EMDR Therapy, Addiction + Compulsion Protocols + Brainspotting
EMDR is an acronym for Eye Movement Desensitization and Reprocessing and is a technique used as a primary therapy or as an adjunct form of treatment. As a Level II EMDR specialist, I am able to offer this effective intervention to alleviate symptoms related to trauma as well as other distressing symptoms such as:
- Phobias, anxieties, fears, panic disorder, obsessions
- Depression, dysphoria, sadness
- Eating disorders, body image
- Medical trauma, medical diagnosis, pain
- Sexual, physical and emotional abuse, flashbacks
- Relationship issues, family of origin difficulties
- Identity and sexual problems
- Self-defeating patterns, self sabotage, poor self-esteem
- Accidents, natural disasters, survivors guilt
- Performance problems, public speaking
- Anger, rage
- Triggers for addictions
- Negative thoughts, patterns
This treatment modality is based on the neuroscience of the brain and uses bilateral stimulation to process through the memory networks and release the emotional charge associated with the experiences that creates obstacles to emotional health. Compared to traditional forms of cognitive behavioral therapy, EMDR has proven to be extremely effective in treating even the most problematic issues in an extraordinarily short amount of time. Clients utilizing EMDR appear to have less chance of their problems returning in the future after treatment is complete, because healing appears to take place at the level of the nervous system. EMDR is effective for changing negative thought patterns, emotional reactions, entrenched habits and even physical discomfort that people can’t “think" their way out of using traditional "talk therapy." EMDR has given clinicians and their clients the ability to essentially reverse all those negative patterns and responses that have developed in the brain, body, and nervous system. I incorporate EMDR into psychotherapy sessions, as needed and desired by my clients.
More about EMDR...
Negative experiences and emotions often become trapped in the brain and poorly integrated between the left and right hemispheres, causing distressing body and emotional symptoms. The technique of EMDR is believed to stimulate an intrinsic capacity of the human brain to resolve emotional disturbance and gain adaptive and more helpful insights, not unlike what occurs spontaneously during dreaming or REM (rapid eye movement) sleep. EMDR therapy uses bilateral stimulation, right/left eye movement, or tactile stimulation, which activates alternate sides of the brain, releasing emotional experiences that are "trapped" in the nervous system. This assists the neurophysiological system, the basis of the mind/body connection, to free blockages and integrate experiences. As troubling images and feelings are processed by the brain via the bilateral stimulation of EMDR, resolution of the issues and a more peaceful state are restored at the level of the nervous system.
EMDR is the most researched of the power therapies (Somatic Experiencing SE, Advanced Integrative Therapy, Emotional Freedom Technique EFT, Thought Field Therapy TFT, Brainspotting BSP, Energy Testing and others), and has validation by the American Psychological Association, the American Psychiatric Association, the Department of Defense and the Veteran’s Administration, as it relates to treatments for Post Traumatic Stress Disorder, or PTSD. In addition to trauma resolution, EMDR is now successfully used as a performance enhancement tool and to assist individuals in a variety of high stress situations such as:
- Participating in competitive activities
- Public speaking and presentations
- Undergoing job interviews
- Taking standardized tests such as SAT's, professional examinations, test anxiety
- Performing in artistic and creative performances, writer's and artist's block
People who have participated in performance enhancement therapy such as competitive athletes and performers often report that they are more self-confident and in control and that unconscious blocks to performance greatly reduced .
For more information about EMDR you can visit the EMDR Institute.
What follows is a more comprehensive list of problems and concerns that are helped by EMDR...
