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Traumatic events experienced in different periods of life may soon alter negative psychological changes. These negative shifts might be indications of pathology depending on their duration and consequences. In cases of Post Traumatic Stress Disorder with delayed expression (PTSD with delayed expression), which is a traumarelated disorder, stress related symptoms are observed after 6 months or later following traumatic event. Although the clinical picture be complicated, scrutinizing the patient's existing symptoms and psychiatric history, detecting underlying problems and traumas, and then conducting a proper treatment accordingly may help provide recovery for its patients. In this case study, treatment of a PTSD with delayed expression comorbid Major Depressive Disorder (MDD) resistant to pharmacotherapy, which emerged after a childhood sexual trauma had become triggered in adulthood, will be discussed.

Treatment refractory or trauma overlooked? A case of EMDR responsive late onset PTSD