Creative Psychotherapy and EMDR

Tell me, what is it you plan to do with your one wild and precious life?’ Mary Oliver

 

How often do you find yourself back in the same situation again and again, replaying old patterns, dating similar people, finding yourself heartbroken, depressed, struggling to express yourself and your emotions?

Are you feeling stuck?

Struggling to know how to move forward, caught in the loop of limiting beliefs and stories that plague you from the past?

  • Suffering from bouts of depression?
  • Low self-esteem?
  • Libido energy and life force through the floor?
  • Wondering ‘what’s my purpose’?
  • Are you facing a cross roads or want some assistance in a Rite of Passage – transitioning from one place to another?
  •  

Creative Psychotherapy Sessions:

Initial Consultation £75.00

60 minutes £60 (session lasts 50 minutes)

EMDR Sessions are longer sessions:  90 minutes £87 (session lasts 80 minutes)

I AM HAPPY TO OFFER 6 LOW COST CLINIC SPACES FOR WOMEN IN THE COMMUNITY WHO ARE UNEMPLOYED OR LOW WAGE – please get in touch if you are interested.

PLEASE NOTE THERE IS CURRENTLY A WAITING LIST FOR THESE LOW COST SPACES.

EMDR

EMDR is an acronym for ‘Eye Movement Desensitisation and Reprocessing’. EMDR is a powerful psychological treatment method that was developed by an American clinical psychologist, Dr Francine Shapiro, in the 1980s. As a Senior Research Fellow at the Mental Research Institute, she published the first research data to support the benefits of the therapy in 1989.

EMDR is a complex and powerful therapy. All practitioners have a background in mental health before undertaking training in EMDR.

Now recognised by the National Institute for Health and Clinical Excellence (NICE) and the World Health Organization as a treatment of choice for post-traumatic stress disorder (PTSD).

What is EMDR?
EMDR therapy involves the identification of unprocessed traumatic or other distressing experiences that are continuing to drive an individual’s psychological disturbance. Without going into details the client is asked to recall the worst aspect of the memory together with the accompanying currently held negative cognitions and associated bodily sensations. Simultaneously they are directed to move their eyes from side to side, or employ some other form of bilateral stimulation (BLS). The effect is to desensitise the client to the distressing memory but, more importantly, to reprocess the memory so that the associated cognitions become more adaptive.

EMDR can be useful for:

 Panic Attacks, Complicated Grief, Dissociative Disorders, Disturbing Memories
 Phobias, Pain Disorders, Performance Anxiety, Stress Reduction, Addictions
 Sexual and/or Physical Abuse, Body Dysmorphic Disorders, Personality Disorders

What is an EMDR session like?

(EMDR) is an integrative psychotherapy approach that has been extensively
researched and proven effective for the treatment of trauma. EMDR is a set of
standardized protocols that incorporates elements from many different treatment
approaches. To date, EMDR therapy has helped millions of people of all ages relieve
many types of psychological stress.

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 or her into therapy, the behaviors and symptoms stemming from that problem. 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 or her disturbing memories in detail. So while some individuals are comfortable, and even prefer, giving specifics, other people may present more of a general picture or outline. When the therapist asks, for example, “What event do you remember that made you feel worthless and useless?” the person may say, “It
was something my brother did to me.” That is all the information the therapist needs to identify and target the event with EMDR.

Phase 2: Preparation

For most clients this will take only 1-4 sessions. For others, with a very traumatised
background, or with certain diagnoses, a longer time may be necessary. 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. While the person does not have to go into great detail about his disturbing memories, if the EMDR client does not trust his or her clinician, he or she may not accurately report what is felt and
what changes he or she is (or isn’t) experiencing during the eye movements. If the
client just wants to please the clinician and says they feel better when they don’t, no
therapy in the world will resolve that client’s trauma. In any form of therapy it is best to look at the clinician as a facilitator, or guide, who needs to hear of any hurt, need, or
disappointments in order to help achieve the common goal. EMDR is a great deal more than just eye movements, and the clinician needs to know when to employ any of the
needed procedures to keep the processing going. 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 him or herself in the face of any emotional
disturbance that may arise during or after a session. Learning these tools is an
important aid for anyone. The happiest people on the planet have ways of relaxing
themselves and decompressing from life’s inevitable, and often unsuspected, stress. One goal of EMDR therapy is to make sure that the client can take care of himself.

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. See the
Reprocessing sections below. The clinician 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 he or she chooses a statement that expresses a negative self-belief associated with the event. Even if the client intellectually knows that the statement is false, it is
important that he or she focus on it. These negative beliefs are actually verbalisations of the disturbing emotions that still exist. Common negative cognitions include
statements such as “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.” Sometimes, when the primary emotion is fear, such as in the aftermath of a natural disaster, the negative cognition can be, “I am in danger” and the positive cognition can be, “I am safe now.” “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 positive cognition should reflect what is actually appropriate in the present. At this point, the therapist will ask the person to estimate how true a positive belief feels using the 1-to-7 Validity of Cognition (VOC) scale. “1” equals “completely false,” and ” 7″
equals “completely true.” It is important to give a score that reflects how the person
“feels,” not ” thinks.” We may logically ” know” that something is wrong, but we are
most driven by how it ” feels.” Also, during the Assessment Phase, the person identifies the negative emotions (fear, anger) and physical sensations (tightness in the stomach, cold hands) he or she associates with the target. The client also rates the disturbance using the 0 (no disturbance)-to-10 (the worst feeling you? ve ever had) Subjective Units of Disturbance (SUD) scale.  Reprocessing. 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. That way, a client can actually surpass his or her initial goals and heal beyond his or her expectations. During desensitization, the therapist leads the person in sets of eye movements (or other forms of stimulation) with appropriate shifts and changes of focus until his or her 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. 

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 or her original negative belief. For example, the client might begin with a mental image of being beaten up by his or her father and a
negative belief of “I am powerless.” During the Desensitization Phase that client will
have reprocessed the terror of that childhood event and fully realized that as an adult
he or she now has strength and choices that were not there when he or she was young. During this fifth phase of treatment, that person’s positive cognition, “I am now in control,” will be strengthened and installed. How deeply the person believes that
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 or her 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 or she 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 that 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 any residual tension is noticed in the 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, the client is instructed that it is okay to raise a 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 or she 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 what calming techniques could be used to self-soothe in the client’s
life outside of the therapy session. 

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 vital 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.
For more information see: https://www.emdria.org/page/120
walking towards the light

TO READ AN EXCELLENT ARTICLE by Robin Logie on EMDR: https://thepsychologist.bps.org.uk/volume-27/edition-7/emdr-more-just-therapy-ptsd

EMDR featured on BBC Radio 4s programme iPM recently. The programme told the story of a woman revisiting intense experiences of being bullied very early in life, with event at just age four. Listen to here story here: http://www.bbc.co.uk/programmes/p04jyv3y