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 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. Although 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 are 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. Based on the customer's
evaluation the doctor will achieve the next focus of interest. In most cases a
client-directed company process is inspired. This is repeating numerous times
throughout the interval. If the client becomes struggling or has issues with
the process, the professional follows established techniques to help the client
continue managing. When the testimonials no issues related to the targeted
storage, the doctor demands him/her to think of the suggested valuable
understanding that was identified at the beginning of the interval, or a better
one if it has showed up, and to focus on the incident, while at the same time
exciting in the eye movements. After several sets, customers generally
evaluation enhanced guarantee in this valuable understanding. The professional
tests with the client regarding body feelings. If there are negative feelings,
these are prepared as above. If there are valuable feelings, 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 therapy 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. For more information visit the site http://selfbetter.com/ .
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