PRI, vivre inspiré par l’amour, la compassion et en connexion

PRI Clinical Practice Examples

Anxiety disorder

Floor (23, pre schoolteacher). Suffering from panic attacks for two years, hours of crying a few times a week and she didn’t meet with her friends anymore. In 7 sessions she was able to see that her panic attacks were actually a defence against feeling the old pain she suffered as a small child when her parents got divorced. The panic attacks and the hours of crying stopped and she started seeing her friends again.

Ally. (man, 45). Vulnerable for psychosis Institutionalized twice. Fear of recurrence because he perceives the psychosis comes unexpectedly and that it is out of his control. He is afraid to step into relationships. After 27 sessions he has a grip on the luxating moments (the symbolic situations that cause the psychosis) and on his behavior. He has prevented a psychosis himself and is now in a loving relationship.

Johanna (34, mother of two kids, successful job). Had fear of flying. After 7 sessions she dared to fly. In the plane she could use the PRI-tools to deal with the upcoming fear. On the return-flight she could even enjoy flying.

Daisy (7), fear of losing her parents all the time, and therefore having trouble going to school. She was afraid to sleep and was suffering from compulsive behavior, checking constantly if her parents were not angry with her and that she was not doing anything wrong. EMDR did not work. Parents preferred not to use medication. In 4 PRI sessions it becomes clear what was hidden under this fear and her complaints disappeared.

Anabelle (66). Suffering from daily panic attacks. Various therapies and anxiety medication did not help. Feeling suicidal. In a few PRI sessions the panic attacks dissolved. She enjoys life without fear and no longer needs medication.

Ietje (woman in her early 50’s). Therapist for children and young adults. Severe anxiety and sleeping problems 10/10 since young dog in their family. As a result of this anxiety her world became smaller and smaller. Avoiding everything. Result of PRI therapy: 14 sessions. She feels good! Brings the dog to a kennel if she needs to in case of work or holiday. Sleeps much better and if not, that is no problem and she feels and knows that she can work, be a mom, can live anyway! She feels powerful. And her husband experiences the difference, they have found a better balance in their relationship and the intimacy has improved.

Nina. (44, physiotherapist). Extreme anxiety; submissive to her partner and employer. Freezes when she perceives she might have made a mistake. After 28 sessions she feels strong, she can have connected communication with her partner and her employer, also about more difficult subjects. She turned out to be very talented in communication. Her professional career has taken a flight.

Merel is a 19-year old student Geography. She suffered from a depression when her boyfriend broke up with her 4 years ago. Now every time she’s dating a boy, she feels so much stress she can’t sleep, is not able to concentrate on her studies and is afraid he will leave her. After 17 sessions Merel is able to be in a relationship without stress and is enjoying it. She’s able to recognize her fear and insecurity as a defence mechanism and is able to reverse them.

Ernie (financial controller). Afraid of going for his ambitions and of showcasing his talents at work. Remained in a job way below his potential because this was the safe option. Also picking up the slack for colleagues. After 25 sessions he knows what wants, found his strength. He applied for a high profile management position and was chosen after a rigorous selection. He now empowers his colleagues, instead of doing their work for them. And he is making further steps in his career.

Isis (22). Suffering from emetophobia (fear of vomiting) for several years. As a result of this she avoids being alone at home, travelling in public transport, visiting ill people and she asks her boyfriend or mother for help several times a day when she thinks she’s getting sick. She tried several therapies without result. In 13 sessions she is no longer afraid of vomiting. She’s able to travel with public transport, feels relaxed at home and doesn’t need reassurance from her boyfriend or mother anymore.

Anna (17). Suffered from stress and almost had to give up her studies. Fear of failure. Only achieved high marks but was never feeling good enough. So at a young age it seemed like she had to give up her studies and head for a burnout. With the help of PRI she gained insight into the real motivation behind her behavior it help her to feel that that even a 10 would not be good enough and that this mechanism was counterproductive, could lead to burnout and was the cause of het tiredness. She now studies psychology with a lot of pleasure and time to do fun things as well.

