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Treating PTSD: The Movie Theater Technique | Bruce Teall | TEDxFlourCity


[Music]

[Music] [Applause]

[Applause]

[Applause] well I’m so glad to see you all here

well I’m so glad to see you all here

well I’m so glad to see you all here right this afraid it was gonna be like a

right this afraid it was gonna be like a

right this afraid it was gonna be like a middle-school concert where by the end

middle-school concert where by the end

middle-school concert where by the end there’d be like four sad parents I’m

there’d be like four sad parents I’m

there’d be like four sad parents I’m gonna be talking about veterans and

gonna be talking about veterans and

gonna be talking about veterans and treating post-traumatic stress disorder

treating post-traumatic stress disorder

treating post-traumatic stress disorder obviously veterans aren’t the only

obviously veterans aren’t the only

obviously veterans aren’t the only people that have trauma or get PTSD and

people that have trauma or get PTSD and

people that have trauma or get PTSD and I’m sure pretty much everybody here has

I’m sure pretty much everybody here has

I’m sure pretty much everybody here has some connection to trauma unfortunately

some connection to trauma unfortunately

some connection to trauma unfortunately either directly or through somebody they

either directly or through somebody they

either directly or through somebody they know but to set a context in a study

know but to set a context in a study

know but to set a context in a study that was published just last year on

that was published just last year on

that was published just last year on treating veterans with PTSD it was

treating veterans with PTSD it was

treating veterans with PTSD it was reported that 11 percent of the veterans

reported that 11 percent of the veterans

reported that 11 percent of the veterans in Vietnam continued to report

in Vietnam continued to report

in Vietnam continued to report debilitating symptoms of PTSD forty

debilitating symptoms of PTSD forty

debilitating symptoms of PTSD forty years after the war imagine we have

years after the war imagine we have

years after the war imagine we have soldiers right now that are still

soldiers right now that are still

soldiers right now that are still getting PTSD this means that 10% of the

getting PTSD this means that 10% of the

getting PTSD this means that 10% of the people that serve our country all the

people that serve our country all the

people that serve our country all the way back from Vietnam through Iraq

way back from Vietnam through Iraq

way back from Vietnam through Iraq Afghanistan and 40 years into the future

Afghanistan and 40 years into the future

Afghanistan and 40 years into the future may continue to suffer with flashbacks

may continue to suffer with flashbacks

may continue to suffer with flashbacks nightmares insomnia panic attacks hyper

nightmares insomnia panic attacks hyper

nightmares insomnia panic attacks hyper vigilance and all the other symptoms of

vigilance and all the other symptoms of

vigilance and all the other symptoms of PTSD so let’s start by looking at the

PTSD so let’s start by looking at the

PTSD so let’s start by looking at the current research a study that was just

current research a study that was just

current research a study that was just published in January

published in January

published in January looking at the three first-line psycho

looking at the three first-line psycho

looking at the three first-line psycho therapies for PTSD reported that of

therapies for PTSD reported that of

therapies for PTSD reported that of those people that finished the study the

those people that finished the study the

those people that finished the study the people that finished treatment

people that finished treatment

people that finished treatment approximately 35% of them generally no

approximately 35% of them generally no

approximately 35% of them generally no longer met criteria for PTSD now that’s

longer met criteria for PTSD now that’s

longer met criteria for PTSD now that’s actually a very good result for most

actually a very good result for most

actually a very good result for most interventions now they didn’t report how

interventions now they didn’t report how

interventions now they didn’t report how many sessions were involved in them and

many sessions were involved in them and

many sessions were involved in them and they did report the drop

they did report the drop

they did report the drop Rachel would sometimes was quite high

Rachel would sometimes was quite high

Rachel would sometimes was quite high sometimes the dropout rate was as high

sometimes the dropout rate was as high

sometimes the dropout rate was as high as 39% but I’d like to compare those

as 39% but I’d like to compare those

as 39% but I’d like to compare those results to the movie theater technique

results to the movie theater technique

results to the movie theater technique in the first published results by the

in the first published results by the

in the first published results by the research and recognition project 97% of

research and recognition project 97% of

research and recognition project 97% of the participants that completed

the participants that completed

the participants that completed treatment no longer met criteria for

treatment no longer met criteria for

treatment no longer met criteria for PTSD they were in complete remission

PTSD they were in complete remission

PTSD they were in complete remission there since has been to different

there since has been to different

there since has been to different replication studies one with male

replication studies one with male

replication studies one with male veterans and one with female veterans

veterans and one with female veterans

veterans and one with female veterans and in both cases they had similar

and in both cases they had similar

and in both cases they had similar results and finally we just finished an

results and finally we just finished an

results and finally we just finished an even larger even more more robust study

even larger even more more robust study

even larger even more more robust study that was grant a grant in New York State

that was grant a grant in New York State

that was grant a grant in New York State now the final results are in but every

now the final results are in but every

now the final results are in but every indications once again the efficacy was

indications once again the efficacy was

indications once again the efficacy was well over 90% so how is this possible

well over 90% so how is this possible

well over 90% so how is this possible how can there be such a difference well

how can there be such a difference well

how can there be such a difference well oddly enough it starts with the

