Remote Eye Movement Desensitization and Reprocessing for Posttraumatic Stress Disorder in Adult Congenital Heart Disease: A Clinical Case Study.

This case study focuses on the remote delivery of a full eight-phase Eye Movement Desensitization and Reprocessing (EMDR) treatment for a 27-year-old woman with Tetralogy of Fallot, a congenital heart disease (CHD), who presented with posttraumatic stress disorder (PTSD), depression, anxiety, and insomnia. Referred by her adult congenital heart disease (ACHD) cardiologist due to significant psychological distress, she completed a structured 10-session EMDR intervention via secure videoconference, incorporating an attachment-informed and interoception-focused approach consistent with Gestalt psychotherapy principles. Psychometric assessments at eight time points demonstrated substantial and sustained symptom improvements across PTSD, depression, anxiety, and insomnia measures. This case represents the first documented full eight-phase EMDR course delivered entirely by telehealth within an ACHD service for an adult with Tetralogy of Fallot, highlighting the feasibility of trauma-informed psychological care embedded in multidisciplinary cardiac services and the value of remote adaptations for medically complex populations.