Dick (46, managing director art school) has anxiety for public speaking. The night before a presentation he cannot sleep. After 23 sessions, he is no longer anxious, is sleeping like a baby the night before he has to do his public speaking and he is now even enjoying it.

Bram (22, student). Severe anxiety attacks when going to school. 10 sessions. Many friends and enjoying his classes now.

Romy (35). Suffering from worrying and obsessive thoughts that her children (8 and 10) are having an accident. 15 sessions. Can now let her children play freely and can even leave them alone for a while

Andrew (46, financial manager) Had a fear of speaking in public. He avoided chats or presentations. This became too much for him. Mindfulness did not work, the fear remained. In 7 sessions it became evident that underneath the fear was the perception of being laughed at which was a perception stemming from his childhood. After PRI therapy he now enjoys public speaking.

Estelle (41), Yoga teacher suffering from severe backpain, panic attacks and the disability to have a lasting relationship. History of substance abuse in her twenties. 12 years of hospital visits, specialists (abroad as well), alternative medicine and therapists. Discovered in 25 sessions the effects of a narcistic father and absent mother in her youth, along with alcohol tendencies and violence. She is 100% free from her backpain and addictions. The panic attacks have disappeared.

Martine (65) is suffering from panic attacks several times a day since she decided to move in with her boyfriend and giving up her own place. She tried medication for a couple of weeks, but that didn’t help her enough. She kept ruminating several hours a day whether to move or stay at her own place.
In 16 sessions she learned how to apply PRI. The ruminating stopped, 2 times a month she still feels some fear, but is able to stop it. She was able to make a choice suitable for her instead of doing what she thoughts was expected from her, which made her feel liberated.  

Sacha. Mother of 2 children. Germaphobic, cleaning every day and on the brink of divorce because she perceives her husband does not support her. After 27 sessions the compulsive
cleaning has stopped, she only cleans twice a week now and experiences her husband as the loving and supporting father and partner that he is. They are now happily married and have four daughters.

Depression

Peter (46). Severe depression and psychiatric hospitalization after multiple relationship break ups. After half a year of PRI, Peters depressive feelings disappeared. He is in a steady loving relationship.

Jodie (39) , woman with low self-esteem and recurring clinical depression. 24 sessions made her recognize the source of the depression and taught her how to prevent it from happening again. She connected to her heart, her true self and found her creativity. She has made a career switch from a commercial job to working for a non profit organization.

Joel (69), widower, lost his wife 5 years ago. Suffered from depression since then. Had already done gestalt therapy, psychotherapy, family constellations. After 5 PRI sessions picked up his life again by reconnecting with other people, doing activities that fulfil him.

Edie (40, woman, social worker). Feeling depressed on her days off and during weekends and holidays. Relational problems. After 28 sessions she no longer spends days in bed, enjoys her holidays and spends her days off with her partner.

Joris (35). His life has come to a standstill. He does nothing but play computer games all day long. He lives on social benefits and has suicidal thoughts. After 38 sessions he now has a job, is feeling happy, doing sports, making new friends and will soon be moving in with his girlfriend. He is no longer gaming.

Helene (58, secretarial job). Depression and disrupted contact with adult children due to great guilt. 25 sessions. Wonderful contact with children and free from guilt.

Self Esteem

Thacus, (55, man). Burnout. Working 60 hours a week always feeling inferior and inadequate. Thinking about quitting work. After 23 sessions Th. now knows what his strengths are. He has the hours under control and knows that he is appreciated. He has gone back work in a job that matches with his talents and he enjoys life, at work and at home.

Issy (30). TV host. Looking radiant on TV but feeling empty inside. In 19 sessions she found out that she became a TV host to be appreciated. She stopped working for television and now has a low profile job to finance her studies the become a child psychologist. She is also in a loving relationship and has a one-year-old daughter

Edwin (40, project manager). Feelings of inferiority and fears to have black outs at work, not being able to speak. 35 sessions. Gives presentations in his team and feels appreciated by colleagues.