oddly enough it starts with the

oddly enough it starts with the realization that PTSD and phobias have

realization that PTSD and phobias have

realization that PTSD and phobias have the same basic underlying structure

the same basic underlying structure

the same basic underlying structure overwhelming responses that occur in the

overwhelming responses that occur in the

overwhelming responses that occur in the present are connected to traumatic

present are connected to traumatic

present are connected to traumatic events in the past okay

events in the past okay

events in the past okay that’s say like a dog phobia most people

that’s say like a dog phobia most people

that’s say like a dog phobia most people that have a dog phobia we’re probably

that have a dog phobia we’re probably

that have a dog phobia we’re probably scared by a dog when they were a little

scared by a dog when they were a little

scared by a dog when they were a little kid probably not bad dog but nonetheless

kid probably not bad dog but nonetheless

kid probably not bad dog but nonetheless sorry it’s the Internet age it couldn’t

sorry it’s the Internet age it couldn’t

sorry it’s the Internet age it couldn’t resist once you realize that you can use

resist once you realize that you can use

resist once you realize that you can use phobia treatments it changed the

phobia treatments it changed the

phobia treatments it changed the landscape quite a bit now the movie

landscape quite a bit now the movie

landscape quite a bit now the movie theater phobia technique was actually

theater phobia technique was actually

theater phobia technique was actually developed by Richard Bandler and John

developed by Richard Bandler and John

developed by Richard Bandler and John grinder and first published in 1979

grinder and first published in 1979

grinder and first published in 1979 since then we’ve learned an awful lot

since then we’ve learned an awful lot

since then we’ve learned an awful lot about how the brain works and because of

about how the brain works and because of

about how the brain works and because of that the research and recognition

that the research and recognition

that the research and recognition project was able to develop an

project was able to develop an

project was able to develop an experimental protocol called the

experimental protocol called the

experimental protocol called the reconsolidation of traumatic memory or

reconsolidation of traumatic memory or

reconsolidation of traumatic memory or the RTM protocol now the brain process

the RTM protocol now the brain process

the RTM protocol now the brain process at work here is called reconsolidation

at work here is called reconsolidation

at work here is called reconsolidation theory most of us are familiar with

theory most of us are familiar with

theory most of us are familiar with consolidation theory that’s the idea

consolidation theory that’s the idea

consolidation theory that’s the idea that over time short-term memories

that over time short-term memories

that over time short-term memories consolidate under certain circumstances

consolidate under certain circumstances

consolidate under certain circumstances become long-term memories okay

become long-term memories okay

become long-term memories okay reconsolidation theory builds on that

reconsolidation theory builds on that

reconsolidation theory builds on that but it has kind of a twist basically it

but it has kind of a twist basically it

but it has kind of a twist basically it turns out when you access one of these

turns out when you access one of these

turns out when you access one of these long-term memories especially the

long-term memories especially the

long-term memories especially the emotional content they become labile or

emotional content they become labile or

emotional content they become labile or changeable for a little while and then

changeable for a little while and then

changeable for a little while and then they reconsolidate into a new permanent

they reconsolidate into a new permanent

they reconsolidate into a new permanent long-term memory

long-term memory

long-term memory imagine your brains like a commute a

imagine your brains like a commute a

imagine your brains like a commute a computer and we keep our memories in a

computer and we keep our memories in a

computer and we keep our memories in a file folder okay what we’re saying is

file folder okay what we’re saying is

file folder okay what we’re saying is you can pull a file out of the out of

you can pull a file out of the out of

you can pull a file out of the out of the folder open it up in an application

the folder open it up in an application

the folder open it up in an application like Photoshop change the memory itself

like Photoshop change the memory itself

like Photoshop change the memory itself and then refile it back into long-term

and then refile it back into long-term

and then refile it back into long-term memory so if you can change the memory

memory so if you can change the memory

memory so if you can change the memory what do you change well with a movie

what do you change well with a movie

what do you change well with a movie theater technique we actually focus on

theater technique we actually focus on

theater technique we actually focus on the structure of the memory not the

the structure of the memory not the

the structure of the memory not the content so to explain that let me offer

content so to explain that let me offer

content so to explain that let me offer you a couple of thought experience for

you a couple of thought experience for

you a couple of thought experience for the first one I’d like you to think of

the first one I’d like you to think of

the first one I’d like you to think of one of your favorite foods it doesn’t

one of your favorite foods it doesn’t

one of your favorite foods it doesn’t really matter what it is as long as it’s

really matter what it is as long as it’s

really matter what it is as long as it’s something that you really like but to be

something that you really like but to be

something that you really like but to be honest experience tells me that it’s

honest experience tells me that it’s

honest experience tells me that it’s probably pizza in the ace of spades so

probably pizza in the ace of spades so

probably pizza in the ace of spades so what am I going to do is for a second

what am I going to do is for a second

what am I going to do is for a second just make an image of your favorite food

just make an image of your favorite food

just make an image of your favorite food in your mind’s eye and if you’re most

in your mind’s eye and if you’re most

in your mind’s eye and if you’re most like most people you’ll notice that it’s

like most people you’ll notice that it’s

like most people you’ll notice that it’s a color picture okay now I don’t know if

