
EMDR Therapy
EMDR THERAPY
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EMDR THERAPY -
INTRODUCTION
Eye Movement Desensitization and Reprocessing (EMDR) is one of the most researched and most common methods used to treating trauma. EMDR is a type of psychotherapy that helps people to heal from the symptoms and emotional distress caused by disturbing life experiences.
EMDR can help with:
Depression
Phobias
PTSD/CPTSD
Trauma
What’s so special about EMDR?
EMDR helps to process trauma and memories that are "stuck" in your mind-body and are affecting your nervous system. What’s unique about EMDR is the utilization of bilateral stimulation (BLS), a movement that crosses the body in a side to side pattern. In EMDR, eye movements, tapping on the body (or holding onto “tappers” that buzz to your level of comfort), as well as sounds can be used as forms of BLS. Your therapist will safely guide you through BLS during certain phases of treatment while you are paying attention to what you notice about an event or memory.
Most people report more progress in less time than with talk therapy alone. Research shows a success rate for EMDR in the treatment of ptsd at 80-90%, in up to half of the time of traditional talk therapy (CBT).
A trained therapist can help to guide you as you reprocess disturbing or upsetting memories to help resolve the stress and symptoms associated with an event; AND it is your brain doing the healing!
Anxiety
Addiction
Other emotional problems
Accessing Your Brain’s Natural Healing Capacity
The Adaptive Information Processing (AIP) model is the theoretical framework that underpins the Eye Movement Desensitization and Reprocessing (EMDR) therapy. It suggests that the brain has a natural ability to process information and that psychological problems arise when this processing is disrupted, particularly when memories of traumatic events are not fully processed and remain "stuck" in the nervous system.
According to the AIP model, when a traumatic event occurs, the brain is not able to fully process the sensory information related to the event, and as a result, it is stored in the nervous system in a dysfunctional manner. These dysfunctional memories can be triggered by various stimuli and can lead to the re-experiencing of the traumatic event, resulting in distressing symptoms such as anxiety, depression, and other negative emotions.
EMDR therapy aims to help the brain reprocess these dysfunctional memories by accessing and activating the brain's natural information processing system. This is achieved by having the client focus on the traumatic memory while simultaneously engaging in specific bilateral stimulation such as eye movements or tapping. The bilateral stimulation is believed to facilitate the brain's ability to reprocess the memory and integrate it in a more adaptive way, which can lead to a reduction in distressing symptoms and an increase in positive emotions.
In summary, the AIP model suggests that psychological problems arise from the brain's inability to fully process traumatic memories, and EMDR therapy aims to facilitate the brain's natural information processing system to reprocess these memories in a more adaptive way.
WHO IS IT FOR
EMDR (Eye Movement Desensitization and Reprocessing) therapy has been identified as an effective treatment for several disorders listed in the DSM-V (Diagnostic and Statistical Manual of Mental Disorders, 5th edition), including:
Post-Traumatic Stress Disorder (PTSD)
Acute Stress Disorder (ASD)
Panic Disorder (PD) with or without Agoraphobia
Specific Phobias
Generalized Anxiety Disorder (GAD)
Obsessive-Compulsive Disorder (OCD)
Major Depressive Disorder (MDD)
Adjustment Disorders
It is important to note that EMDR may not be appropriate for everyone or every situation, and that each individual's unique needs and circumstances should be taken into consideration when selecting a treatment approach. It is recommended to consult with a licensed mental health professional to determine if EMDR therapy is an appropriate treatment option.
HOW IT WORKS AND WHAT TO EXPECT
EMDR basics
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EMDR is a type of therapy that helps people heal from traumas and other distressing experiences, including anxiety and depression.
