 scored at 12.Impact of Event Scale on 24/01/2019 scored at 12. (I was unable to carry out this scoring earlier as the clients father was sick and she was travelling and then he died and she was away).The client does not think about this part of her life unless she chooses to do so. She has no nightmares or flashbacks in relation to this and after the rewind, she was able to drive straight through the area she grew up in and shorten her journey. She had avoided this area for over 25 years and did not feel any anxiety.

Sexual assault by babysitters boyfriend:
Age: 44 Gender: Female Date of trauma: 1983Impact of trauma: Single incident. Threatened with death, strangled to point of feeling dizzy and felt trapped in her own home.Lasting problems: Trust issues, hypervigilant, inability to form relationships with men especially, emotional dis-regulation, maladaptive coping techniques in form of deliberate self-harm and suicide attempts. Jane also becomes consumed with thoughts of child abuse when she hears stories in the news and feels she should be able to help people in some way. Inability to have normal sexual relationships due to flashbacks and night terrors of the event which left her feeling her life was in danger.Previous therapies: No previous therapiesIES before therapy: 61IES 2 weeks after initial therapy session: 2 How affected by rewind: 2 weeks – Jane reported that the night terrors are now gone, and she has no preoccupation of thoughts of abuse.2 Months – Janes relationships have improved, she feels closer to husband and is able to be intimate without intrusive thoughts. Jane has not self-harmed in 2 months and reports she feels she has no need to. Jane has started volunteering and has even reported a reduction in pain from her physical illnesses.

FATHER TRIED TO DROWN HIS SON
Gender: Male Age: 16 
Date of trauma: 2008Nature of trauma: Child abuse/ father tried to drown him
How has this impacted on the person’s life until now? Experienced significant abuse and neglect as a child as father was aggressive and a bully. Would be physically violent towards him. Dad no longer lived with him and left when he was around six years old. Client couldn’t control his anger and would have intrusive thoughts about the time his father attempted to drown him in a bath. This impacted his whole life and was causing issue in his relationships at home and with his girlfriend. We spent a few sessions exploring the anger and helping him to be in abetter sta5e with this.
Any previous therapy? None
IES before Rewind: 56
The Rewind sessions: How many did you actually do, that is, the actual two minutes, how many times till you felt happy to let go home, for example twice, three times etc. 2
Also, once you decide to use the Rewind, how many sessions per trauma did you do? 1
IES after Rewind: two weeks : 5
IES after Rewind: 3 months: 0
How has this impacted the client’s life? After completing the rewind, at the following session he described feeling a lot more calm and relaxed, he noticed he was no longer anxious anymore and was able to not feel so jealous in his relationship with his girlfriend. He was no longer having thoughts about what happened daily, which he started was for the fist time ever. We decided to end therapy the following week after a conversation with his mum during the following week, as he felt he no longer needed to come and his life had improved. After 3 months No return or need for therapy, client is happy and going to college, he is still with his girlfriend and their relationship has got better as a result of him coming to see me. Clients stats that he longer feels nagry anymore or has any intrusive thoughts or flashbacks about the incident.

Age: 20Gender: FemaleDate of Trauma: December 2016Nature of Trauma: RapeImpact of Trauma: PTSD, Fear, social anxiety, severe depression, self harm, suicidalintent, panic attacks, dissociation, flashbacks intense and intrusive, nightmares, eatingdisorder, shame, self-blame, low self-esteem. Triggered previous mental health issues.Loss of job and relationships with family and friends. Unable to work at all, unable toleave the house alone.Any previous therapy: Client under care of psychiatrist and local area mental healthteam. Talking therapies previously attended.Before I.E.S: 16/04/2018 I.E.S: Score 42After I.E.S: 30/04/2018 I.E.S: Score 2413/05/2018 I.E.S: Score 4How has this affected the client’s life: Trauma symptoms reduced, reported feeling lessfear, able to take the dog for a walk to the end of the road and back alone, flashbacksreduced, nightmares reduced, gaining control of panic attacks and anxiety overall, ableto recognise own needs, generally more in control, more positive outlook for the future,reduced negative coping strategies, does not feel the need to harm self and suicide intentgreatly reduced. Able to engage in other therapies with the view to overcome eatingdisorder.

