EMDR (Eye Movement Desensitization
and Reprocessing) is a comprehensive approach to psychotherapy. Research
has found it to be highly effective in the relief of traumatic stress
symptoms.
EMDR is based on the Adaptive
Information Processing model of the brain.
- "memory networks" in the brain
are the basis for our perceptions, attitudes, and behavior.
- the information processing system
(our brain and nervous system) normally move towards health, or
'adaptive resolution.' Like digesting food, we incorporate what
is useful for future use, and discard content without use or value.
- When a disturbing event occurs,
it can get locked in the brain with original picture, sounds,
thoughts, feelings, and body sensations. (For example, if we were
to remember a humiliating event from when we were 4 years old,
we feel the hurt and embarrassment as if it were fresh, rather
than years past).
- unprocessed material often manifests
itself through physical sensations.
How EMDR helps:
- EMDR seems to stimulate the information
and allows the brain to reprocess the experience. This may be
what is happening in REM or dream sleep-the eye movements (or
tones or tapping) may help process the unconscious material.
- EMDR may assist in increasing
neural connections between groups of synapses or 'memory networks'
allowing the isloated traumatic memories to be connected with
adaptive information.
- EMDR also helps by developing
dual awareness-the ability to remember past events and related
sensations and emotions, while simultaneously experiencing yourself
in the present, safe, now.
- EMDR also helps by providing
controlled exposure and desensitization to disturbing material
- It is your own brain that will
be doing the healing and you are the one in control.
What to Expect:
1. History Taking: we will discuss
your current symptoms, what triggers them, past events that may
be related, your beliefs about yourself, and your hopes for the
future.
2. Developing a target: we will pick specific, pertinent images
that represent traumatic or upsetting memories, and discuss the
feelings, thoughts and body sensations associated with them.
3. Establish Negative Cognition: we will find words related to the
memory that describes what you think of yourself in your worst moments,
even if you know it isn't true.
4. Establish Positive Cognition: we will generate a statement that
contradicts the negative cognition. Ideally, it will be the most
powerful statement you can conceive about yourself, though it may
be hard to believe it at the present time.
5. Safe/Calm Place: we will develop at least one calming exercise
before processing memories.
6. Eye Movement (or other forms of Bilateral Stimulation): we will
process memories, associated thoughts, feelings, images, and body
sensations through eye-movements, audio tones and/or tactile taps.
During these 'sets' you may experience many fleeting thoughts, evolving
images, and new insights. You do not have to do anything special,
just let whatever happens, happens.
7. Closure: ideally, at the end of each session, you will no longer
feel disturbance from the memory, and your positive cognition will
feel completely true. However, complete closure is not always possible
in each session. We may use 'safe place' or calming techniques to
ground at the end of the session.
Children and EMDR:
EMDR can be very effective with children. Children often process
material quickly. After all, in daily life kids can be distraught
about something in one minute, and off and playing the next. They
easily shift through different emotional states. Children can also
processing trauma through metaphor, pictures, or body sensations.
EMDR doesn't require a child to talk at length, to have "insight,"
or to describe (or even remember) their traumas or difficulties
in detail.
What else you should know before
you begin EMDR:
1. If you may have to testify in court about memories that will
be treated with EMDR, you should know that the process can cause
images from memories to fade or disappear. In addition, You may
no longer exhibit high emotion when recounting an incident. Finally,
more information may be recalled about a memory. This information
is always 'valid' and usually useful, from a perspective of personal
recovery, but may not be 'factually true' in the strictest legal
sense.
2. You may experience high levels of emotion while reprocessing.
If you become very emotional, we can stop at any time. You can stop
the reprocessing at any time by raising your hand, giving me the
"STOP" signal, and asking me to stop. Always, I will immediately
honor your request to stop.
3. The emotions experienced during sets are often the way we release
old information. In the case of high emotionality, it is usually
best to continue through the reprocessing until the emotions decrease,
which often happens within minutes.
4. If you have a history of substance abuse, you should have appropriate
safe guards in place, in case your desire to use becomes reactivated
by EMDR. On the plus side, the risk of relapse may actually be decreased
by EMDR, if past trauma has contributed to use history.
5. Processing may continue between sessions. You may or may not
notice new insights, thoughts, memories, physical sensations or
dreams. Please make a note of whatever you notice.
6. There is no right or wrong way to process information during
bilateral stimulation. Just let whatever happens, happen, and honestly
report to me where you end up after each set, whether there is change
or not.
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