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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…
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…
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…
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…
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…
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…
DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors
The Desensitization of Triggers and Urge Reprocessing (DeTUR) model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic…
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: 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…
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…
EMDR "blind to therapist protocol"
The "Blind to Therapist Protocol" (B2T) is, essentially, that. It allows a client to go through the Standard EMDR Protocol, without revealing the content of the problem. This protocol is often used in conjunction with any client group in which…
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 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 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…
EMDR emergency room and wards protocol (EMDR-ER)
The EMDR-Emergency Room and Wards Protocol (EMDR-ER®) was developed by Dr. Judith Guedalia, after being present at more than 26 Mass Casualty Events (MCEs). She and the other members of Shaare Zedek Medical Center's Trauma Team attended to more than…
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…
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…
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…
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…
EMDR: An elegantly concentrated multimodal procedure?
The active ingredients of many therapeutic processes remain open to conjecture. Regardless of what actually underlies the putative benefits of eye movement desensitization and reprocessing (EMDR), its degree of overlap with many of the multimodal…
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,…
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…
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…
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…
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.
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…
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…
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…
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.
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…
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…
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…
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.
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…
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.…
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…