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EMDR stands for Eye Movement Desensitization and Reprocessing. Those are just fancy words to describe the way that your therapist will guide you in the session. Through bilateral eye movements, tones or taps (aka Bilateral Stimulation - BLS) the therapy will help you move the distressing memory and re-organize how it will be filed in the brain
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EMDR helps the brain bring distressing memories into a less disruptive and disturbing state while also filing memory into the past. The process helps you to feel more resolved peaceful feelings and experience new positive views of yourself that may have once been difficult tor you to experience fully.
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Your EMDR therapy session will not look like a typical talk therapy session. Your EMDR therapist will have a specific process (aka "resources" and "protocols") that they will take you through. A part of this process will include you reconnecting safely to the distressing experience. Your therapist will guide you in noticing images self-thoughts. emotions and bod sensations associated with the distressing experience(s).
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We do, and they go great together! Staci offers EMDR therapy independently for single-incident trauma and in conjunction with traditional talk therapy in NYC. Those who have a history of childhood or complex trauma often benefit from the integration of EMDR with Attachment Theory and Psychodynamic Therapy, IFS (Internal Family Systems) and Somatic Experiencing.
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• American Psychiatric Association
• International Society for Traumatic Stress Studios
• Substance Abuse and Mental Health Services Administration
• U.S. Dept. of Veterans Affairs /Dept. of Defense
• Cochrane Database of Systematic Reviews
• World Health Organization
• and many other national and international organizations
THE PROCESS
There are 8 Phases in EMDR Therapy.
(And not every phase will include bilateral stimulation)
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During Phase 1 of EMDR therapy, the first step involves identifying the problems or issues that the individual is seeking treatment for. This process entails understanding the specific challenges they are facing and the goals they hope to achieve through therapy. Additionally, a comprehensive history is taken to gain a deeper understanding of the person's background, including their personal experiences, relationships, and any previous traumas or relevant events that may have contributed to their current difficulties. This thorough assessment is crucial in tailoring an effective treatment plan that addresses the individual's unique needs and objectives. The treatment plan outlines the strategies and approaches that will be employed throughout the therapy process to facilitate healing and growth.
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Phase 2 of EMDR therapy, known as the Preparation phase, involves essential steps to ready the individual for the therapeutic process. Coping skills are developed to help manage emotional distress, while self-calming techniques are practiced for relaxation and stability. Additionally, this phase emphasizes the identification and reinforcement of the individual's strengths, fostering confidence and resilience. By establishing these foundations, Phase 2 aims to optimize the effectiveness of subsequent phases in EMDR therapy.
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Phase 3 of EMDR therapy is the Assessment phase, which involves a comprehensive evaluation of the individual's experiences and internal processes. This phase encompasses several key tasks. Firstly, the therapist helps the person identify the specific memories or events that are causing distress or emotional disturbance. By pinpointing these targets, the therapy can focus on addressing and resolving their associated issues. Additionally, the individual is guided in recognizing and articulating the emotions and negative thoughts associated with these disturbing memories. This process allows for a deeper understanding of the underlying cognitive and emotional patterns that contribute to their difficulties. Finally, the Assessment phase involves identifying and cultivating more adaptive and healthy thoughts that can replace the negative beliefs and perceptions associated with the distressing memories. This shift in thinking promotes positive change and resilience throughout the subsequent phases of EMDR therapy.
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Phase 4 of EMDR therapy is known as the Desensitization phase, which involves specific techniques to reduce the emotional impact of distressing memories or events. One such technique is bilateral stimulation, where the individual's attention alternates between stimuli on the left and right sides. This can be achieved through eye movements, tapping, or auditory cues. While engaging in bilateral stimulation, the person simultaneously focuses on strengthening positive thoughts and beliefs related to the targeted memory. The desensitization process continues until the distressing emotions associated with the memory decrease significantly, promoting emotional healing and resolution.