a color picture okay now I don’t know if

a color picture okay now I don’t know if you remember knobs okay we used to have

you remember knobs okay we used to have

you remember knobs okay we used to have knobs on TVs and there was one called

knobs on TVs and there was one called

knobs on TVs and there was one called the color knob and you can take that

the color knob and you can take that

the color knob and you can take that knob and if you turned it down the

knob and if you turned it down the

knob and if you turned it down the picture would become black and white

picture would become black and white

picture would become black and white with the younger folks here it’s kind of

with the younger folks here it’s kind of

with the younger folks here it’s kind of like filters and Instagram so what I’d

like filters and Instagram so what I’d

like filters and Instagram so what I’d like you to do is once again think of

like you to do is once again think of

like you to do is once again think of the favorite food start out with the

the favorite food start out with the

the favorite food start out with the color picture turn it down to black and

color picture turn it down to black and

color picture turn it down to black and white and notice how your experience

white and notice how your experience

white and notice how your experience changes most of the time people report

changes most of the time people report

changes most of the time people report that it seems a little less tasty a

that it seems a little less tasty a

that it seems a little less tasty a little less compelling I’ll give you

little less compelling I’ll give you

little less compelling I’ll give you another example with the roller coaster

another example with the roller coaster

another example with the roller coaster what I’d like you to do is imagine

what I’d like you to do is imagine

what I’d like you to do is imagine riding a roller coaster so you’d be

riding a roller coaster so you’d be

riding a roller coaster so you’d be sitting have a seat in the front of the

sitting have a seat in the front of the

sitting have a seat in the front of the car and you could see the track going up

car and you could see the track going up

car and you could see the track going up in front of you

in front of you

in front of you then the bar comes down and to going up

then the bar comes down and to going up

then the bar comes down and to going up the hill you might even feel a little of

the hill you might even feel a little of

the hill you might even feel a little of the anxiety really excitement contrast

the anxiety really excitement contrast

the anxiety really excitement contrast that with the same memory but step out

that with the same memory but step out

that with the same memory but step out of it so you can see the roller coaster

of it so you can see the roller coaster

of it so you can see the roller coaster in the distance imagine yourself getting

in the distance imagine yourself getting

in the distance imagine yourself getting on the car and then it starts to go up

on the car and then it starts to go up

on the car and then it starts to go up the hill to do it’s a little bit

the hill to do it’s a little bit

the hill to do it’s a little bit different right it’s almost like it’s

different right it’s almost like it’s

different right it’s almost like it’s somebody else doing it over there so

somebody else doing it over there so

somebody else doing it over there so what we’re gonna do is we’re gonna take

what we’re gonna do is we’re gonna take

what we’re gonna do is we’re gonna take those pieces and we’re gonna combine

those pieces and we’re gonna combine

those pieces and we’re gonna combine them to make kind of a stripped-down

them to make kind of a stripped-down

them to make kind of a stripped-down version of the movie theater technique

version of the movie theater technique

version of the movie theater technique so you can see what it’s like we start

so you can see what it’s like we start

so you can see what it’s like we start out by having a client tune into the

out by having a client tune into the

out by having a client tune into the memory that was traumatic just briefly