Burn out

Paul (30). Suffered severe burn-out. Had problems sleeping, depressive complaints, lost his concentration, wasn’t able to work. He experienced a lot of stress to do things right in his work and in life. Peter came from a family with a strict authoritative father and a hard working submissive mother. Stress score at the start of therapy was 9/10, emotional wellbeing: 3. Therapy was completed after 17 sessions with stress score 2/10 and well-being score 9/10. 

Elly, (44 nurse, team leader). Has been afraid of her entire life. Works long hours to overcompensate. Is afraid of and has experienced burnout three times. 24 sessions gave her self confidence; she is no longer avoiding difficult situations and works normal hours.

Sonia (29) adopted from India when she was 1 year old. Severe burn-out-complaints. Had tried several therapies. Had sleep problems, depression. Not able to work. In PRI-therapy she could feel and relive the abandonment of her mother when she was a baby. Stress score at the start of therapy was 9/10, emotional wellbeing 3/10. Therapy was completed after 18 sessions with stress score 3/10 and well-being score 8/10 She went back to work, started education in the field of empowering kids and started dating.

Lisette (60, manager). Severe forgetfulness and burnout. 18 sessions. Restored to reintegration and ability to concentrate.

Jacobien, (48, managing director). Burnout, 2nd time. 35 sessions. Outcome: Energy level like never before, but with feeling her limits in her body. Enthusiastic without exhaustion. Made promotion in her work as a managing director. Uses her (female) strength in her male management team and is acknowledged for it. Open for a new relationship without fear. Very angry at her husband. 15 sessions. Very happy with the results because her energy levels are good, she is much more relaxed and often a lot less angry at her husband. Their relationship improved incredibly. She enjoys her kids more and can decide what is good for her to do in her life in every way and what not.

The basis of PRI therapy: evidence-based building blocks, clinical practice experience and initial research results.

Agression

Carol (38, mother). She has a lot of anger. She starts preaching to and punishing her children when they do not behave the way she wants them to. After 11 sessions she recognizes the upcoming anger and can often prevent taking this out on her children. She managed to reduce the outbursts from occurring daily to once every two weeks. Her children are more relaxed and there is more harmony and joy in the family.

Fleur (36, mother of 2 boys of 4 and 6 years old). Everyday anger towards the children that they put "an apple" on her. During the weekends, she is reluctant to be with them. In the sessions it became clear which old pain was touched upon. And how she perceived that her children were manipulating her.

Medical specialist (58). Serious anger outbursts at the idea of being rejected by his partner. 30 sessions. Has anger under control and has faith in his relationship

Julie (28, professional horse trainer), has problems with raising her three sons. She tends to get agitated several times during the day and shuts off to her boys or gets really mad. During 20 sessions she gets insights on how desperate she felt as a little girl when her aggressive father went berserk in his anger and her mother left the house and her as well. Raising her “wild and enthusiastic” boys made her now realize the reflection of her old reality where there was no one that helped her during her father’s rages. She has revealed her traumatic youth and healed it, so she can be wild with her sons and simply “guide” them as their mother.

Borderline Personality Disorder

Daantje (38). Experiences fear and distrust and has suicidal thoughts. She is afraid to go out on the street, is always at home and constantly argues with her partner. After 35 sessions she no longer has suicidal thoughts, she now goes out on her own and the arguing has almost stopped.

Sexual dysfunctions

Lenie (32), experiencing sexual problems. Suffering from vaginismus. Is afraid to have children. 34 sessions. Vaginismus in complete remission, gave birth to a daughter and is feeling happy now.

Mery (28). Has sexual problems (vaginismus)and distrusts her boyfriend. She is constantly checking up on him, by checking his phone. After 18 sessions her relationship has improved, in intimacy restored and she is no longer afraid he will leave her for another woman. She has almost completely stopped checking up and they are now living together.

