I often ask patients with issues over driving to visualise a particularly traumatic journey in conjunction with the "Film Technique", but without the constant re-starting. In other words telling the story whilst re-living it in the mind.
This works so well that other, less fraught journeys, just dissolve away with the primary event. I will relate the tale of one of my early successes with this technique. This was a lady with children that had grown married and had young families of their own. it was due to one of the grandchildren that the issue reared its head after lying dormant for years.
The patient lived in a lovely rural village and was happy to drive around her friends' and family's houses in the area, but due to the parents work schedules there was a grand-daughter beginning school with no transport, so the mother the lady's daughter, asked if Gran would mind and she said she'd be more than happy. Unfortunately it meant that a good deal of major road driving would be necessary. This is when the underlying problem became a major sticking point.
It was all because of a day some years back when another daughter needed picking up from an airport some 80 miles away and about a one and a half hoer's journey. She drove and following an intimidating trip had to pull off and sit and shake for nearly an hour whilst calling another family member to pick her up and complete the journey.
We tapped on the journey as she was driving it. At the first sign of anxiety we tapped until the 8 became a 2 and carried on. At the next point - being between two lorries - and tapped the 9 to a 1. We carried on until the sitting and shaking in the car. After a brief pause to take on some water I asked her to re-live the trip. this time it was calm and gentle and each previous point of hiatus I asked how she felt and she was fine. she drove home with no problem and dropped me a line the next day say not only was she OK about the forthcoming trips - she was looking forward to driving!
Another email came a few days later and she reminded me of her trip to me on the day of the consultation. The road leading to my practice is a major rout to the coast and the grass verge is punctuated with little memorial to people killed along it. This was one thing that really built the nerves for the lady on that day, but the email said that on the return journey se neve even noticed them. This was about 4 - 5 years ago and things are still great for her.
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