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Phase 5 of EMDR therapy is the Installation phase. In this stage, the therapist works with the individual to further strengthen the positive thoughts and beliefs that were identified and developed in the previous phases. The goal is to firmly establish these positive cognitions in order to replace the negative thoughts and beliefs associated with the targeted memory or event. Through repeated bilateral stimulation and focused attention, the individual is encouraged to internalize the adaptive thoughts and emotions, fostering a greater sense of empowerment and self-acceptance. The Installation phase helps solidify the positive changes achieved throughout the therapy process, preparing the individual for the next phase of EMDR therapy.
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Phase 6 of EMDR therapy is the Body Scan phase. During this stage, the individual is guided to scan their body and pay attention to any residual physical sensations or emotions that may still be present after addressing the targeted memory or event. By carefully observing these sensations, the person can gain further insight into the lingering effects of the trauma or distressing experience. The therapist assists in identifying and processing any remaining somatic sensations or emotional responses that need attention. This phase aims to ensure that the healing process addresses not only cognitive and emotional aspects but also the physical impact of the past events. By attending to these residual sensations, the individual can promote a more comprehensive and holistic recovery.
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Phase 7 of EMDR therapy is the Closure phase. This stage focuses on stabilizing the individual and ensuring a sense of safety before concluding each therapy session. The therapist works with the person to help them feel grounded and secure, utilizing various techniques to promote a state of emotional balance and stability. This may involve relaxation exercises, grounding techniques, or other coping skills tailored to the individual's specific needs. Additionally, during the Closure phase, the person has the opportunity to learn and practice additional coping skills that can be utilized outside of therapy sessions. These skills serve as valuable resources for managing any distress that may arise between sessions and promoting ongoing self-care. The Closure phase provides a structured and intentional way to bring each therapy session to a positive conclusion, promoting a sense of progress and continuity throughout the EMDR therapy process.
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Phase 8 of EMDR therapy is the Reevaluation phase. During this stage, the individual's progress and overall treatment are assessed to determine the next steps. The therapist and the person collaborate to evaluate the effectiveness of the therapy and review the goals that were initially set. This assessment involves considering the changes and improvements that have been made throughout the therapy process. Based on this evaluation, a determination is made regarding whether additional sessions are needed to address any remaining issues or to continue working towards the established goals. The Reevaluation phase ensures that the therapy remains adaptive and responsive to the individual's evolving needs, allowing for adjustments in the treatment plan if necessary. It serves as an important checkpoint to ensure that the therapy is progressing in a way that best supports the person's healing and growth.
The benefits EDMR Therapy
Resolution of trauma
Better physical health
Better parenting skills
Improved relationships
Improved focus & concentration
Improved sleep quality
EMDR Therapy is an amazing integrative psychotherapy that helps individuals of ALL ages heal from histories of trauma. One of the reasons EMDR is so effective is because it incorporates and works well with elements of several evidenced based therapies, including CBT, DBT, and somatic experiencing, just to name a few!
SUMMARY
Why choose EDMR Therapy?
Overall, EMDR therapy is an effective and evidence-based treatment for individuals experiencing psychological distress and can lead to significant improvements in their overall well-being.
It is shown to have the following benefits:
Improvement in self-esteem, emotional regulation, and relationships
Reduction in symptoms of trauma-related disorders such as PTSD, anxiety, depression, and interpersonal functioning.
Reduction in physical symptoms such as pain, headaches, and sleep disturbances.
Enhancement in cognitive processing, attention, and memory.
Increase in self-awareness, insight, and positive coping strategies.
EMDR therapy can indirectly improve relationships by helping individuals process and resolve past traumas, negative beliefs, and emotional blocks that may be contributing to interpersonal problems. By reducing symptoms of anxiety, depression, and other mental health conditions, EMDR therapy can also improve mood and overall emotional regulation, leading to more positive and satisfying relationships.
Additionally, by improving self-esteem and communication skills, EMDR therapy can help individuals develop healthier relationship patterns and improve their ability to form and maintain strong connections with others. However, it is important to note that EMDR therapy is primarily focused on treating individual psychological distress, and not specifically designed as a couples therapy or relationship counseling.