Dysfunctional relationships / domestic violence

Bobby, (40). Is cheating on his wife. He does not understand why. He loves his wife very much. Their relationship is about to fall apart. After 19 sessions he has understands the dynamics and recognizes the luxating moments. He has stopped cheating on his wife. And he is actively working on restoring her confidence.

Pim (47, account manager). Stuck in destructive relationship; fear of not complying with the perfect picture. 15 sessions. Happily divorced and true to himself.

Elsa (32). She is trapped in a violent relationship being abused by her husband. Suffering bruises and fractions. She perceives this is all her fault. She starts therapy without her husband knowing and is afraid to tell him. Afraid of what he might do to her. The husband refuses therapy. He says she is to only one to blame. After 21 sessions she asks the police to help her leave her abusive husband and moves to a secret address with her children. After another 20 sessions, she meets a loving man. She still has work to do but is well underway of restoring self-esteem to normal and building confidence.

Eating disorders

Catherine (18). Suffered from severe anorexia, on the edge of dying. Stopped eating and drinking all together, in spite of 5 years of clinical therapy. In 12 PRI sessions she learned to beat her anorexia. Her weight is normal, she feels good in general and has resumed her studies.

Annemiek (31, lab technician). Social phobia and binge eating. 20 sessions, meets up with friends and has her eating pattern under control.

Christel (15), underweight. Anorexia. Doesn’t eat or just some fast food. Because that's soft and she can't swallow. In therapy she finds out of a past where, as a two-year-old girl, she underwent an open palate surgery after she had been abandoned and lived in an orphanage. Eating and swallowing ‘hard food’ wasn’t possible then and being alone with that touched her deeply at this young age. Now she can feel that old pain, her disturbed relationship to food can heal again. This insight became clear in only 2 PRI sessions.

Noah (12), had stopped school and eating, needed urgent hospital care. Forced probe feeding. She managed to escape from the hospital with suicidal thoughts. Panic attacks about getting fat, especially to get thick cheeks. Not eating enabled her not to feel the old pain where she was laughed at as a little girl in general and was humiliated for being a bit chubby. Her therapist mirrored, full of compassion, that her ’not eating behavior’ would definitely lead to her death. That she recognised the ‘self-hijacking' by the anorexia voice, but that voice wasn’t speaking the truth.This ended the denial. The outlook of dying, slowly building her trust and being temporarily in a foster-family, helped her to make her decision to stay alive at all cost. And then to gain trust in eating again.  

Cindy (43) Boulimia. 20 years of daily purging. PRI helped Cindy develop healthy eating habits. The purging stopped.

Amber (17), tends to be underweight for the past four years. Eats less and less. Anorexia is minatory. Tends to skip meals and takes daily laxatives. Body temperature drops dangerously. Sleeps worse due to worries and tension. CBT does not work. Is able to see with the help of PRI that her anorexia of "not eating" is about not "daring to feel". Once she discovers that her mother couldn’t stand her neediness as a baby and even reacted with repulsion towards her, she understands why she had fear, feeling her own needs. The road is now free again to feel, eat and live! She starts to menstruate again. She recovers from her anorexia, thus preventing her from being admitted to the clinic.

Addiction

Jonathan (40). Successful career but feeling like an empty shell. Suffered recurring lung infections. Drinking. Earlier cognitive therapies were without lasting effect. PRI uncovered the structural violence by father of which he previously had no memory. Jonathan is now at peace with himself, self-confident, freed from addictions.

John (51), experienced pilot, married 22 years with two children and secretly addicted to cheating and adultery during long distance flights. Always averse to psychology and therapists. Was forced by his wife to participate in therapy to save their marriage. In 30 sessions discovered the effects of WWII on his parents who both resided in Japanese camps. In therapy he discovered a total emotional neglect in his early youth which led him to feeling extremely abandoned in his adult life during his travels and seeking comfort with other women. This need has stopped completely now.

