• We are a multilingual website again. Read the notice about this.
  • Understand AI use at MyPTSD: all AI use is explained in our AI help page. AI use is by choice here. It exists if you want it, but does nothing unless you choose to use it.

Emdr

  • Post starter Post starter tyra
  • Start date Start date
Status
Not open for further replies.
T

tyra

Hello

I've been looking around lately for forums and came across this one today. I thought it might be good to try and find someplace to share my thoughts...

Does EMDR work for you? Are there "hopeless cases" when it just doesn't work?

I started therapy about 6 months ago. The therapist talked about EMDR right at the beginning, but not until now has she thought I was ready to actually start it. We tried a little bit two days ago, but I couldn't think and look at her fingers at the same time. And I'm not comfortable with being touched, so the same thing happened when she tried tapping my knees instead. I just freeze and all my focus goes to her fingers tapping my knees.

Right now I feel like a failure and it doesn't feel as if the therapy will ever help me at all. We have tried billions of different relaxation techniques, but nothing works. And the "safe place" thing doesn't work at all for me. I can think of it, as I can think of a film or a book or a picture, but it doesn't feel real at all, and it doesn't make me feel more relaxed. Am I supposed to think of it in words, as a sort of story? Or should I try thinking of it in pictures? I've tried both ways and sometimes I try both words and pictures at the same time, but nothing feels real...

/e
 
Firstly, you are not a failure.

I have found EMDR one of the hardest things I have ever done but for me it worked. Talk to your therapist. Mine sometimes used 2 vibrating paddles. I held one in each hand and we would set the intensity of the vibrations and speed. I closed my eyes (optional), felt the vibrations and was then guided through the session.
 
I was EXACTLY like you. The finger movements (?) and vibrating paddles were too distracting. Emdr was pretty much ineffective and I decided not to do it anymore.

Emdr is not the end all and be all of trauma processing. I found something else that suited me better and was able to process my bigger traumas.
 
Lots of thoughts... what if you thought of the "safe place" as a "calm and comfortable place? Some place you've been that made you feel good? Or you can imagine a place, visually, with all your senses, that might be your perfect sanctuary... There are many ways to learn relaxation techniques, just Google!

Now as to the bi-lateral stimulation - I use a mechanical device that allows a person to watch a light moving back and forth across a bar, as well as wear headphones that give alternating tones, and pulsars to hold in your hands that alternate in giving a tactile stimulation. You might prefer any one, or two, or all three of these ways. If you use a method in addition to the lights, you can close your eyes or keep them open. If this sounds interesting, ask your therapist if she'd be willing to get something like this. If she's doing a lot of EMDR, I'm surprised she hasn't worn out her hands/wrists/arms/shoulders! You are NOT in any way a failure! You just haven't settled into something that works for you. It might be the lack of EMDR equipment, and it might be the therapist. So I have more I want to say about the actual EMDR psychotherapy.

I'm a therapist who uses EMDR as my primary treatment psychotherapy and I've also personally had EMDR therapy for anxiety, panic, grief, and “small t” trauma. As a client, EMDR worked extremely well and also really fast. As an EMDR therapist, and in my role as a facilitator who trains other therapists in EMDR (certified by the EMDR International Assoc. and trained by the EMDR Inst, both of which I strongly recommend in an EMDR therapist) I have used EMDR successfully with panic disorders, single incident trauma and complex/chronic PTSD, anxiety, depression, grief, body image, phobias, distressing memories, bad dreams and more...

It's really crucial that the therapist spends enough time in one of the initial phases (Phase 2) in EMDR that involves preparing for memory processing or desensitization (memory processing or desensitization - phases 3-6 - is often referred to as "EMDR" which is actually an 8-phase psychotherapy). In this phase resources are "front-loaded" so that you have a "floor" or "container" to help with processing the really hard stuff. In Phase 2 you learn a lot of great coping strategies and self-soothing techniques which you can use during EMDR processing or anytime you feel the need. So if you start feeling overwhelmed or that it's too intense, you can ground yourself (with your therapist's help in session, and on your own between sessions) and feel safe enough to continue the work. In my practice, after the Phase 2 work lets us know that my patient is safe enough and able to cope with any emotion and/or physical sensation both during and between EMDR processing sessions, I often suggest we try a much less intense memory first if there is one that happened BEFORE the trauma(s). If there isn't one, then I suggest we start developmentally with the least disturbing memory and work our way "up" to the most disturbing event(s).

