Eye Movement Desensitization & Reprocessing (EMDR) Therapy: Michael K, MS3

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Eye Movement Desensitization

& Reprocessing (EMDR) Therapy


Michael K, MS3
What is EMDR?
A psychotherapy treatment originally designed to alleviate the distress associated
with traumatic memories and disturbing life experiences
Clients focus on their distressing or desired experiences while exposed to a dual
attention stimulus, such as eye movement.
Eye movement stimulus: Client will use her eyes to track the therapists hand as it
moves back and forth across the clients field of vision
Single-trauma victims no longer have post-traumatic stress disorder after only a
few sessions
EMDR is an evidence-based psychotherapy for
Posttraumatic Stress Disorder (PTSD), Panic Attacks, Complicated Grief,
Dissociative Disorders, Disturbing Memories Phobias, Pain Disorders, Performance Anxiety,
Stress Reduction, Addictions, Sexual and/or Physical Abuse, Body Dysmorphic Disorders, &
Personality Disorders
Theory Behind EMDR
Based the Adaptive Information Processing (AIP) model,
Developed by Francine Shapiro in 1990
Much of psychopathology is due to the maladaptive encoding / incomplete processing of
traumatic or disturbing adverse life experiences.
When a traumatic or very negative event occurs, information processing may be incomplete,
perhaps because strong negative feelings or dissociation interfere with information processing.
This prevents the forging of connections with more adaptive information that is held in other
memory networks
Focusing on the disturbing experience with a dual attention stimulus facilitates the accessing of the
traumatic memory network, thus enhancing information processing with new associations forged
between the traumatic memory and more adaptive memories or information.
Dual attention stimulus
May be eye movements (most common), tapping, tactile stimulation, or auditory tones.
Usually presented in an alternating bilateral fashion
E.g., sound is played first to one ear, then the other, then the first ear, etc.
Bilateral stimulation is related to the biological mechanisms involved in Rapid Eye
Movement (REM) sleep.
What does a session look like?
Client recalls a traumatic event, whether past or present
Client rates the level of emotional disturbance of that event (scale of 0-7)
Client again recalls the event, this time while exposed to dual attention stimulus.
The degree of emotional response diminishes as new associations are created
with the event.
These new associations are thought to result in complete information processing,
new learning, elimination of emotional distress, and development of cognitive
insights
Client then recalls the event and assigns a rating.
This process repeats until client assigns a rating of 0
Phases of Therapy
Phase 1: History and Treatment Planning (1-2 sessions)
Identify present/past situations that elicit distress
Determine key skills/behaviors to learn for future well-being
Phase 2: Preparation (1-4 sessions)
Teach general skills to rapidly deal with any emotional disturbance that may arise
Develop trust
Phase 3: Assessment (~3 sessions)
Identify negative beliefs from disturbing emotions, e.g. I am helpless and assign a Subjective Unit of Disturbance (SUD) 1-7
Decide on positive belief to replace the negative belief; assign a Validity of Cognition (VOC) scale: 1-10
Phase 4: Desensitization
Dual Attention stimulus is applied while focusing on trauma or disturbing emotions Then assess using SUD
Phase 5: Installation
Apply dual attention stimulus while concentrating on positive beliefs to increase their strength, then assess using VOC
Phase 6: Body scan
Even after positive cognition has been strengthened and installed, residual tension in body may remain from original trauma.
Apply dual attention stimulus while concentrate on bodily disturbances that appear when recalling trauma
Phase 7: Closure (Ensure patient finishes visit in a positive state)
Phase 8: Reevaluation (opens every session; abbreviated version of phases 1-3)
Effectiveness
Some of the studies show that 84%-90% of single-trauma victims no longer have post-
traumatic stress disorder after only three 90-minute sessions.
Another study, funded by the HMO Kaiser Permanente, found that 100% of the single-
trauma victims and 77% of multiple trauma victims no longer were diagnosed with PTSD
after only six 50-minute sessions.
In another study, 77% of combat veterans were free of PTSD in 12 sessions. There has
been so much research on EMDR therapy that it is now recognized as an effective form
of treatment for trauma and other disturbing experiences by organizations such as the
American Psychiatric Association, the World Health Organization and the Department of
Defense
results in the alleviation of presenting symptoms, a decrease or elimination of distress
from the disturbing memory, improved view of the self, relief from bodily disturbance,
and resolution of present and future anticipated triggers.
After successful treatment with EMDR therapy, affective distress is relieved, negative
beliefs are reformulated, and physiological arousal is reduced.
References
EMDR Institute, Inc
www.emdr.com
EMDR International Association
www.emdria.org/

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