Eric (59), Entrepreneur-CEO and seeking help for his burn-out and alcoholic behavior. Visited several other therapists which made him an ‘experienced client’. Discovered how his strongly religious father was unable to see and treat him as a child instead of continuous worshipping of the lord. Has been looking for ‘a father’ all his life and working so hard in order to get the compliments that he missed so much as a young boy. He has sold his company now and enjoys a quieter life as a board advisor.

Marga (32, accountant), problems with excessive daily masturbation and unable to express her feelings to others. In 10 sessions able to discover how her mother’s deafness, lead her to give up trying to reach her in the early years of her life. As an adult woman, she was now able to feel what she could not feel as an infant. The need for masturbation has stopped and the way she expresses herself now, staggered her partner and children. It made him fall in love again, according to himself.

Medically unexplained symptoms

Paul (54, manager) experiencing headaches after his workday, for most of his life. In three therapy sessions the origin of the headaches became clear, his father denigrating of him as a child. He no longer experiences headaches.

William (61, catholic priest) suffers from panic attacks and daily severe backpain in the morning when waking up (strong medication). Discovers in 19 sessions the effects of his violent mother who regularly punished him by locking him up in a small dark cupboard in which he couldn’t move or see. Understands now that nighttime and his (tight) bedsheets reflects exactly his old reality which was cleverly erased from his early memory. He is completely free from panic attacks and backpain has evolved in stiffness without any medication.

Estelle (41, yoga teacher) suffering from severe backpain, panic attacks and the disability to have a lasting relationship. History of substance abuse in her twenties. 12 years of hospital visits, specialists (abroad as well), alternative medicine and
therapists. Discovered in 25 sessions the effects of a narcistic father and absent mother in her youth, along with alcohol tendencies and violence. She is 100% free from her backpain and addictions. The panic attacks have disappeared.

Jacqueline (40, teacher), monthly migraine attacks, fear of rejection, 12 sessions. Migraine attacks disappeared, relaxed at work and in private.

Mary (42), was always feeling tired, despite a long sleep, dropped out at work. Suffered from Pfeiffer often, developing into possible CFS. Client finds out that she fears "not being able to cope with life and the day," finds its origin in adverse childhood experience. She no longer needs to sleep long hours and has resumed her work.

The basis of PRI Therapy: evidence based building blocks, clinical practice experience and initial research results.

Dr. Tjarda van Sliedregt, PhD (May 2019)

Past Reality Integration (PRI) is a relatively new innovative method. In which both the problem in the here and now is dealt with, as well as the actual underlying cause explained, using concrete, easy to master tools.
PRI builds on building blocks of existing therapies that have long been proven in research. It deals with destructive emotions and thoughts in the present and tackles the underlying cause that lies in (early) childhood.
Good results are achieved with PRI therapy in clinical practice. People experience that they not only feel better during PRI therapy, but also master the tools they can use for the rest of their lives when they feel uncomfortable. This gives people much more control over their lives. Initial research shows promising results. We are still working hard to set up a major study with RCT design.

The basis of PRI consists of evidence-based elements

PRI (Past Reality Integration) is a relatively new form of treatment developed by psychologist Ingeborg Bosch (Bosch, 2000, 2003, 2007, 2010, 2012, 2015). In the field of therapeutic approaches, PRI positions itself in the middle between cognitive behavioural therapy (CBT) on the one hand and psycho-dynamically oriented movements on the other.

PRI contains elements from existing treatment methods, such as CBT including de-conditioning, exposure in vivo, exposure in vitro and cognitive restructuring. PRI has in common with cognitive behavioural therapy that it is aimed at tackling destructive thoughts and emotions by teaching people to ultimately respond healthier in daily life. The importance of cognition and behaviour in the present is central to the approach.