Gender Female. Lives at home with mother and step father. Has close relationship with mother (needs to be with her at all times) tolerates step father. Has older biological sister whom she findsirritating and overbearing. Did work in elderly care but now is unemployed.Age 19Date of trauma 30/6/17Nature of Trauma Client was born with epilepsy whichreduced with age however, anexperience of rape by a recent andabusive (now ex) partner retriggeredseizures and extreme panic attacks.Client then lived in complete fear thatshe would die whilst experiencingone. She refused to go anywherewithout her mother for protection.How has this impacted on the person’slife until now?High anxiety, hand tremors, panicattacks, fears of going anywherewithout mother, loss of employment.Arguments at home due to step fatherand sister feeling resentful about lackof money coming into house as clientdoes not work.Any previous therapy? NoIES before Rewind 65The Rewind Sessions. How many didyou actually do, that is the actual 2minutes, how many times until you felthappy to let go home; for exampletwice, three times etc?TwiceAlso, once you decide to do therewind, how many sessions pertrauma did you do?1IES after Rewind (2 weeks) 19IES after 3 months 0How has this affected the client’s life? Increased confidence andindependence, no hand tremors orpanic attacks. Has part time job.Improved relationships with all andfeels more calm in general life.

Age: 28Gender: FemaleDate of Trauma: October 2017Nature of Trauma: RapeImpact of Trauma: PTSD, Fear, depression, avoidance symptoms, mild panic attacks, flashbacks,intrusive memories, nightmares, intense shame, self-blame, emotional dysregulation.Difficulties with current relationship, sexual issues, loss of desire to go out with friends (fear of goingout at certain times/to certain places)Any previous therapy: None for this specific issue.Before I.E.S: 11/05/2018 I.E.S: Score 63After I.E.S: 13/06/2018 I.E.S: Score 907/11/2018 I.E.S: Score 8How has this affected the client’s life: Trauma symptoms reduced, no flashbacks, very few otherreexperiencing symptoms, nightmares significantly reduced, much less shame and self-blame, goodemotional regulation.Significant decrease in relationship and sexual issues, able to go out with friends whenever/wherever.

17 year old female. On 31/12/2017 she was raped whilst attending a Christmas Party at a friend’s house. She was 16 at the time of the incident.This impacted on her life leaving her disconnected, highly anxious and trying to escape the flashbacks and memories by engaging in risky behaviours such as illegal drug taking.Initially the client did not tell anyone about the incident, and when she did try to talk to someone about it she felt that she was not believed and that it was her own fault and that maybe she had made a mistake.She went to CAMHS and had six sessions of CBT which she found to be patronising and unhelpful.Impact of Event Scale on 22/05/2018 scored at 67.We did four rewinds during our session.Impact of Event Scale on 12/06/2018 scored at 13.Impact of Event Scale on 20/09/2018 scored at 8.The client has no flashbacks or nightmares related to this event. These stopped immediately after the rewind on 22/05/2018. She is no longer taking any illegal drugs and is looking forward to starting University in September.

