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EMDR and specific fears: The phobia protocol single traumatic event
When a person starts to demonstrate an excessive and unreasonable fear of certain objects or situations that in reality are not dangerous, it is likely that the person fulfils the criteria for specific phobia as stated in the Diagnostic and…
EMDR summary sheet
This author has been interested in the idea of consolidating information in an accessible form throughout her career. The EMDR Summary Sheet was the result of a need on her part to have access to all of the relevant information concerning client…
History taking: The time line
Client history taking is an important part of well-prepared clinicians' understanding of their clients. The Time Line Script (Hofmann, 2004) is based on a number of personal communications with other EMDR clinicians. The forms are a way of eliciting…
Simple or comprehensive treatment intake questionnaire and guidelines for targeting sequence
With the experience of teaching EMDR to many mental health practitioners over a number of years, increasingly it has become clear how important history taking is to the whole process of learning how to frame a client's information into a precise and…
The EMDR-accelerated information resourcing (EMDR-AIR) protocol
The EMDR Accelerated Information Resourcing Protocol (EMDR-AIR Protocol®) is designed to accelerate the search for the resources necessary to resolve the client's current crisis or long-term issues. The idea evolved from the "Double-Hai" paradigm…
When words and pictures fail: An introduction to adaptive information processing
As part of my discussion with my patients about their mind and the adaptive information processing (AIP) system, I find that patients are sometimes unable to find responses when asked about a picture representing the worst part of the event or what…
Introducing adaptive information processing (AIP) and EMDR: Affect management and self-mastery of triggers
It is helpful to introduce the concept of Adaptive Information Processing, to help your clients understand the nature of how our brains work. To do this, you can use a metaphor concerning the front and back of the brain.
The safe/calm place protocol
The idea of the safe place has been a staple in practices of Clinical Hypnosis practitioners. The first known use of the Safe Place with EMDR was when Dr. Neal Daniels, an EMDR practitioner working at the Veterans Administration Hospital in…
The inner safe place
The imagery of an "Inner Safe Place" is part of a body of work on stabilization techniques for trauma therapy called "Psychodynamic Imaginative Trauma Therapy (PITT)". It is used within PITT to prepare clients for EMDR. However, it works very well as…
Managing the "fear of fear"
For some clients finding a Safe/Calm Place is very difficult, either because of their life experiences or their difficulty in using their imagination. In cases such as these, construction of a container to hold traumatic material, both during…
Resource strengthening
When a client seems too overwhelmed by the trauma and, therefore, cannot focus on anything else, having them focus on positive things in their lives may help them regain a more appropriate and positive perspective. Once stabilized, clients may be…
Extending resources
Some clients may be able to talk about their trauma; however, the thought of processing it with the Standard EMDR Protocol may seem too overwhelming. In cases such as these, having the client develop a resource to address the "fear of the fear" may…
The wedging technique
Some clients may be able to talk about their trauma; however, the thought of processing it with the Standard EMDR Protocol may seem too overwhelming. In cases such as these, having the client develop a resource to address the "fear of the fear" may…
Resource connection envelope (RCE) in the EMDR standard protocol
The Resource Connection Envelope (RCE) derives from the assumption that the dialectical healing movement between negative stored memories or problems and positive stored memories or resources is crucial for adaptive processing. The dialectical…
The resource map
The rationale for creating the Resource Map consists of the following: (1) A structured format and record of the resources that have been identified and installed that can be collected and used again in the future; (2) Multiple resources that empower…
The EMDR drawing protocol for adults
At certain points in my clinical practice, after I began using EMDR consistently, I would have clients come in who could not describe a specific scene or image for us to use as the target, yet, they would usually have a clear negative cognition that…
The image director technique for dreams
The "Image Director Technique" was developed to target recurring nightmares or bad dreams and those targets that are directly related to a traumatic experience. Often, when patients are having nightmares or when they feel overwhelmingly out of…
Single traumatic event
This chapter presents a summary of the Single Traumatic Event Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). For single traumatic events, the Standard EMDR protocol should be applied to the following targets (assuming they are available):…
Current anxiety and behavior
This protocol is for clients with anxieties not related to major trauma. The focus here is the Standard EMDR Protocol. This is a summary of the Current Anxiety and Behavior Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). For current anxiety…
Protocol for excessive grief
This protocol is to be used when there is a high level of suffering, self-denigration, and lack of remediation over time concerning the loss of a loved one. EMDR does not eliminate healthy appropriate emotions, including grief. It allows clients to…
Illness and somatic disorders protocol