PRI is also related to the ideas of psycho-dynamically oriented therapies in connection with (early) childhood trauma’s and the associated defence mechanisms. It is becoming increasingly clear that early childhood stress plays a central role in the development of psychopathology in a broad sense. Early childhood stress and trauma not only appear to underlie the development of post-traumatic stress disorder (PTSD), but also affect self-regulation, mood and behaviour. (Anda et al., 2006; Gilbert et al., 2009; Beijers et al., 2014; Silberman et al., 2015; Lappin, 2017).

At PRI we assume that every person has stored negatively or negatively processed negative experiences from (early) childhood. This can be stressful experiences where the child's environment is not well able to fulfil the child's needs, such as when a parent is overloaded and not available to the child. In serious cases it can be traumas such as sexual abuse, violence and physical or emotional neglect. With PRI, this early impact is tackled and processed.

The starting point for PRI is that when something in the present (unknowingly) touches upon a repressed painful childhood experience, old, now unnecessary survival mechanisms (defences) are activated. These survival mechanisms are called fending, because an old painful event is unknowingly fended off. The event in the now is wrongly perceived as potentially dangerous because it is automatically coloured by the repressed painful experience of the past. Attention is focused on the event in the present, while an alarm is basically raised on an unprocessed old experience (Bosch 2000, 2003).

With PRI, five different defences are distinguished (see Table 1). For a substantiation of the psychological and physical consequences of the various defence mechanisms, see the book "Illusions" by Ingeborg Bosch (2003).

Table 1

The five PRI defence mechanisms

Fear (F):
Feeling anxious, nervous or tense while there is no immediate real threat. The coloured perception makes us believe that there is danger and initiates an avoidance reaction. Can lead to panic and anxiety disorders, phobias and migraine among other things.
Primary defence (PD):
Being convinced that there is something wrong with ourselves, in response to an event outside of us that evokes old repressed feelings. Can evoke gloom and feelings of inferiority and ultimately lead to depression.
False hope (FH):
A sense of urgency is evoked that encourages action, usually aimed at doing things well, which ultimately often comes at the expense of yourself. Can lead to stress related diseases such as burnout and RSI complaints.
False power (FP):
Feelings of anger come up, condemning the other. This can lead to verbal or physical aggression, but also to cynicism and withdrawal behaviour.
Denial of needs (DoN):
Events in the present are treated rationally without feeling emotions. People can live very badly in their heads and tend to say that everything is fine and that they don't need anything. May lead to addictions (alcohol, drugs, gambling addiction, game addiction) and eating disorders (anorexia, bulimia).

Unique to PRI therapy is the awareness and analysis of the event in the present, which activate destructive thoughts and destructive emotions. As a result, contact can be made with the unprocessed underlying stressful experiences from (early) youth. As a result, these old conditioned survival responses of the child can be replaced by functional responses that fit the present (cognitive restructuring and de-conditioning). The emphasis is proportionately on cognition, feeling and behaviour. Attention is paid to both physical and psychological sensations and feelings.

Various meta-analyses and reviews on the effect of different forms of CBT and therapies on a psychodynamic basis have been published. The different therapies seem to work equally well. (Ost, 2008; Leichsenring & Rabung, 2011; Barth et al., 2013; Hunot et al., 2013; Abbass et al., 2014; Keefe et al., 2014; Driessen et al., 2015; Kivlighan et al. , 2015; Thoma et al., 2015; Lilliengren et al., 2016; Draijer & Langeland, 2017). Because PRI contains proven building blocks of both therapy flows, it is likely that PRI is at least as effective as standard treatment (CBT).

Research

Good results are achieved with PRI therapy from clinical practice. People experience that they not only feel better during PRI therapy, but also get the tools they can use for the rest of their lives to use when they feel uncomfortable. This gives people much more control over their lives.
Of course we want to make the effects visible in a major study. We have conducted a number of investigations, but they have not yet been published. We would prefer to conduct a major study with an RCT-like research design. But this is practically difficult to achieve. Of course we are working hard to finally get this done. The previously conducted research is supporting this. And provides a basis for further development.