Grounding exercises are indispensable in everyday life, and really essential in stressful times. Anyone can use some of the techniques in Dr. Shapiro's new book "Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR." Dr. Shapiro is the founder/creator of EMDR but all the proceeds from the book go to two charities: the EMDR Humanitarian Assistance Program and the EMDR Research Foundation). Anyway, the book is terrific. It's an easy read, helps you understand what's "pushing" your feelings and behavior, helps you connect the dots from past experiences to current life. Also teaches readers lots of helpful techniques that can be used immediately and that are also used during EMDR therapy to calm disturbing thoughts and feelings.

As I’ve mentioned about Phase 2, during EMDR therapy you learn coping strategies and self-soothing techniques that you can use during EMDR processing or anytime you feel the need. You learn how to access a “Safe or Calm Place” which you can use at ANY TIME during EMDR processing (or on your own) if it feels scary, or too emotional, too intense. One of the key assets of EMDR is that YOU, the client, are in control NOW, even though you likely were not during past events. You NEVER need re-live an experience or go into great detail, ever! You NEVER need to go through the entire memory. YOU can decide to keep the lights (or the alternating sounds and/or tactile pulsars, or the waving hand) going, or stop them, whichever helps titrate – measure and adjust the balance or “dose“ of the processing. During EMDR processing there are regular “breaks” and you can control when and how many but the therapist should be stopping the bilateral stimulation every 25-50 passes of the lights to ask you to take a deep breath and ask you to say just a bit of what you’re noticing. The breaks help keep a “foot in the present” while you’re processing the past. Again, and I can’t say this enough, YOU ARE IN CHARGE so YOU can make the process tolerable. And your therapist should be experienced in the EMDR techniques that help make it the gentlest and safest way to neutralize bad life experiences and build resources.

Pacing and dosing are critically important. So if you ever feel that EMDR processing is too intense then it might be time to go back over all the resources that should be used both IN session and BETWEEN sessions. Your therapist should be using a variety of techniques to make painful processing less painful, like suggesting you turn the scene in your mind to black and white, lower the volume, or, erect a bullet-proof glass wall between you and the painful scene, or, imagine the abuser speaking in a Donald Duck voice... and so forth. There are a lot of these kinds of "interventions" that ease the processing. They are called "cognitive interweaves" that your therapist can use, and that also can help bring your adult self's perspective into the work (or even an imaginary Adult Perspective). Such interweaves are based around issues of Safety, Responsibility, and Choice. So therapist questions like "are you safe now?" or "who was responsible? and "do you have more choices now?" are all very helpful in moving the processing along.

In addition to my therapy practice, I roam the web looking for EMDR discussions, try to answer questions about it posted by clients/patients, and respond to the critics out there. It's not a cure-all therapy. However, it really is an extraordinary psychotherapy and its results last. In the hands of a really experienced EMDR therapist, it's the most gentle way of working through disturbing experiences.
 
Thank you for your help. I don't think my therapist uses EMDR very much. Maybe that's the problem. I only started therapy "by accident", as I went to couples' therapy with my husband and I mentioned things that the therapist thought I should work with.

I really think I should, and I have thought about it for years but I have been too afraid (or something) to seek help, so it felt like this was the only chance I had. A few weeks ago I started feeling that maybe I would be able to seek help somewhere else, find someone more specialised. But I'm not sure. Some days are better, some are worse. Right now most days are worse, but I'm hoping to get out of it again soon.

I have started googling a lot though, and hopefully I can find ways to help myself a bit. And I will try to get hold of the Shapiro-book. I guess finding grounding techniques that work should be my first step...
 
Status
Not open for further replies.

Donation drives

2026 Donation Goal

Goal
$1,800.00
Earned
$910.00
This donation drive ends in
0 hours, 0 minutes, 0 seconds
  50.6%

Trending content

Featured content

Back
Top Bottom