GENDER:Female AGE: 19DATE OF TRAUMA: 2017
IMPACT TO LIFE: Client experienced rape by two perpetrators. She experiences flashbacks, panic attacks and anxiety to the extent that she often cannot leave her bedroom. She has also reported previous self-harm and episodes of depression from the event. She is fearful that they are coming to get her again and does not wan to go out and is struggling to function and enjoy her life as a young woman. She wants to go out with friends and study at University, learn to drive but feels unable to face the world.
ANY PREVIOUS THERAPY: No
IES SCORE PRIOR TO REWIND: 58
REWIND SESSIONS, HOW MANY DONE BEFORE THERAPIST HAPPY 2 MINUTES HAD BEEN ACHIEVED AND CLIENT WENT HOME:5
HOW MANY REWIND PER TRAUMA WAS AGREED UPON: 
1IES AFTER REWIND – TWO WEEKS: 10
IES AFTER REWIND – THREE MONTHS: 2
EFFECT TO CLIENTS LIFE AFTER REWIND: Client reports that panic attacks are now limited to rare events and she has the ability to ‘talk to them’ before they control her or stop her from doing what she wants. She has had no more time off work and doesn’t stay in her room and feels safe to go where she wants and wear what she wants. She no longer has sleep disturbances. She is looking at college courses for after her return from travelling. She also has a boyfriend and enjoys going out with friends.

Gender: female Age:26 Date the trauma/traumas occurred: 2009 Nature of the trauma: raped by friend How this has impacted on the person's life till now: episodes of dissociation where she became very aggressive and had no awareness afterwards of what she had done, also episodes of dissociation associated with experiencing strong and distressing emotions, suicidal ideation, intrusive and unwanted suicidal thoughts and low self-esteem.Any previous therapy and how did it go, how long for: many episodes of counselling and CBT, but no permanent relief from feeling worthless, low and distressedIES before Rewind: 55The Rewind sessions: 2 to get it rightDid you need to retreat your client at the next appointment: no she was happy with outcome.IES after Rewind: 8 Impact of the Rewind on the person’s life: Has stopped having intrusive thoughts about killing herself, manages stress at work but better, increased resilience, no disassociation, has had thoughts of the event but no distressing emotions attached to them.

Female AGE: 22 DATE OF TRAUMA: August 2014 NATURE OF TRAUMA: Rape HOW HAS THIS IMPACTED ON THE PERSONS LIFE TILL NOW I thought about it almost daily and had disturbing dreams about it too. It felt like it was always in my mind and I was reminded of it often. It was clear in my mind when thinking about it, as if it had happened only yesterday. ANY PREVIOUS THERAPY Counselling only at University - Unhelpful IES BEFORE REWIND: 56 The Rewind sessions: How many did you actually do, that is, the actual two minutes, how many times till you felt happy to let go home, for example twice, three times etc. Twice and one check of the Rewind Also, once you decided to use the Rewind, how many sessions per trauma did you do? OneIES after Rewind: two weeks 14 IES after Rewind: 3 months 1How has this affected the clients life Almost straight away, it felt far away. I still think about it sometimes, but by choice, so it doesn’t just pop into my head. I can no longer see it clearly in my mind as if his face has become blurry to me. I feel a lot lighter, like a burden has been lifted off my shoulders. TOTAL NUMBER OF SESSIONS 1

Age: 50 Date of trauma: Lifetime issues of trauma and recent family trauma.Nature of trauma: Bullying, isolation, death of grandchild.How has this impacted on the person’s life until now? Low self worth, people pleasing,discounting self, recent trauma resulted in hitherto unexperienced anger which alarmedclient hugely as it felt ‘out of character’.Any previous therapy? No previous therapy of any kind.IES before Rewind: 63The Rewind sessions:How many did you actually do, that is, the actual two minutes, how many times tillyou felt happy to let go home, for example twice, three times etc.Session 1 - rewind x4. First x2 run through’s, client felt hadn’t done it correctly. By 3rdand 4th run through, client felt differently and had got the hang of it. Calm after 4 runthrough’s.Also, once you decide to use the Rewind, how many sessions per trauma did youdo? Client did not want to divulge which issue was being worked on, but seemed togain composure with self, somehow, as we continued. I guessed only one traumawas being worked on.IES after Rewind : two weeks; 0. Client’s attitude to the trauma was so altered that itwas difficult for client to remember why it had not been resolved before now.IES after Rewind: 3 months; 0How has this affected the client’s life? Client felt better about self than ever before inlifetime. No further therapy needed. Was able to stand up for self with regards topreviously unresolved family issues.