1. Observational prospective research

Good results are achieved with PRI therapy from clinical practice. People experience that they not only feel better during PRI therapy, but also get the tools they can use for the rest of their lives to use when they feel uncomfortable. This gives people much more control over their lives.
Of course we want to make the effects visible in a major study. We have conducted a number of investigations, but they have not yet been published. We would prefer to conduct a major study with an RCT-like research design. But this is practically difficult to achieve. Of course we are working hard to finally get this done. The previously conducted research is supporting this. And provides a basis for further development.

2. Investigate treatment of depression in a mental health care institution

In a mental healthcare institution, a controlled non-randomized study was conducted with people diagnosed with depression who were treated with PRI therapy compared to cognitive behavioural therapy (CBT).
This exploratory study shows that PRI therapy can work well for people with depressive symptoms who are referred by general practitioners to a mental health care institution. The depression scores (measured with the IDS) of people who were treated with PRI were found to decrease significantly more than the IDS scores of people who were treated with CBT. (see appendix 1 for research design and results of this research)

3. Case study for illustration

Anne, a 24-year-old student, has anxiety and panic attacks during train journeys. Anne travels by train every week and has a great fear of a terrorist attack. As a result of the fear, she often gets off the train. She was taken to the hospital with ambulance twice with serious complaints.
It soon becomes clear in therapy that anxiety occurs on the train when people are sitting on the train who feel shut off and may seem sad. Anne has gone through the different phases (cognitive, behavioural and emotional) of the PRI process in 6 sessions. Anne learns to recognize what triggers her anxiety and what unconsciously colours her perception. During the therapy, an old reality emerges in which Anne experiences a closed, sad mother (in a fight between parents, family panic, unrest at home) in which there has been no one for the little girl she once was.

After five sessions, Anne manages to actively recognize her fear reaction in the train, to stop it and to make contact with the underlying feeling. After these 6 sessions, her severe anxiety complaints and panic attacks dissolved. This result has been shown to be permanent during the follow-up measurement after 6 months.
Anne has given a rating for how comfortable she feels in the train before the therapy: 3, after the 6-therapy sessions: 9 and after half a year: this effect remained stable.

Six months after the therapy ended, Anne describes the effect of the therapy as follows:
"I was always troubled by panic attacks on the train, now I hardly ever suffer from it anymore and I almost always sit relaxed on the train. I can sleep, read, study and listen to music on the train again without keeping an eye on everything. In the past I never went on the train during peak hours and now I have no more problems with that. Sometimes I get really anxious again when I am very stressed, but then I try to go to the feeling from where it comes from and then I feel much better, before when I tried to go to the fear I fainted ' . (...) "I have also followed multiple therapies, but PRI is the only therapy that has effectively made train travel better for me."

4. Another case as illustration

Cathy 56, pastoral worker, living in a convent, reports a burnout with symptoms of exhaustion, insomnia, anxiety and problems with concentration. She isn’t able to work. In the therapy an old reality emerges in which a totally stressed mother squeezes Cathy’s throat as a baby when she cried.
At the start of therapy, after 15 sessions, at the end of therapy and half a year after therapy Cathy completes the SCL90 questionnaire. At the start of therapy, Cathy is in very bad shape. Cathy scored on psycho-neuroticism (221) higher compared to the average of psychiatric patients (208). After 15 sessions her psycho-neuroticism scores dropped impressively (136). At the end of therapy (after 28 sessions) her psycho-neuroticism score (108) is even lower than the normal population (123.9). The results are sustainable six months after the therapy ended (108); Also on SCL-90 criteria relevant for this client such as sleeping problems, anxiety and depression, the client scores in line with psychiatric patients at the start of the therapy treatment and in line with the normal population or lower after the PRI therapy.
In short, this client shows tremendous progress in her well-being throughout her whole life. She felt happy again. Started to work again. The quality of life of this woman has improved enormously in all respects!

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