ARTICLES
RTM Protocol™
Current PTSD treatments require extensive commitments of time and money and are often ineffective.
Reconsolidation of Traumatic Memories (RTM Protocol™) uses a short visualization process to retrieve and alter the memory. The therapy, currently in the research and verification phases, has shown dramatic indications of success and projections for additional research are also positive. The belief is that RTM Protocol™, administered early, will remove years of suffering and disability for our veterans and billions of dollars in extended years of payment for PTSD syndrome treatment. It is non-traumatizing and permanently relieves the anxious elements of the disorder.
Research:
Remediation of intrusive symptoms of PTSD in fewer than five sessions
Gray, R., & Bourke, F. (2015). Remediation of intrusive symptoms of PTSD in fewer than five sessions: A 30- person pre-pilot study of the RTM Protocol™. Journal of Military, Veteran and Family Health, 1(2), 85-92.doi:10.3138/jmvfh.3119. This pilot study treated 30 veterans suffering with severe PTS and measured their PTS remission rate post treatment at 96% (25 of 26), along with and alleviating their PTS intrusive symptoms in under five sessions. It provided validation for funding additional, more sophisticated research.
Evaluation of the reconsolidation of traumatic memories protocol
Tylee, D. S., Gray, R., Glatt, S. J., & Bourke, F. (2017). Evaluation of the reconsolidation of traumatic memories protocol for the treatment of PTSD: a randomized, wait-list controlled trial. Journal of Military, Veteran and Family Health,3(1), 21-33. doi: 10.3138/jmvfh.4120. This Wait List Designed, Random Control Trial (RCT) study, measured 90% of the 30 male veterans, PTS diagnosis free, at their two-week, six-week, and twelve- month follow-ups. Given the 90% PTS remission rate and the high suicide rate among the veteran population, the Wait List Design was ethically necessitated because our participants were high suicide risk, and often homeless. Double-blinded studies were not attempted due to the vulnerability of this client group. The research team psychometricians were blinded as to control and experimental groups providing more than reasonable confidence for additional studies.
Reconsolidation of Traumatic Memories for PTSD A randomized controlled trial of 74 male veterans
Gray, R., Budden-Potts, D., & Bourke, F. (2017). Reconsolidation of Traumatic Memories for PTSD: A randomized controlled trial of 74 male veterans. Psychotherapy Research. doi: 10.1080/10503307.2017.1408973. Over 90% of the male veterans completing treatment scored below the diagnostic threshold on the PCL-M and PSS-I. About half of those treated were followed to twelve months and retained freedom from PTSD intrusive symptoms and diagnosis.
An Open-Label, Randomized Controlled Trial of the Reconsolidation of Traumatic Memories Protocol (RTM Protocol™) in Military Women
Gray, R. M., Budden-Potts, D., Schwall, R. J., & Bourke, F. F. (2020, November 19). An Open- Label, Randomized Controlled Trial of the Reconsolidation of Traumatic Memories Protocol (RTM Protocol™) in Military Women. Psychological Trauma: Theory, Research, Practice, and Policy. Advance onlinepublication. http://dx.doi.org/10.1037/tra0000986. 96% PTS remission of the 30 women veterans on the PCL-M and PSS-I at two weeks and all subsequent measures to one year, follow-ups. A 96% PTS remission rate was obtained for the 30 women veterans on the PCL-M and PSS-I at two weeks and all subsequent measures to one year, follow-ups.
Albuquerque trainees PsyArxiv
Gray, R. M.; Davison, A., and Bourke, F. (2021, August 25). Reconsolidation of Traumatic Memories, The RTM Protocol™: Albuquerque trainee results. PsyArxiv. DOI 10.17605/OSF.IO/PFQG4 Retrieved from osf.io/pfqg4. Between 2018 and 2020, 18 licensed mental health professionals were certified in the Reconsolidation of Traumatic Memories (RTM Protocol™) protocol. Participants collected and reported back anonymized data on clients they treated using RTM Protocol™, including pre-post PSSI-5 (n =74) or PCL-5 (n =11) statistics for each client. Of 90 RTM-eligible clients, 85 completed RTM Protocol™ treatment. Pre- post- PSS-I-5 or PCL-5 results found that 80 (95%) scored below minimal diagnostic criteria for PTSD.