memory that was traumatic just briefly

memory that was traumatic just briefly and then rating the level of intensity

and then rating the level of intensity

and then rating the level of intensity between zero to ten then we have them

between zero to ten then we have them

between zero to ten then we have them imagine a movie theater in their mind so

imagine a movie theater in their mind so

imagine a movie theater in their mind so that they’re sitting in the theater okay

that they’re sitting in the theater okay

that they’re sitting in the theater okay and they can see the movie screen up

and they can see the movie screen up

and they can see the movie screen up ahead they imagine the memory as a movie

ahead they imagine the memory as a movie

ahead they imagine the memory as a movie up on the screen and once again you make

up on the screen and once again you make

up on the screen and once again you make it black and white so now they’ve

it black and white so now they’ve

it black and white so now they’ve stepped out of the memory it’s in black

stepped out of the memory it’s in black

stepped out of the memory it’s in black and white and then to make it even more

and white and then to make it even more

and white and then to make it even more distant we have imagined floating up to

distant we have imagined floating up to

distant we have imagined floating up to the projection booth so they can look

the projection booth so they can look

the projection booth so they can look down to feed themselves in the seats and

down to feed themselves in the seats and

down to feed themselves in the seats and then that them down there looks at the

then that them down there looks at the

then that them down there looks at the younger them up on the screen now they

younger them up on the screen now they

younger them up on the screen now they review that memory enough times that it

review that memory enough times that it

review that memory enough times that it starts to get down to a zero believe it

starts to get down to a zero believe it

starts to get down to a zero believe it or not at that point it will

or not at that point it will

or not at that point it will reconsolidate so that now the long-term

reconsolidate so that now the long-term

reconsolidate so that now the long-term memory no longer has any effective

memory no longer has any effective

memory no longer has any effective charge on and when they get triggered or

charge on and when they get triggered or

charge on and when they get triggered or when they remember the event

when they remember the event

when they remember the event there’s no PTSD symptoms left at all now

there’s no PTSD symptoms left at all now

there’s no PTSD symptoms left at all now the fact that we changed the memory

the fact that we changed the memory

the fact that we changed the memory directly okay and we changed the

directly okay and we changed the

directly okay and we changed the structure of the memory allows us to get

structure of the memory allows us to get

structure of the memory allows us to get much stronger effect that lasts much

much stronger effect that lasts much

much stronger effect that lasts much longer time in fact all the results of

longer time in fact all the results of

longer time in fact all the results of 97% were in only three sessions on

97% were in only three sessions on

97% were in only three sessions on average and there was zero dropout rate

average and there was zero dropout rate

average and there was zero dropout rate now unfortunately I don’t think that

now unfortunately I don’t think that

now unfortunately I don’t think that wars or trauma are gonna stop anytime

wars or trauma are gonna stop anytime

wars or trauma are gonna stop anytime soon that’s why I think the movie

soon that’s why I think the movie

soon that’s why I think the movie theater

theater

theater technique is so important we can’t stop

technique is so important we can’t stop

technique is so important we can’t stop trauma of the suffering that’s caused by

trauma of the suffering that’s caused by

trauma of the suffering that’s caused by PTSD doesn’t need to continue

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