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Self-care for EMDR practitioners
This protocol was derived from the notes of Neal Daniels, a clinical psychologist who was the director of the PTSD Clinical Team at the Veterans Affairs Medical Center in Philadelphia, Pennsylvania. Always concerned about the welfare of clients and…
EMDR and phantom limb research protocol
The important elements of the EMDR and Phantom Pain Research Protocol are the following: (a) Client history taking and relationship building; (b) Targeting the trauma of the experience; and (c) Targeting the pain. This protocol is set up to follow…
EMDR pain protocol for current pain
It is estimated that approximately 30% of the population world-wide suffer from chronic pain. In this workshop you will learn how to use EMDR in order to treat patients who have specific forms of chronic pain e.g. phantom limb pain, whiplash and…
The desensitization of triggers and urge reprocessing (DeTUR) protocol
The DeTUR method is an urge reduction protocol used as the center of an overall methodology for the treatment of a wide range of chemical addictions and dysfunctional behaviors. This method was developed and refined by the author through client…
Pain control with EMDR
The treatment of chronic pain is a new and growing application of EMDR. The suitability of EMDR for chronic pain stems from a number of sources. There are similarities and overlaps between traumatic stress and physical pain that would suggest EMDR as…
CravEx: An EMDR approach to treat substance abuse and addiction
Thirty years of addiction research have provided sufficient evidence for the crucial role of memory in drug dependency. The addiction memory (AM) serves as a useful concept for obsessive-compulsive craving to be seen in drug addicted patients…
Dysfunctional positive affect: Codependence or obsession with self-defeating behavior
When there is a repetitive interaction pattern in a client's life that is difficult to resolve because the codependent behavior in question has become part of the client's identity or a lifetime way of connecting, it can be helpful to use a protocol…
Dysfunctional positive affect: To clear the pain of unrequited love
Feeling the pain of rejection by someone you love is one of the most difficult experiences that we can have as human beings. Often, this terrible feeling is, in part, based on an unrealistic idealization of the lost lover. This protocol assists your…
Dysfunctional positive affect: Procrastination
One way of thinking about procrastination is to regard it as a form of addiction; an addiction to putting things off. As with other addictive patterns, the client will choose a short-term gratification (i.e., of delay and avoidance) instead of going…
Dysfunctional positive affect: To assist clients with unwanted avoidance defenses
When working with ambivalence, it is helpful to identify the two or more sides of the ambivalence, such as the client who wants to work on a disturbing memory but is too afraid, or the client who wants to have an important conversation with someone…
Protocol for releasing stuck negative cognitions in childhood-onset complex post-traumatic stress disorder (C-PTSD)
This protocol was developed to help clients with childhood-onset complex PTSD who have difficulty moving from the Negative Cognition (NC) to the Positive Cognition (PC) and instead, experience persistent looping. This is most likely to occur with…
ACT-AS-IF and ARCHITECTS approaches to EMDR: Treatment of dissociative identity disorder (DID)
This chapter describes key steps, with scripts, for the phases of therapy with a DID client, and for an EMDR session with a DID client. In brief, the method employs the artful use of EMDR and ego state therapy for association and acceleration, and of…
The bottom-up processing protocol
Different experiential, psychophysiological, and neurobiological responses to traumatic symptom provocation in post-traumatic stress disorder (PTSD) have been reported in the literature. Two subtypes of trauma response have been hypothesized, one…
The wreathing protocol: The imbrication of hypnosis and EMDR in the treatment of dissociative identity disorder, dissociative disorder not otherwise specified, and post-traumatic stress disorder
The Wreathing Protocol has been designed as a thorough, planful, and parsimonious way to protect trauma patients from decompensation during the middle phase of trauma. This protocol helps trauma patients not only approach abreactive material with…
The inverted EMDR standard protocol for unstable complex post-traumatic stress disorder
Often in the treatment of complex post-traumatic stress disorder (C-PTSD), there is a situation where the affect tolerance of the client is compromised and the client is flooded by trauma-based symptoms at the same time. In one group of these…
Initial targeting of traumatic material: Steps
Clients are ready to begin preparation for working on traumatic material when they have some internal communication and cooperation and have developed coping skills, which they are able to use during their daily lives to manage symptoms. Preparation…