Case Studies:
Reconsolidation of Traumatic Memories (RTM Protocol™) for PTSD - a case series
6. Gray, R., & Teall, B. (2016). Reconsolidation of Traumatic Memories (RTM Protocol™) for PTSD: A case 2 Richard M. Gray, Ph.D. series. Journalof Experiential Psychology, 19(4):59-69. The current case series describes four individuals previously diagnosed with PTSD who volunteered for treatment in a waitlist RCT of Reconsolidation of Traumatic Memories (RTM Protocol™). These individuals completed five 90-min sessions of RTM Protocol™. In the larger study 96% (25/26) of treated clients no longer met diagnostic criteria for PTSD at the end of treatment, with these gains maintained at 6- and 26-week posttreatment. Implications for the delivery of RTM Protocol™ and its further investigation are discussed.
The Reconsolidation of Traumatic Memories (RTM Protocol™) Protocol for PTSD a case Study
Gray, R., Budden-Potts, D., & Bourke, F. (2017). The Reconsolidation of Traumatic Memories (RTM Protocol™) Protocol for PTSD: ACase Study. Journal of Experiential Psychotherapy, vol. 20(4): 47-61. This case study describes Carl, a Vietnam veteran, diagnosed with PTSD who volunteered for treatment in a 30-person waitlist RCT of the RTM Protocol™. Carl completed three 120 minute sessions of RTM Protocol™. Post-treatment measures found significant reductions in PTSD symptoms that were maintained at 2, 6, 26, and 52-weeks post-treatment. Carl was chosen as representative of Vietnam Era participants for whom RTM Protocol™ has been effective in the larger study. Carl has experienced the intrusive symptoms of PTSD for more than 40 years. He is now symptom free.
Reviews/Meta-Analyses:
Active duty and ex-serving military personnel with post-traumatic stress disorder treated with psychological therapies
Kitchiner, N.J., Lewis, C., Roberts, N. P., & Bisson, J. I. (2019). Active duty and ex-serving military personnel with post-traumatic stress disorder treated with psychological therapies: systematic review and meta-analysis, European Journal of Psychotraumatology, 10:1, 1684226, DOI: 10.1080/20008198.2019.1684226. Their scientifically formatted, meta-analysis found RTM Protocol™ to be one of only two of the treatments examined to meet their efficacy criterion for consideration as effective for treating military PTSD”.
Consolidation/reconsolidation therapies for the prevention and treatment of PTSD and re-experiencing: a systematic review and meta-analysis
Astill Wright, L., Horstmann, L., Holmes, E. A., & Bisson, J. I. (2021). Consolidation/reconsolidation therapies for the prevention and treatment of PTSD and re- experiencing: a systematic review and meta-analysis. Translational Psychiatry, 11(1), 453. doi:10.1038/s41398-021-01570-w This Cochrane systematic review and meta-analysis assessed the efficacy of so-called memory consolidation/reconsolidation therapies in randomized controlled trials (RCTs) for prevention and treatment. Twenty-five RCTs met inclusion criteria (16 prevention and nine treatment trials). Only three protocols (hydrocortisone for PTSD prevention, Reconsolidation of Traumatic Memories (RTM Protocol™) for treatment of PTSD symptoms, and cognitive task memory interference procedure with memory reactivation (MR) for intrusive memories) were superior to control. A discussion of RTM Protocol™ is provided on Page 10.
Psychotherapy for Military-Related PTSD A Review of Randomized Clinical Trials
Steenkamp, M. M., Litz, B. T., Hoge, C. W., & Marmar, C. R. (2015). Psychotherapy for Military- Related PTSD: A Review of Randomized Clinical Trials. Jama, 314(5), 489-500. https://doi.org/10.1001/jama.2015.8370. This review of military and veteran populations, trials of the first-line trauma-focused interventions stated the need for improvement in existing PTSD treatments and for development and testing of novel evidence-based treatments. It pointedly admonished the broad range of researchers using statistics, that are still widely employed, labeling PTS Treatments as “successful” where only 35% TO 45% of the clients treated no longer tested with PTS Diagnoses.
Submitted for Publication:
Quantitative EEG Markers of Post-Traumatic Stress Disorder
Neurological Studies using EEG, pre- and post- treatment, have begun at the Mind Research Network in New Mexico. The first pilot “Quantitative EEG Markers of PTSD and Impact of the (RTM Protocol™) Treatment Protocol has been submitted for publication to the J. of Biological Psychiatry. The research is being conducted in Dr Jeff Lewine’s laboratory in New Mexico.
Conclusion: High-beta activity may be a useful biomarker of PTSD that can be used to objectively track the neurobiological impact of behavioral therapies. The RTM Protocol™ appears to be efficacious in reducing the clinical symptoms of PTSD and in normalizing brain activity