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EMDR Question?

Discussion in 'Treatment & Therapy' started by Grama-Herc, Nov 5, 2007.

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  1. Grama-Herc

    Grama-Herc I'm a VIP

    This is a very simple question. Exactly what is EMDR? I've only ever seen this here in this forum so I need someone to explain it to me like I was a 6 year old, OK? Thanx in advance!
     
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  3. Claire

    Claire Well-Known Member

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    Hello, I've been doing EMDR with my therapist recently and this is how I understand it. I'm glad to say it seems to be working. We sit opposite each other and he gets me to tell him a part of a trauma and break it down. I have to score it and give him words of how I would describe myself at certain points. Then he moves his hand back and forth (a bit like waving) at a certain pace and I have to follow it with my eyes. Sounds mad?! He then gets me to rescore and we continue to talk. Then he does the hand thing again and so on. Its hard work, I find it exhausting and I get a lot of fall out afterwards. You can deal with the trauma itself and other stuff.

    Its supposed to work with the left and right side of the brain (the logical and the emotional sides) and get the logical part of the brain to refile the information without the emotion.

    If you do a search on here, there's more information. As with all these things, some things work for some and not others. Its supposed to be best with people with just one trauma, like me, my car crash.

    Since I've started it my sleep (which is what we started on) has improved massively. I now sleep right through the night about 5 nights out of 7. The best I've ever been since the crash. Saying that I didn't have a good night last night but I pushed myself to watch Die Hard 4! :rolleyes:
    We are working towards working on the crash itself soon.

    Hope that explains it a bit? fell free to ask me questions if you like.
     
  4. Grama-Herc

    Grama-Herc I'm a VIP

    Clair

    Thank you for your help! The explanation was great even though it will not work for me since I have no idea what my trauma is! It is a real mystery to me as well as the therapist. I don't know if you have read any of my diary but most of my life is a complete blank. No menories at all. Things are slowly returning since moving in with mother. She tells me things I did, etc and some times it brings back a memory but not always.

    But thank you for you explanation. HERC
     
  5. anthony

    anthony Renovation Aficionado Founder

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    Eye Movement Desensitization and Reprocessing (EMDR) integrates elements of many effective psychotherapies in structured protocols that are designed to maximize treatment effects. These include psychodynamic, cognitive behavioral, interpersonal, experiential, and body-centered therapies. EMDR is an information processing therapy and uses an eight phase approach.

    During EMDR the client attends to past and present experiences in brief sequential doses while simultaneously focusing on an external stimulus. Then the client is instructed to let new material become the focus of the next set of dual attention. This sequence of dual attention and personal association is repeated many times in the session.

    Eight Phases of Treatment

    The first phase is a history taking session during which the therapist assesses the client's readiness for EMDR and develops a treatment plan. Client and therapist identify possible targets for EMDR processing. These include recent distressing events, current situations that elicit emotional disturbance, related historical incidents, and the development of specific skills and behaviors that will be needed by the client in future situations.

    During the second phase of treatment, the therapist ensures that the client has adequate methods of handling emotional distress and good coping skills, and that the client is in a relatively stable state. If further stabilization is required, or if additional skills are needed, therapy focuses on providing these. The client is then able to use stress reducing techniques whenever necessary, during or between sessions. However, one goal is not to need these techniques once therapy is complete.

    In phase three through six, a target is identified and processed using EMDR procedures. These involve the client identifying the most vivid visual image related to the memory (if available), a negative belief about self, related emotions and body sensations. The client also identifies a preferred positive belief. The validity of the positive belief is rated, as is the intensity of the negative emotions.

    After this, the client is instructed to focus on the image, negative thought, and body sensations while simultaneously moving his/her eyes back and forth following the therapist's fingers as they move across his/her field of vision for 20-30 seconds or more, depending upon the need of the client. Athough eye movements are the most commonly used external stimulus, therapists often use auditory tones, tapping, or other types of tactile stimulation. The kind of dual attention and the length of each set is customized to the need of the client. The client is instructed to just notice whatever happens. After this, the clinician instructs the client to let his/her mind go blank and to notice whatever thought, feeling, image, memory, or sensation comes to mind. Depending upon the client's report the clinician will facilitate the next focus of attention. In most cases a client-directed association process is encouraged. This is repeated numerous times throughout the session. If the client becomes distressed or has difficulty with the process, the therapist follows established procedures to help the client resume processing. When the client reports no distress related to the targeted memory, the clinician asks him/her to think of the preferred positive belief that was identified at the beginning of the session, or a better one if it has emerged, and to focus on the incident, while simultaneously engaging in the eye movements. After several sets, clients generally report increased confidence in this positive belief. The therapist checks with the client regarding body sensations. If there are negative sensations, these are processed as above. If there are positive sensations, they are further enhanced.

    In phase seven, closure, the therapist asks the client to keep a journal during the week to document any related material that may arise and reminds the client of the self-calming activities that were mastered in phase two.

    The next session begins with phase eight, re-evaluation of the previous work, and of progress since the previous session. EMDR treatment ensures processing of all related historical events, current incidents that elicit distress, and future scenarios that will require different responses. The overall goal is produce the most comprehensive and profound treatment effects in the shortest period of time, while simultaneously maintaining a stable client within a balanced system.

    After EMDR processing, clients generally report that the emotional distress related to the memory has been eliminated, or greatly decreased, and that they have gained important cognitive insights. Importantly, these emotional and cognitive changes usually result in spontaneous behavioral and personal change, which are further enhanced with standard EMDR procedures.

    Source: emdr.com - This is Dr. Shapiro's direct information and she is the inventor of EMDR.
     
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