The studies to date show a high degree of effectiveness with the following conditions:
- Childhood trauma or traumatic memories
- Anxiety or panic attacks
- Anger and rage problems
- Intense anxiety, phobias and fears (fear of flying, bridges, tunnels)
- Social anxiety
- Fear of being alone or abandoned
- Feeling unlovable
- Unrealistic guilt and shame
- Addictions and smoking cessation
- Compulsions and habit control
- Chemically dependent clients
- Dissociation, DID
- Managing anger and rage problems
- Insomnia and sleep disorders, relaxation difficulties
- Medical/surgical/diagnosis trauma
- Attachment disorders
- Eating disorders (Anorexia, Bulimia, Binge Eating Disorder) and body image issues
- Performance and test anxiety
- Sexual abuse and/or physical abuse
- Surviving an assault, robbery or rape
- Witnessing violence, victim of a crime
- Loss or injury of a loved one, injury to self
- Childhood trauma, abuse or traumatic memories
- Surviving an accident
- Low self-esteem
- Motivation and procrastination
- Unrealistic feelings of guilt and shame
- 911 victims, police officers, firemen, rescue workers with violent memories
- Difficulties with trust
- Relationship problems and interpersonal problems
- Life transitions such as divorce recovery, childbirth and aging
Feeling State Addiction Protocol (FSAP)--EMDR Therapy for Addictions & Compulsions
For years the addiction field has held that addictions were caused by genetics. We now know that, while the gene may be passed from parent to child, the expression of a gene can be influenced by negative and positive environmental factors. The Feeling State Addiction Protocol or FSAP developed by Dr Robert Miller works from the theory that addictions and compulsions develop in the moment an individual experiences an intensely desired positive feeling while engaging in a specific behavior. The intensely positive feelings that are experienced in that moment are powerful, and when combined with the individual's unique history and emotional vulnerability, the positive "feeling state" (e.g. "I'm okay," "I am loved," or "I'm a winner") becomes neurologically wired with the problem behavior. As a result, the individual will compulsively seek to recreate the gratifying "feeling state" by engaging in the behavior (e.g. gambling, sex addiction, shopping, shop-lifting, exhibitionism, voyeurism, substance use, overeating or restricting), while compromising healthy psychological development.
When successful, the Feeling State Addiction Protocol breaks this neurological welding, similar to the way standard EMDR frees the “stuck” traumatic memory at the level of the nervous system. As the positive feeling state and the behavior becomes "de-linked," individuals find that their urges to engage in the addictive and compulsive behaviors diminish and may even disappear. As a result, the individual's vulnerability and original trauma creates discomfort and can no longer be numbed with the familiar addictive and compulsive behaviors. A return to the standard EMDR Protocol can then be used to resolve the painful experiences that led to the "need" that are at the root cause of many addictions.
Some clients may benefit from this type of innovative, intensive treatment, but many will need a more comprehensive, supportive and stabilizing environment for medical and psychiatric reasons. This will afford the individual with a greater range of modalities and supportive measures to ensure a lasting and successful recovery. It is important to find a rehab facility that understands how co-occurring disorders may contribute to the progression of addictions and compulsions and not just label the individual as an addict and focus only on stopping the behavior. Trauma and long-standing psychiatric issues, which may not have been properly identified or treated successfully in the past, are referred to as co-occurring disorders.
Examples of co-occurring psychiatric conditions are:
- Panic and anxiety disorders
- Attention deficit disorder
- Bipolar disorder
- Borderline personality disorder BPD
- Eating disorders
- Post-traumatic stress disorder PTSD
- Obsessive compulsive disorder OCD
- Sleep disorders
- Substance abuse or dependence
EMDR Therapy and Brainspotting
Brainspotting was discovered by David Grand, Ph.D. in 2003. Since then, Brainspotting has developed into an in-depth therapeutic process that can be integrated with psychotherapy sessions in either individual or couples therapy. Dr. Grand believes that “Brainspotting taps into the body’s natural self-scanning and self-healing abilities”.
Brainspotting therapy is a new and powerful method of healing developed from EMDR. Brainspotting as a technique is used in psychotherapy and trauma resolution therapy to help release depression, fear, anxiety, grief, loss, phobias and addictions. It is possible to release the trauma or traumatic event from either a distressed or calm place in the body. The power of BSP is that one does not necessarily have to relive the traumatic event at the same level of intensity as the original trauma. BSP is especially helpful for pre-verbal traumas, that is, trauma that occurred before the child had language to organize the experience. Because of this, it is possible to resolve the trauma in a safe and contained manner. Trauma and stress can often overwhelm the nervous system. With the support of an experienced EMDR and Brainspotting therapist, BSP helps the client discharge the trauma and calm the nervous system. BSP helps clients identify, process, and release core neurophysiological sources of emotional or physical pain, trauma, dissociation and a variety of other challenging psychiatric and somatic symptoms.
Brainspotting (BSP) functions as a neurobiological tool to support the therapeutic relationship in which the therapist’s mature, nurturing presence and ability to engage the client creates a healing space. It is theorized that Brainspotting, like EMDR, triggers the body’s innate self-scanning capacity to process and release focused areas (systems) which are in a maladaptive (frozen primitive survival modes). This may also explain the ability of Brainspotting to often reduce and eliminate body pain and tension associated with chronic physical conditions.
Generally, the brainspot is located by finding an eye position where the emotion is most strongly felt. A brainspot can also be located from the calmest place in the body. Pinpointing the brainspot is done through noticing an increase in reflexive eye or body movements, such as blinking, swallowing, yawning, head or body twitches. Neurologists state that the location of the brainspot “is related to the area or region of the patient’s experience or perception of the traumatic event and represents procedural memory for that somatic experience”.
