Full Course Description

EMDR Step by Step PLUS

Program Information

Objectives

Analyze the efficacy of EMDR to process past trauma as it relates to treatment out-comes.
Differentiate the following disorders to inform clinical treatment interventions:
- Simple Post Traumatic Stress Disorder
- Developmental Trauma Disorder
- Complex Post Traumatic Stress Disorder and/or Disorders of Extreme Stress NOS
- Borderline Personality Disorder
Support the need for the following as precursors to processing traumatic memories in clients: the therapeutic relationship, safety and reciprocal trust, emotion regulation, self- soothing and distress tolerance skills, social support systems
Apply Janet’s Tri-Phasic Model for trauma treatment in a clinical setting with regards to assessment of a client for EMDR readiness.
Implement three clinical interventions for addressing high levels of dissociation
Apply Resource Development and Installation (RDI) theory practically in-session.
Apply the reset breath, neurovascular hold, and one other arousal reduction technique in a clinical setting.
Employ Polyvagal Theory based cues of safety for interpersonal regulation in-session.
Simulate being an auxiliary cortex and interpersonal biological regulator for a client in a clinical setting.
Discriminate between the use of EMDR to process past trauma and its use for future template work.
Justify the use of the first/worst memories as initial targets for EMDR.
Articulate precautions and contraindications for the use of EMDR in clinical settings.
Evaluate Shapiro’s theoretical rationale behind the efficacy of EMDR to alleviate symptoms of trauma.
Defend the modifications made to Shapiro’s 8-Phase Model of EMDR when using EMDR for complex trauma.
Demonstrate Shapiro’s two hand interweave in-session.

Outline

What is Trauma?

Single Incident vs. Complex Post Traumatic Stress Disorder

What is Eye Movement Desensitization & Reprocessing (EMDR)?

Client Selection for Processing Traumatic Material via EMDR

Safety: Porges’ Polyvagal Theory
Assessing client readiness
- Skills to stay stable
- Ability to make use of guided imagery for creating and reinforcing neural networks for:
  - Containment/compartmentalizing/titrating experience/pendulating between resource & trauma (Levine)
  - Comfort
  - Nurture
  - Protection

Imaginal Resources - Why and How

Client Demonstration 1: Resource Development with Jodie

Container, Comfortable Place, Nurturing Figure and Protecting Figure

More Client Demonstrations:

Introduction and setup for session
Theratapper setup and demonstration
Imaginal resource creation and/or activation of imaginal resources
Standard Protocol and 8 Phases
Full Session with Jen using Shapiro’s Standard EMDR Protocol
Full Session with Dave using a clinically modified protocol for CPTSD

EMDR in A Nutshell

Triune brain
Neural networks theory
Interrupting long term relationships via orienting response

Introduction to Client

Alternating Bilateral Stimulation: Visual, Auditory and Tactile

Assessing Client Readiness with Volunteer Participant

Full Session with Sandy using a Clinically Modified Protocol for CPTSD

Full Session with Mike using a Clinically Modified Protocol

Q&A with Audience Members

EMDR Client Demonstration: Cheryl

Instructing in a few arousal reduction poses
Instructing in the Reset Breath
Instructing in Guided Imagery: Container, Comfortable Place and Spirit Guides
HARD STOP between guided imagery and processing trauma memory
Trauma Processing via EMDR explained
Process memory
Close session using Container imagery

EMDR Client Demonstration: Dave

Refreshing Dave’s memory regarding Guided Imagery:
Activating an actual protector figure
HARD STOP between guided imagery and processing trauma memory
Trauma Processing via EMDR explained
Process memory
Debrief

EMDR Client Demonstration: Cheryl

EMDR Gestalt-Style (attachment wound and ideal mother)

EMDR Client Demonstration: Jamie

Non-traumatic, future template work
Adequate internal and external resources-including good ego strength and self-regulation skills