When the perpetrator is the client's own body, the Illness and Somatic Disorders Protocol can be used. It is important to note that this protocol addresses both psychological and physical factors related to somatic complaints. This is not a…
EMDR for mining and related trauma: The underground trauma protocol
The author has been providing EMDR to traumatized miners since 1993. As with other specialized client groups, the Single Trauma (STP) and Recent Trauma Protocol (RTP) have required modifications. The author has collated the modifications made, and…
The recent-traumatic episode protocol (R-TEP): An integrative protocol for early EMDR intervention (EEI)
The question of how early to intervene with EMDR in the face of natural and manmade disasters has been an important part of the dialogue of those working in this field. Early EMDR intervention, before consolidation of the memory has taken place, may…
Emergency response procedure
The Emergency Response Procedure (ERP) was initially developed to help victims within hours of a terrorist attack, but can be applied in the immediate aftermath of any trauma. Patients may present with "silent terror," shaking and inability to speak,…
The IMMA EMDR group protocol
The Imma Group Protocol is based on the Integrative Group Treatment Protocol (IGTP) by Jarero, Artigas, Alcala, and Lopez Cano (see record 2009-08399-029), the Four Elements Exercise by Elan Shapiro (see record 2009-08399-009), and the principles of…
Enhancing positive emotion and performance with EMDR
The scripts included in this chapter exemplify how an EMDR therapist might talk with a client when the focus is on positive psychology and performance enhancement: reaching for a goal not yet realized, looking for a way to strengthen a positive…
EMDR performance enhancement psychology protocol
The EMDR Performance Enhancement Psychology Protocol (EMDR-PEP) addresses performance anxiety, self-defeating beliefs, behavioral inhibition, posttraumatic stress, and psychological recovery from injury for creative and performing artists, workplace…
The clinician awareness questionnaire in EMDR
Whenever an EMDR treatment session becomes problematic, consider this self-administered instrument when reflecting on this session. EMDR consultants can also use this measure in their consulting groups to assist consultees in understanding when work…
The butterfly hug
The Butterfly Hug was originated and developed by Lucina Artigas during her work performed with the survivors of Hurricane Pauline in Acapulco, Mexico, 1997. The Butterfly Hug had become standard practice for clinicians in the field while working…
Using olfactory stimulation with children to cue the safe or happy place
The standard Safe Place Protocol uses a word for cuing and self-cuing. For many clients, using a cue word to elicit the Safe Place and its positive associations may be effective, however, this author has hypothesized that other forms of cuing may be…
Using olfactory stimulation with children to cue resource development and installation
According to Korn and Leeds (2002), the main goal of developing and installing resources is to increase the client's capacity for self-regulation by enhancing their ability to access memory networks that contain adaptive and functional information.…
Resource connection for children
The Resource Connection for Children is a search to support children in finding their own unique ways to feel the safety, confidence, and relief of making a solid connection with their therapists in the here and now of the therapeutic session. These…
The absorption technique for children
The Absorption Technique for Children is a protocol that was derived from the work of Arne Hofmann (2003) who based his work on an adaptation of "The Wedging Technique" (Kiessling, 2009). The Absorption Technique for Children is a resource technique…
The method of constant installation of present orientation and safety (CIPOS) for children
The Constant Installation of Present Orientation and Safety (CIPOS) method is helpful in assisting children to overcome their fear of their traumatic memories. With the help of a strong, basic feeling of security and stability, the child focuses on…
Footsteps through the maze
The Maze, as a metaphor for a place where problems live and are solved, was developed out of the necessity of working with children who were too anxious, embarrassed, or afraid to experience the uncomfortable feelings around their problem areas. Such…
EMDR assessment and desensitization phases with children: Step-by-step session directions
This chapter describes the procedural steps of the Assessment Phase and Desensitization Phase of the EMDR Standard Protocol (Shapiro, 2001) with detailed scripts for steering a child through each phase. What is important for the therapist to…
Integrating EMDR into couples therapy
This protocol connects a trauma model of relationships to Bowen’s concept of differentiation (D’Antonio, 1997). In addition to those couples where a traumatic episode, prior to or during the relationship, has had a clear impact on the relationship…
From relational problems to psychological solutions: EMDR in couples therapy
This chapter examines ego state theory, EMDR, and contextual therapy. It looks specifically these three concepts in couples therapy. A case example is used to illustrate EMDR in couples therapy.
EMDR protocol for treating sexual dysfunction
Sex therapists use different techniques to treat sexual dysfunction successfully. Often, however, they encounter clients who are able to understand rationally why they are suffering from a particular sexual dysfunction, and who are unable to overcome…
Infertility protocol with EMDR
This chapter presents EMDR protocol for clients facing infertility. Eight phases are discussed: (1) history taking; (2) preparation; (3) assessment; (4) desensitization; (5) installation; (6) body scan; (7) closure; and (8) reassessment.