Brainspotting can be accompanied by the use of biolateral sounds. Biolateral sounds can be music, tones or even nature sounds that move from ear to ear alternately in order to activate each hemisphere of the brain. Dr. Grand developed a series of biolateral CDs that can be used during a Brainspotting session. They were initially developed for use with EMDR. These sounds help to calm the sympathetic nervous system (which is the fight or flight response), and engage the calmer parasympathetic nervous system.
Brainspotting is unique from other therapeutic techniques in that it is being used not only in trauma and healing work, but also in the areas of performance enhancement and sports psychology. Therapists are utilizing BSP with professional athletes, actors, writers, musicians, as well as with clients who experience stress during public speaking. Meditation practices can also be enhanced through the use of Brainspotting.
David Grand, PhD, the developer of Brainspotting, is an internationally recognized trauma expert. He has devoted his life to advancing, expanding, and communicating about state-of-the-art tools available for healing trauma and enhancing performance. He is the author of Emotional Healing at Warp speed: the Power of EMDR and trains health care professionals around the US, Europe, South America and the Middle East
EMDR Therapy and Somatic Experiencing Techniques
Somatic Experiencing is a form of therapy aimed at relieving and resolving the symptoms of post-traumatic stress disorder (PTSD) and other mental and physical trauma-related health problems by focusing on the client’s perceived body sensations (somatic experiences). It was introduced in Dr. Peter Levine's 1997 book "Waking the Tiger." In it, he discusses at length his observations of animals in the wild, and how they deal with and recover from life-threatening situations. He concludes that their behavior gives us "an insight into the biological healing process" (p.98), and that "the key to healing traumatic symptoms in humans lies in our being able to mirror the fluid adaption of wild animals" (p.17-18) as they avoid traumatization in reacting to life-threatening situations. The theory postulates that the symptoms of trauma are the effect of a dysregulation of the autonomic nervous system (ANS). It further postulates that the ANS has an inherent capacity to self-regulate that is undermined by trauma, and that the inherent capacity to self-regulate can be restored by the procedures of Somatic Experiencing or SE.
The procedure, which is normally done in a face-to-face session similar to psychotherapy, involves a client tracking his or her own "felt-sense" experience. SE is considered by its practitioners to be effective for Shock Trauma in the short term (typically one to six sessions). It is also considered effective for Developmental Trauma as an adjunct to more conventional psychotherapy that may span years. Somatic Experiencing is very effective when combined with EMDR sessions and traditional talk therapy or psychotherapy.
Somatic Experiencing attempts to promote awareness and release of physical tension that proponents believe is stored and remains in the body in the aftermath of trauma. This occurs when the survival responses (which can take the form of orienting, fight, flight or freeze) of the ANS are aroused, but are not fully discharged after the traumatic situation has passed. The process involves a guided exploration of the nature and extent of the physical dysregulation that is harbored in the body as a result of trauma. Another notion is that the client's experience should be "pendulated." "Pendulation" refers to the movement between regulation and dysregulation. The client is helped to move to a state where he or she is believed to be somewhat dysregulated (i.e. aroused, distressed or frozen) and then helped to return to a state of regulation (loosely defined as not aroused or frozen). "Resources" are defined as anything that helps the client's autonomic nervous system return to a regulated state. In the face of arousal, "discharge" is facilitated to allow the client's body to return to a regulated state. Through this process the client's inherent capacity to self-regulate is believed to be restored.
Somatic Experiencing is considered by its practitioners to be useful for two broad categories of trauma: shock trauma and developmental trauma. Shock trauma is loosely defined as a single-episode traumatic event such as an accident, natural disaster, battlefield incident, etc. Developmental trauma refers to various kinds of psychological damage that occur during child development, such as: chronic abuse; insufficient attention and neglect from the primary caregivers; insufficient nurturing relationship with the parent.
What's being said about EMDR:
- "EMDR therapy was determined to be an effective treatment of trauma." American Psychiatric Association (2004). Practice Guideline for the Treatment of Patients with Acute Stress Disorder and Post-traumatic Stress Disorder. Practice Guideline for the Treatment of Patients with Acute Stress Disorder and Post-traumatic Stress Disorder. Arlington, VA: American Psychiatric Association Practice Guidelines.
- "EMDR therapy was placed in the "A" category as “strongly recommended” for the treatment of trauma." Department of Veterans Affairs and Department of Defense (2004). VA/DoD Clinical Practice Guideline for the Management of Post-Traumatic Stress. Washington, DC
- EMDR is a therapy is listed in the new Department of Veterans Affairs & Department of Defense Practice Guidelines "A" category as "highly recommended" for the treatment of trauma.