Consultation Group Work

Group One
- Introducing and incorporating both guided imagery and EMDR into clinical practice.
- Demonstration: participant channels most challenging client
  - Boundary issues
  - Grief work
  - Use of somatic interventions & imagery
- Group discussion
  - Following the energy
  - Countertransference issues
Group Two
- Body Scan
- Imagery: containment, comfort, wisdom, protector
- Case Study: Emetophobia
- Demonstration: participant channels her challenging client
  - Parts work: talking directly to the symptom
  - Two-hand interweave
  - Group discussion
- EMDR Session with Anya: client demonstration
  - Alpha Stim
  - Somatic technique: Push Hands
  - Processing past, present and future template
Group Three
- Group Process
- Case study #1: Sexual abuse at five triggered by recent comments
  - Group discussion: Stages of Therapy/state shifts vs. dissociative episodes
  - Dissociation screening, DES2 and diagnostic instrument, DDIS
- Case study #2:
  - Autonomic nervous system dorsal vagal response
  - Window of tolerance
  - Working with disorganized attachment
  - Development of ideal mother imagery
  - Demonstration
  - Further Resources

Copyright : 09/12/2019

Mistakes Made, Lessons Learned - Trauma Treatment: Psychotherapy for the 21st Century

DESCRIPTION:

In part one of Trauma Treatment: Psychotherapy for the 21st Century, join the world’s preeminent trauma experts as they share not only their knowledge and clinical acumen, but their most regrettable (and remarkably similar) clinical mistakes. Although difficult for both client and clinician, those mistakes have provided fundamental lessons for nearly everyone working in the field of psychotherapy. In fact, those mistakes have laid the groundwork for the current best practices for treating clients affected by trauma and its sequelae. With warmth and grace, the experts share the successes and failures that have shaped the current trauma paradigm- including new demands for awareness, attention to the body, visceral safety and mindfulness. This video features Janina Fisher, PH.D.; Peter A. Levine, PH.D.; Jamie Marich, PH.D., LPCC-S, LICDC; Babette Rothschild, MSW, LCSW; Belleruth Naparstek, LISW, BCD; Stephen Porges, PH.D.; Bessel A van der Kolk, M.D.

OUTLINE:

Experts share their most regrettable clinical mistakes

Janina Fisher, Ph.D.
Jamie Marich, Ph.D., LPCC-S, LICDC-CS, RMT
Babette Rothschild, MSW, LCS
Peter Levine, Ph.D.
Bessel van der Kolk, M.D.
Stephen Porges, Ph.D.
Belleruth Naparstek, LISW, BCD

OBJECTIVES:

Analyze the biological nature of trauma; how trauma is stored in the body and limbic system, creating physical and psychological symptoms

EMDR Online Consultation Group

Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapy treatment that was originally designed to target distress associated with trauma and has been found to help other conditions as well. Current global factors have caused many clinicians’ practices to utilize telehealth to deliver treatment. This presentation consists of clinicians discussing real-life examples of using EMDR in telehealth practice and provides role-plays of EMDR sessions. Explanations of advanced use of resources are provided. For beginning practitioners, this course provides a wealth of clinical examples and role-plays. Advanced EMDR clinicians describe this as an enhancement course to their practice.

Program Information

Objectives

Evaluate effective options to deliver EMDR virtually.
Utilize imagery techniques such as the container to maintain engagement in therapy.
Practice integration of thoughts and feelings using EMDR.
Apply EMDR techniques to address complicated grief.
Assess the evidence supporting use of EMDR to address trauma associated with childbirth and when to implement treatment.
Determine when to employ each stage of EMDR in the course of treatment.

Outline

EMDR Therapy
- Discussion therapists and how they have used EMDR
- How to adjust for telehealth sessions
Case consultation presentation with specific client
- What stage therapy
- Brief history
- How well resourced is client (internal and external support)
- If not well resourced, what has been done, DBT skills, self soothe, etc.
Clients appropriate for EMDR
- Veterans
- First responders, healthcare will likely not be patients until the pandemic is over
Important Questions
- Where are you feeling it in your body?
- Can you move back (if you can’t see their tapping on screen)?
- Tell me when you have the image (before moving into it)?
- Is it okay to keep going? Do you need more time?
EMDR Client Recommendations for:
- Sexual assault vs domestic violence
- Complicated grief
- When noticing projection identification or countertransference
- During pregnancy
Training Tips and Techniques
- Differing training levels- learn skill and share with others
- Theratapper
- Container, resources (protector and nurturer)
- What to do if imagery is not working or you miss something in session
- What to do if client’s eyes get tired
- How to build confidence as a clinician
- What to do if client’s symptoms get worse
Role play of Clinicians including use of:
- Container
- Tapping example
- Safe/ comfortable place
- Body scan
- Inviting resource into session
Role play of Linda Curran providing EMDR
- Question/ Answer with consulting group
- Review of stages of EMDR