Constructive avoidance of present day situations: Techniques for managing critical life issues
The purpose of the constructive avoidance script is to assist clients in dealing with their anxiety or stress-provoking present day situations. Dissociative clients generally are phobic or avoidant of many activities such as medical procedures, going…
Modified resource development and installation (RDI) procedures with dissociative clients
The Resource Development Installation (RDI) intervention described here focuses on helping dissociative clients develop resources to address their issues. There are three steps to the intervention: Step 1. Introduces EMDR and the procedure. Step 2.…
Absorption technique
The Wedging or Strengthening Technique (Kiessling, 1999) has been modified in Germany and is called The Absorption Technique to create resources to deal with what the client is concerned about in the future, for example, a stressful partner, a…
Installing therapist, therapist's office, and maintaining duality
Clients with dissociative disorders (DD) or complex post-traumatic stress disorder (C-PTSD) often have issues concerning the "therapist's trustworthiness, inherent dangerousness and potential abusiveness" (Loewenstein, 1993, p. 66). Goals of this…
Safe space imagery
Portions of this chapter taken from "EMDR For Clients with Dissociate Identity Disorder, DDNOS, and Ego States" by Joanne H. Twombly, from EMDR solutions: Pathways to healing, edited by Robin Shapiro, 2005.) Since people with dissociative disorders…
Height orientation
Parts, alters, and ego states often believe they are living in the past and they are child sized. Orienting them to adult height can lessen anxiety and gives them more concrete proof that the past is different from the present. Child parts are often…
Installation and transmission of current time and life orientation
Clients with dissociative identity disorder (DID) or dissociative disorder not otherwise specified (DDNOS) live with a multiple reality disorder (Kluft, 1989) where parts are often living in the past and are not aware of where they are, the current…
The method of constant installation of present orientation and safety (CIPOS)
The CIPOS method can be used to extend the healing power of EMDR to many clients who are potentially vulnerable to dissociative abreaction because of a dissociative personality structure, or because of the client's intense fear of their own memory…
Back of the head scale (BHS)
It appears that sets of bilateral stimulation (BLS; alternating eye movements, tones or hand taps) have the potential to invite unfinished traumatic experience into awareness. This can be a problem for many clients who are dissociative, or who are on…
Orienting the ego state system to present reality (OPR)
The purpose of the Orienting to Present Reality (OPR) exercise is to help clients with a dissociative disorder, or help dissociative symptoms work with their ego state system to begin to experience present time and place. This generally enhances…
Workplace or conference room
Clients who have experienced severe trauma often feel that there is a lack of safety in their lives. Therefore, it is helpful to have an uncontaminated place where it is possible for the client to meet and get acquainted with the ego states and a…
Home base
There are a series of readiness activities that assist in helping dissociative clients access and work with ego states or parts of the self. The readiness activities are sequential steps that help clients and their ego state systems build safe and…
Stabilization phase of trauma treatment: Introducing and accessing the ego state system
The purpose of the protocols in the chapters by this author is to help clinicians learn stabilization interventions for use in the Preparation Phase of EMDR treatment. Using these interventions will aid clients in developing readiness for processing…
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.
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…
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 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…
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…
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…
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…
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…
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.…
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…
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…
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…
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…
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…
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…
The EMDR integrative group treatment protocol (IGTP)
The effectiveness of EMDR with trauma survivors has been widely reported. Studies support the use of EMDR in the treatment of symptoms caused by trauma in children and adolescents, and they have evaluated the usefulness of EMDR following disaster…
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 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…