- It has received a high level of recommendation by the American Psychiatric Association and by the mental health departments of Israel, Northern Ireland, United Kingdom, France, Sweden and more. For a full listing visit http://www.EMDRHAP.org/researchandresources.htm to learn more.
- EMDR is also listed as an effective form of therapy, backed by research, on a new National Institute of Mental Health sponsored website: Check under "Adult MH Therapist for Post-traumatic Stress Disorder."
The History of EMDR
Eye Movement Desensitization and Reprocessing (EMDR) is a therapy developed by psychologist Dr. Francine Shapiro. She made the chance observation that eye movements can reduce the intensity of the disturbing thoughts when she noticed her own stress reactions diminished when her eyes swept back and forth as she walked through a park one day. EMDR involves recalling a stressful past event and “reprogramming” the memory in the light of a positive, self-chosen belief, while using rapid eye movements to facilitate the process. Theories as to why EMDR works are still evolving, but many people have found EMDR to be extremely beneficial.
8 Phases of Treatment
The amount of time the complete treatment will take depends upon the history of the client. Complete treatment of the targets involves a three pronged protocol (1-past memories, 2-present disturbance, 3-future actions), and are needed to alleviate the symptoms and address the complete clinical picture. The goal of EMDR therapy is to process completely the experiences that are causing problems, and to include new ones that are needed for full health. "Processing" does not mean talking about it. "Processing" means setting up a learning state that will allow experiences that are causing problems to be "digested" and stored appropriately in your brain. That means that what is useful to you from an experience will be learned, and stored with appropriate emotions in your brain, and be able to guide you in positive ways in the future. The inappropriate emotions, beliefs, and body sensations will be discarded. Negative emotions, feelings and behaviors are generally caused by unresolved earlier experiences that are pushing you in the wrong directions. The goal of EMDR therapy is to leave you with the emotions, understanding, and perspectives that will lead to healthy and useful behaviors and interactions.
Phase 1: History and Treatment Planning
Generally takes 1-2 sessions at the beginning of therapy, and can continue throughout the therapy, especially if new problems are revealed. In the first phase of EMDR treatment, the therapist takes a thorough history of the client and develops a treatment plan. This phase will include a discussion of the specific problem that has brought him into therapy, his behaviors stemming from that problem, and his symptoms. With this information, the therapist will develop a treatment plan that defines the specific targets on which to use EMDR. These targets include the event(s) from the past that created the problem, the present situations that cause distress, and the key skills or behaviors the client needs to learn for his future well-being. One of the unusual features of EMDR is that the person seeking treatment does not have to discuss any of his disturbing memories in detail.
Phase 2: Preparation
For most clients this will take only 1-3 sessions. For others, with a very traumatic background, or with certain diagnoses, a longer time may be necessary to create a sense of safety. Basically, your clinician will teach you some specific techniques so you can rapidly deal with any emotional disturbance that may arise. If you can do that, you are generally able to proceed to the next phase. One of the primary goals of the preparation phase is to establish a relationship of trust between the client and the therapist. During the Preparation Phase, the clinician will explain the theory of EMDR, how it is done, and what the person can expect during and after treatment. Finally, the clinician will teach the client a variety of relaxation techniques for calming himself/herself in the face of any emotional disturbance that may arise during or after a session. Learning these tools is important for everyone and especially and EMDR client. One goal of EMDR therapy is to make sure that the client learns self care, self soothing techniques and relaxation.
Phase 3: Assessment
Used to access each target in a controlled and standardized way so it can be effectively processed. Processing does not mean talking about it. The therapist identifies the aspects of the target to be processed. The first step is for the person to select a specific picture or scene from the target event (which was identified during Phase One) that best represents the memory. Then the client chooses a statement that expresses a negative self-belief associated with the event. Even if he intellectually knows that the statement is false. These negative beliefs are actually verbalizations of the disturbing emotions that still exist. Common negative cognitions are "I am helpless," " I am worthless," " I am unlovable," " I am dirty," " I am bad," etc. The client then picks a positive self-statement that he would rather believe. This statement should incorporate an internal sense of control such as "I am worthwhile/ lovable/ a good person/ in control" or "I can succeed." "I am in danger" can be considered a negative cognition, because the fear is inappropriate - it is locked in the nervous system, but the danger is actually past. The client will then be asked to rate the cognitions as well as identify any body sensations associated with these cognitions.
For a single trauma reprocessing is generally accomplished within 3 sessions. If it takes longer, you should see some improvement within that amount of time. Phases One through Three lay the groundwork for the comprehensive treatment and reprocessing of the specific targeted events. Although the eye movements (or taps, or tones) are used during the following three phases, they are only one component of a complex therapy. The use of the step-by-step eight-phase approach allows the experienced, trained EMDR clinician to maximize the treatment effects for the client in a logical and standardized fashion. It also allows both the client and the clinician to monitor the progress during every treatment session.
Phase 4: Desensitization
This phase focuses on the client's disturbing emotions and sensations as they are measured by the SUDs rating. This phase deals with all of the person's responses (including other memories, insights and associations that may arise) as the targeted event changes and its disturbing elements are resolved. This phase gives the opportunity to identify and resolve similar events that may have occurred and are associated with the target. During desensitization, the therapist leads the person in sets of eye movement (or other forms of stimulation) with appropriate shifts and changes of focus until his SUD-scale levels are reduced to zero (or 1 or 2 if this is more appropriate). Starting with the main target, the different associations to the memory are followed. For instance, a person may start with a horrific event and soon have other associations to it. The clinician will guide the client to a complete resolution of the target. Examples of sessions and a three-session transcript of a complete treatment can be found in F. Shapiro & M.S. Forrest (2004) EMDR. New York: Basic Books.
Phase 5: Installation
The goal is to concentrate on and increase the strength of the positive belief that the person has identified to replace his original negative belief. For example, the client might begin with a mental image of being beaten up by his father and a negative belief of "I am powerless." During the Desensitization Phase he will have reprocessed the terror of that childhood event and fully realized that as an adult he now has strength and choices he didn't have when he was young. During this fifth phase of treatment, his positive cognition, "I am now in control," will be strengthened and installed. How deeply the person believes his positive cognition is then measured using the Validity of Cognition (VOC) scale. The goal is for the person to accept the full truth of his positive self-statement at a level of 7 (completely true). Fortunately, just as EMDR cannot make anyone shed appropriate negative feelings, it cannot make the person believe anything positive that is not appropriate either. So if the person is aware that he actually needs to learn some new skill, such as self-defense training, in order to be truly in control of the situation, the validity of his positive belief will rise only to the corresponding level, such as a 5 or 6 on the VOC scale.
Phase 6: Body scan
After the positive cognition has been strengthened and installed, the therapist will ask the person to bring the original target event to mind and see if he notices any residual tension in his body. If so, these physical sensations are then targeted for reprocessing. Evaluations of thousands of EMDR sessions indicate that there is a physical response to unresolved thoughts. This finding has been supported by independent studies of memory indicating that when a person is negatively affected by trauma, information about the traumatic event is stored in motoric (or body systems) memory, rather than narrative memory, and retains the negative emotions and physical sensations of the original event. When that information is processed, however, it can then move to narrative (or verbalizable) memory and the body sensations and negative feelings associated with it disappear. Therefore, an EMDR session is not considered successful until the client can bring up the original target without feeling any body tension. Positive self-beliefs are important, but they have to be believed on more than just an intellectual level.
Phase 7: Closure
Ends every treatment session The Closure ensures that the person leaves at the end of each session feeling better than at the beginning. If the processing of the traumatic target event is not complete in a single session, the therapist will assist the person in using a variety of self-calming techniques in order to regain a sense of equilibrium. Throughout the EMDR session, the client has been in control (for instance, he is instructed that it is okay to raise his hand in the "stop" gesture at anytime) and it is important that the client continue to feel in control outside the therapist's office. He is also briefed on what to expect between sessions (some processing may continue, some new material may arise), how to use a journal to record these experiences, and which techniques he might use on his own to help him feel more calm.
Phase 8: Reevaluation
Opens every new session At the beginning of subsequent sessions, the therapist checks to make sure that the positive results (low SUDs, high VOC, no body tension) have been maintained, identifies any new areas that need treatment, and continues reprocessing the additional targets. The Reevaluation Phase guides the clinician through the treatment plans that are needed in order to deal with the client? s problems. As with any form of good therapy, the Reevaluation Phase is vital in order to determine the success of the treatment over time. Although clients may feel relief almost immediately with EMDR, it is as important to complete the eight phases of treatment.
Past, Present and Future
Although EMDR may produce results more rapidly than previous forms of therapy, speed is not the issue and it is important to remember that every client has different needs. For instance, one client may take weeks to establish sufficient feelings of trust (Phase Two), while another may proceed quickly through the first six phases of treatment only to reveal, then, something even more important that needs treatment. Also, treatment is not complete until EMDR therapy has focused on the past memories that are contributing to the problem, the present situations that are disturbing, and what skills the client may need for the future.
Above excerpt from: F. Shapiro & M.S. Forrest (2004) EMDR: The Breakthrough Therapy for Anxiety, Stress and Trauma. New York: BasicBooks.
Books about EMDR therapy found at Amazon.com
Calm and Confident: Overcome Stress and Anxiety With EMDR -Mark Grant. Two guided visualizations, soothing music, and EMDR combine to help listeners relax and feel more confident about dealing with stress and anxiety-producing situations. A instruction booklet included.
EMDR: The Breakthrough Therapy for Overcoming Anxiety, Stress, and Trauma -Francine Shapiro, & Margot Silk-Forrest. EMDR explained and includes many case histories.
EMDR: Transforming Trauma - Laurel Parnell. Basic EMDR information for the general public as well as psychotherapists. Dr.Parnell writes from a transpersonal perspective about her experiences with EMDR.
Small Wonders: Healing Childhood Trauma with EMDR - Joan Lovett, M.D. Collection of stories about children, adolescents and adults who have puzzling symptoms and anxiety. It offers therapists who treat children and do inner child work, a unique look at the EMDR process and valuable clinical histories. EMDR information is explained in a easily understandable way for clients. She is adept at integrating EMDR into multidimensional therapeutic contexts.
Helpful Books for EMDR Clinicians:
Finding the Energy to Heal: How EMDR, Hypnosis, TFT, Imagery, and Body-Focused Therapy Can Help Resolve Health Problems - Maggie Phillips. An excellent book for EMDR practitioners. The author explains concepts like positive image installation, positive target image, conflict free image, resource interweave, ego state therapy during EMDR without hypnosis, re-nurturing interweaves, developmental learning interweaves, concepts and procedures related to the safe place and safe place image, temporal resource interweaves, and many concepts and resources that can be useful to the EMDR clinician.
EMDR in the Treatment of Adults Abused as Children - Laurel Parnell, Ph.D
A Therapist's Guide to EMDR: Tools and Techniques for Successful Treatment. Laurel Parnell, PhD.
EMDR and Psychotherapy Integration: Theoretical and Clinical Suggestions With Focus on Traumatic Stress - Lipke, H. Lipke integrates EMDR practice with behavioral, dynamic, and humanistic psychotherapy.
EMDR Solutions: Pathways to Healing. Robin Shapiro
Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures - Francine Shapiro. Theoretical conceptualization of EMDR is outlined by Dr. Shapiro. Most of the information presented at the Level I and II EMDR trainings.
Eye Movement Desensitization Reprocessing EMDR) in Child and Adolescent Therapy - Ricky A. Greenwald, PsyD.
Extending EMDR: A Casebook of Innovative Applications - Philip Mansfield.
Healing the Divided Self: Clinical and Ericksonian Hypnotherapy for Post-Traumatic and Dissociative Conditions - Maggie Phillips & Claire Frederick. This book doesn't discuss EMDR, specifically but it does discusses Ego State Therapy as well as dissociation, hypnosis, and other relevant topics to EMDR Therapists.
Pain Control With EMDR - Mark Grant. Designed to minimize all kinds of pain, including chronic, postoperative, and migraine, the cassette and booklet contain two visualizations of pain-relieving imagery.(audio cassette)
Counselors, and Student Service Professionals - Kendall Johnson. This book is for the professionals who treat children and adolescents. The second edition includes information about the advances in the understanding of memory and Post-traumatic stress in children. Includes a chapter on EMDR therapy.
Transforming Trauma: EMDR: The Revolutionary New Therapy for Freeing the Mind, Clearing the Body, and Opening the Heart - Laurel Parnell, Ph.D. Dr. Parnell takes the reader into her own experience as a EMDR therapist and her clients abuse histories sharing how traumatic events frozen in time are released by using EMDR method.
Through the Eyes of a Child: EMDR with Children - Robert H. Tinker, Sandy A. Wilson, Robbie Dutton, Sandra D. Wilson. This books shows how EMDR can be successfully applied to helping children over come childhood trauma. The EMDR protocol is modified so it can be applied to children as young as two years old. There are many case examples including, phobias, auto accidents, breavement, ADHD, anxiety, depression and reactive attachment disorders and eating disorders.
Neurobiology & Attachment Books
The Developing Mind: Toward a Neurobiology of Interpersonal Experience - Daniel Siegel Skills Training Manual for Treating Borderline Personality Disorder - Marsha M. Linehan. DBT solutions and support for psychotherapists working with clients diagnosed with Borderline Personality Disorder
OTHER PROFESSIONAL SERVICES
Individual Therapy, Group Therapy, Relationship Counseling, Consulation, Supervision, EMDR + Adjunctive EMDR Therapy + Online Counseling Sessions
I've enjoyed my education adventures along the way and am able to offer a unique approach to healing. My goal is to blend contemporary psychological practices and practical skill-building with intuitive guidance and the wisdom of the ancient healing arts. The heart and soul of my approach is to help clients develop insight, self-awareness, self-acceptance, authenticity, self-integration, respect for one's body, feeling embodied, healthier boundaries, self-care and to learn to trust one's own inner guide and wisdom.
Psychotherapy For Adolescents + Adults
Individual adolescent and adult therapy is provided in my Manhattan office, and depending on client concerns, online using Skype or a HIPPA compliant platform. An initial consultation is the best way to determine if your particular needs and goals can best be addressed using a short-term model such as solution-focused therapy and crisis counseling or long-term psychotherapy to address longstanding, chronic symptoms and conflicts. I have advanced post-graduate training in a variety of helpful techniques such as: EMDR Therapy, Cognitive Behavioral Therapy or CBT, Dialectical Behavior Therapy or DBT, Psychoanalytic Psychotherapy, Interpersonal Psychotherapy, Solution Focused Therapy, Focusing and Mindfulness. After an initial assessment, I will give you my opinion, and together, we can discuss therapy in detail. We can also consider the duration of treatment and the approach or combination that would be the best solution for you. I have expertise in anxiety and mood disorders, addictions, compulsions, eating disorders, relationship problems, sexuality, identity concerns, sexuality, self-defeating patterns/self-sabbotage, lack of purpose, spirituality, family of origin issues, trauma/PTSD, attachment issues, self-esteem, transitions, loss, wellness coaching and an integrative therapy approach that addresses chronic pain and medical challenges.
Coaching, Strategizing + Mentoring
Coaching clients are goal-oriented individuals who seek results in their lives. Hiring a coach who is rigorously trained to uncover obstacles, as well as guide and support your best self, is a powerful resource. Having support and guidance as you practice new behaviors can be incredibly helpful. Some just need an expert "strategist" to guide efforts towards growth and change. Coaching unearths the stubborn and often hidden, negative self-concepts that keep people anchored to their present reality. Identifying these unhelpful concepts helps clients move forward. Often, a positive and renewed sense of energy will emerge as soon as one begins the coaching process. Partnering with a life coach can be supportive, encouraging and empowering, and can help clients navigate change restoring or creating balance and fulfillment. Whether it’s taking control of one's health, losing weight, career issues, focusing on goal-attainment, repairing a relationship, getting "unstuck" or transitioning to a new chapter in life, coaching can provide the needed inspiration and support one desires. Working with a licensed trained psychotherapist can yield exceptional results. Coaching is not therapy. Therapists have interesting skills and tools that can be used when longstanding and resistant patterns interfere with progress. I won't hesitate to offer EMDR for blocks and peak performance enhancement, Mindfulness, Solution-Focused strategies or Cognitive Behavior techniques to my clients, combined with coaching strategies to help the "stuck" move forward.
Relationship Counseling + Couples Therapy
I've successfully worked with many coupes who desire a better, more fulfilling relationship. I work with many high-functioning couples who would like to enhance their relationship and reestablish intimacy and connection. I also work with individuals at various stages of relationships including: newly-formed relationships, couples seeking pre-marital counseling and guidance, new parents seeking support, those considering separation or divorce and the newly single and ready to date. I use a "team" approach, helping couples learn to communicate their needs and "hear" the needs of their partner, as well as develop a shared vision or goals, learn acceptance and compassion for self and the other, heal from infidelity, develop new skills, identify and de-escalate triggers, address sex and intimacy concerns and understand how the past may be impacting your current relationship. I use my training from The Gottman Institute, as well as Emotionally Focused Therapy or EFT and Non-Violent Communication or NVC to support my work with couples.
EMDR Therapy + Brainspotting
As an EMDRIA-approved, level II trained EMDR therapist, I have enjoyed great success with clients using EMDR therapy for a variety of chronic, longstanding difficulties as well as recent traumatic incidents. EMDR psychotherapy can be a stand-alone treatment or integrated into ongoing talk therapy sessions to speed the healing process. As a New York City based EMDR specialist, I provide trauma resolution for PTSD symptoms, and healing for attachment deficits, developmental traumas, medical trauma and chronic physical and emotional abuse. Additionally, EMDR is an effective therapy for anxiety, obsessions, phobias, compulsions, panic attacks, depression, self-esteem, eating disorders and more. For addictions, I use a specific protocol called the Feeling State Addiction Protocol or FSAP when working with substance and process addictions. For individuals in addiction recovery, elements of EMDR therapy can help clients develop self-soothing inner resources. A combination of EMDR and coaching is an effective treatment combination for sports and peak performance enhancement and creative and performance blocks. Brainspotting, another technique developed by David Grand, PhD, combined with EMDR psychotherapy is a technique I use to address attachment issues, unresolved trauma, pre-verbal trauma and performance problems.
Consultations + Referrals
I provide consultation sessions that are time-limited and problem or goal-focused. Some individuals and families consult with a mental health professional for educational purposes, a clinical assessment or diagnosis, help with a personal or life challenge, support for a difficult transition or crisis and to obtain resources to other collateral support such as psychiatrists or treatment facilities such as rehabs for addictions and eating disorders. Clinical consultations allow a client, parent or family member to explore concerns, probem-solve with a professional and make decisions or changes in their lives that move them forward when they feel unsupported or "stuck." I am delighted to share my trusted resources to complementary, alternative and conventional medical referrals in New York City and beyond. Consultations are not psychotherapy and can be done long distance using an online service such as Skype, Google, FaceTime or via telephone sessions.
Integrative Therapy-Coaching, Mindfulness, Stress Reduction + Self-Care Practices
My interest in mind-body techniques and complementary medicine has allowed me to journey to some amazing places including workshops and training opportunities. Using my training with the Urban Zen Foundation and my yoga therapy training (RYT 200 + 500 hours), I help clients address anxiety insomnia, stress, trauma and chronic illness using a combination of guided imagery, breathing techniques, body scans, meditation and Mindfulness. I've studied aromatherapy and Reiki and still enjoy both, including self-Reiki and Reiki with clients, friends and family. Using the brilliance of neurobiology, western psychological theory, and the power of cutting-edge nutrition, yoga therapy, chakra work and other somatic psychotherapies, I truly enjoy helping clients who are open to these techniques heal on many levels. Together we can decide what would work best for your particular needs. Some examples of integrative therapy include: Mindfulness training, lifestyle recommendations (nutrition, meditation, exercise, yoga and sleep), boundary work, creative play, journaling, somatic therapy and more.
Supervision + Private Practice Development
I enjoy helping new practitioners such as social workers, marriage and family therapists, licensed professional counselors, licensed mental health counselors and psychologists develop and build their private practices. I am happy to provide clinical supervision for cases, and I especially enjoy helping interested therapists blend mind-body medicine and complementary techniques into their existing psychotherapy practices.
Psychotherapy, Coaching + Consultation Services
- Depression and mood disorders
- Anxiety and compulsive disorders
- Eating disorders, emotional eating and body image issues
- Borderline Personality Disorder BPD
- Adolescents problems (behavioral, emotional, family, academic challenges)
- Marriage / couples / relationship problems
- Celebrity, gifted and talented individuals
- Grief, loss and bereavement
- Asperger’s Syndrome
- Attention Deficit Disorder (ADD) / Attention Deficit Hyperactive Disorder (ADHD)
- Addictions / drug addiction / process addictions / substance abuse / behavioral disorders / alcoholism
- Sexual addiction
- Adult survivors of abuse
- Adult Children of Alcoholics
- Childhood, developmental trauma and traumatic events
- Self-sabatage and self-defeating behaviors
- Self-esteem issues
- Performance blocks using EMDR therapy
- Surviving and managing relationships with borderline or narcissistic individuals / partners
- Men’s issues
- Women’s issues, transitions, parenting, caretaking, hormone imbalance
- Environmental stressors and crisis management
- Phase of life issues / aging
- Sexual and relationship issues for individuals and couples
- Life transitions
- Work, creativity and career issues
- Life purpose, existential and spiritual concerns
- Individual, couples, marital, family and group therapy
- Weekend intensive workshops for couples
- Coordination of services with school, medical practitioners, legal counsel, etc
- Consultation and evaluation for potential in-patient residential treatment
- Parent and new parent education and coaching
- Addiction evaluations and assessments
- Addiction therapy (drug, alcohol, sex, internet, gambling, eating, spending, shopping)
- Executive coaching
- Peak performance coaching
- Clinical supervision, private practice building business and consulting
- Presentations and workshops
- Mindfulness, meditation and stress management coaching and instruction
- Recovery support for individuals including their families
- Self-care support and coaching
- Referrals to medical and allied professionals in New York City
- Psychodynamic / psychoanalytic psychotherapy
- Mindfulness / meditation support
- Interpersonal psychotherapy
- EMDR therapy
- Brainspotting for attachment and trauma resolution
- Crisis counseling
- Short-term and goal-oriented therapy
- Cognitive therapy for depression
- DBT skills
- Marriage and relationships
- Clinical supervision
- Online via telephone, Skype, FaceTime or a HIPPA compliant service