Age: 62 Date of trauma: 45 years +++ and 8 years ago.Nature of trauma: Childhood bullying issues, extreme anxiety to the point of isolation.Workplace bullying.How has this impacted on the person’s life until now? No sense of self worth, avoidancetactics, frequent panic attacks, sleeping problems.Any previous therapy? Lots of therapy from age 20 to the present day.IES before Rewind: 52The Rewind sessions:How many did you actually do, that is, the actual two minutes, how many times tillyou felt happy to let go home, for example twice, three times etc.Session 1 - rewind x4Also, once you decide to use the Rewind, how many sessions per trauma did you do? Ihad intended to rewind in 2 weeks but client refused. Felt it made things worse.IES after Rewind : two weeks; I am guessing it would probably be the same.IES after Rewind: 3 months; Client refused again to rewind or do the form.How has this affected the client’s life? No change.This was not a success story. Client is highly fearful and resistant.

Gender FAge 22Nature of trauma Bullying and violence by elder brotherHow impacted in client’slifeShe could not be in the same room as himwithout becoming upset, shaky, angry andfrustrated.Previous therapy NoneIES and date 52 on 24/11/17Rewind session detail This was my first rewind. I explained it all andthen asked her to explain it back to me toensure she completely understood.We did one Rewind.Amount of sessions given OneIES and date 1 on 08/12/17IES and date 1 on 23/03/18

Client description 18 years old, lives with mum and dad. Studyingfor ‘A’ levels. Bright high achiever, wants to do the‘right thing’ for parents.Date of Trauma 2014/15. Bullied at school by members of herpeer group.Symptoms Felt socially isolated and avoided social situations.Was engaging in OCD behaviours and thinking.Became phobic about staying away from homeand had a great deal of difficulty going to sleepwithout her mum being around.IES before rewind 55Active rewind session 1Score after rewind 6Score after three months 3Post rewind She is now able to stay away from home withno problems. She has a supportive friendshipgroup and can go to sleep alone and even stayalone in the house. She is not doing OCDbehaviours or thinking.

16 year old female. She was relentlessly bullied from the age of 6 to 16.This client cut herself off from people as she felt unable to trust anyone of her peer group. She suffered nightmares and often her mother would have to sleep with her in order for her to settle and get any sleep at all. This was impacting on her ability to focus in lessons and she was worried as her GCSE’s were about to start.The client had not spoken to anyone about her experiences other than to say she had been bullied. Once she felt confident enough to hand over the names of the bullies, we were able to stop this from continuing.Impact of Event Scale on 27/02/2019 scored at 50.We did three rewinds during out session.Impact of Events Scale on 27/003/2019 scored at 7.Impact of Events Scale on 02/07/2019 scored at 8.This client is now able to sleep through the night without her mother laying with her. The nightmares stopped immediately after the rewind on 27/02/2019. She is able to focus in school and feels more confident and happy that she will do well in her GCSE’s.

Female
AGE: 34
DATE OF TRAUMA: 1992
IMPACT TO LIFE: Client reported trauma from bullying as a child which resulted in long fear of food and eating in general. Anxiety of eating anything other than three items. Unable to eat as a family and impact to children resulting in guilt and shame. Experiencing panic attacks when in public situations involving eating. Also impacting sleep patterns, nightmares and flashbacks of retching through eating in restaurants or in public. Depression and low self-esteem.
ANY PREVIOUS THERAPY: Yes, CBT, Hypnotherapy
IES SCORE PRIOR TO REWIND: 48
REWIND SESSIONS, HOW MANY DONE BEFORE THERAPIST HAPPY 2 MINUTES HAD BEEN ACHIEVED AND CLIENT WENT HOME: