EMDR

What is EMDR?

The mind can often heal itself naturally, in the same way as the body does. Much of this natural coping mechanism occurs during sleep, particularly during rapid eye movement (REM) sleep. Francine Shapiro developed Eye Movement Desensitization and Reprocessing (EMDR) in 1987, utilizing this natural process in order to successfully treat Post-traumatic Stress Disorder (PTSD). Since then, EMDR has been used to effectively treat a wide range of mental health problems.

What happens when you are traumatized?

Most of the time, your body routinely manages new information and experiences without you being aware of it. However, when something out of the ordinary occurs and you are traumatized by an overwhelming event (e.g. a car accident) or by being repeatedly subjected to distress (e.g. childhood neglect), your natural coping mechanism can become overloaded. This overloading can result in disturbing experiences remaining frozen in your brain or being "unprocessed". Such unprocessed memories and feelings are stored in the limbic system of your brain in a "raw" and emotional form, rather than in a verbal “story” mode. This limbic system maintains traumatic memories in an isolated memory network that is associated with emotions and physical sensations, which are disconnected from the brain’s cortex where we use language to store memories. The limbic system’s traumatic memories can be continually triggered when you experience events similar to the difficult experiences you have been through. Often the memory itself is long forgotten, but the painful feelings such as anxiety, panic, anger or despair are continually triggered in the present. Your ability to live in the present and learn from new experiences can therefore become inhibited. EMDR helps create the connections between your brain’s memory networks, enabling your brain to process the traumatic memory in a very natural way.

What is an EMDR session like?

EMDR utilizes the natural healing ability of your body. After a thorough assessment and development of a treatment plan, you will be asked specific questions about a particular disturbing memory. Eye movements, similar to those during REM sleep, will be recreated simply by asking you to watch the therapist's finger moving backwards and forwards across your visual field. Sometimes, a bar of moving lights or headphones is used instead. The eye movements will last for a short while and then stop. You will then be asked to report back on the experiences you have had during each of these sets of eye movements. Experiences during a session may include changes in thoughts, images and feelings.

With repeated sets of eye movements, the memory tends to change in such a way that it loses its painful intensity and simply becomes a neutral memory of an event in the past. Other associated memories may also heal at the same time. This linking of related memories can lead to a dramatic and rapid improvement in many aspects of your life.

What can EMDR be used for?

In addition to its use for the treatment of Post-Traumatic Stress Disorder, EMDR has been successfully used to treat:

anxiety and panic attacks depression, PTSD, anger, phobias, sleep problems, grief and loss, addictions, pain- including phantom limb pain, performance anxiety, and feelings of worthlessness/low self-esteem

Can anyone benefit from EMDR?

EMDR can accelerate therapy by resolving the impact of your past traumas and allowing you to live more fully in the present. It is not, however, appropriate for everyone. The process is rapid, and any disturbing experiences, if they occur at all, last for a comparatively short period of time. Nevertheless, you need to be aware of, and willing to experience, the strong feelings and disturbing thoughts that sometimes occur during sessions.

How long does treatment take?

EMDR can be brief focused treatment or part of a longer psychotherapy treatment plan. EMDR can be easily integrated with other approaches in which your therapist might be trained, such as Psychodynamic psychotherapy, Dialectical Behavior Therapy, or Cognitive Behavior Therapy. For best effects, EMDR sessions during the actual reprocessing phases of treatment usually last from 60 to 90 minutes. Positive effects have been seen after one session of EMDR.

Will I will remain in control and empowered?

During EMDR treatment, you will remain in control, fully alert and wide-awake. This is not a form of hypnosis and you can stop the process at any time. Throughout the session, the therapist will support and facilitate your own self-healing and intervene as little as possible. Reprocessing is usually experienced as something that happens spontaneously, and new connections and insights are felt to arise quite naturally from within. As a result, most people experience EMDR as being a natural and very empowering therapy.

What evidence is there that EMDR is a successful treatment?

EMDR is an innovative clinical treatment which has successfully helped over a million individuals. The validity and reliability of EMDR has been established by rigorous research. There are now over nineteen controlled studies into EMDR, making it the most thoroughly researched method used in the treatment of trauma, and The American Psychiatric Association, American Psychological Association, Department of Defense, Veteran’s Administration, insurance companies, and the International Society for Traumatic Stress Studies recognize EMDR as an effective treatment for PTSD. For further information about EMDR, point your Internet browser to www.emdria.org or www.emdr.com

The First Responder Experience

There is no argument that when disaster or crisis strikes, first responders run towards trauma while civilians flee.  While the first responders seek to save everyone else, they often neglect to save themselves, psychologically and physically.  First responders are exposed to psychological and physical stress on a daily basis. Allen et al. (2010) reported these daily stressors include death, severe injury, witnessing or participating in incidents where rescue involves preventing death, or treating serious or severe injury.  Research has shown that PTSD is associated with lower relationship satisfactions and higher marital conflict and yielded moderate effect sized for the association between PTSD and the survivor’s perceived relationship quality (Lambert, Engh, Hasbun & Holzer, 2012).

First responders are at greater risk for PTSD than a majority of other occupations due to their routine exposure with traumatic stressors (Haugen, Evces, & Weiss, 2012).  The divorce rate among first responders has been said to be much higher than the national average, however, due to the lack of research on first responder marriages, these claims cannot be founded in research.  Posttraumatic stress disorder has been shown to lead to marital discord.

Research also suggests that PTSD effects intimacy between couples, Bergstrom (2013) reported that veterans with PTSD are less likely to express intimacy in their relationship due to feeling less sexual satisfaction, reduction in engaging in sex and reduced sexual functioning.  Henry et al. (2011) reported that as couples continue to cope and adjust to PTSD symptoms preoccupation with the trauma experience itself interferes with sexual and emotional intimacy due to feeling uncomfortable or dealing with issues of self esteem.  Research suggests that social support, especially from an intimate partner or spouse, may counteract or reduce PTSD symptoms when quality social support is present (Gerlock, Grimesey & Sayre, 2014). 

Haugen, Evces and Weiss (2012) estimated 400,000 first responders in the United States are suffering with PTSD, yet there is a continued deficit in treatment and research for first responders. This lack of treatment implies a lack of social support for first responders afflicted with PTSD.  The lack of social support implies a pattern for first responders to not seek help or identify acute symptoms as PTSD related or even career related (Cacciatore, Carlson, Michaelis, Kilmek & Steffan, 2011).

 

Allen, E.S., Rhoades, G.K., Stanley, S.M., & Markman, H.J. (2010). Hitting home:

            relationships between recent deployment posttraumatic stress symptoms, and

            marital functioning for army couples. Journal of Familly Psychology, 24 (3),

            280-288.

Bergstrom, J. (2013). Marriage and ptsd in oif/oef veterans: the biospsychosocial effects

            of ptsd symptoms and marital functioning. (Doctoral dissertation). Retrieved from

            ProQuest. (3615550).

Cacciatore, J., Carlson, B., Michaelis, E., Klimek, B., & Steffan, S. (2011). Crisis

            Intervention by social workers in fire departments: an innovative role for

            Social workers. Social Work, 56 (1), 81-88.

Gerlock, A. A., Grimesey, J., & Sayre, G. (2014). Military-related posttraumatic stress

            disorder and intimate relationship behaviors: a developing dyadic relationship

            model. Journal of Marital and Family Therapy, 40 (3), 344-356.

Haugen, P. T., Evces, M., & Weiss, D. S. (2012). Treating posttraumatic stress disorder in

            First responders: a systemic review. Clinical Psychology Review, 32, 370-380.

Henry, S. B., Smith, D. B., Archuleta, K. L., Sanders-Hahs, E., Nelson Goff, B. S., Reisbig, A. M. J., 

...Scheer, T. (2011). Trauma and couples: mechanisms in dyadic functioning. Journal of Marital and Family Therapy, 37 (3), 319-332.

 

Lambert, J. E., Engh, R., Hasbun, A., & Holzer, J. (2012). Impact of posttraumatic stress

            disorder on the relationship quality and psychological distress of intimate partners:

            A meta-analytic review. Journal of Family Psychology, 26 (5), 729-737.

 

Welcome

There is power in knowledge; in life we will constantly be facing power struggles within our multiple systems of family, politics, culture, etc. How do we limit this struggle? We can accomplish this through knowledge and education about ourselves and how we contribute to the system, we can grow and learn to appreciate this struggle.  This blog is meant to provide some insight I have gained over the years working with resilient and amazing clients and through my work and training as a mental health care provider. This space is designated for empowerment through knowledge on the little things, things that are often most difficult to recognize or change. Our attitudes and meanings that we attribute to people, places and events are determined on how we as individuals function on a daily basis within our systems. We all must not only recognize our place within the system, but understand that our participation is the only thing we can change/alter; we have no control over others and their contributions.

The good news is that this awareness can relieve the overwhelming burden that we “need” to change others- this is not our responsibility. This lack of control can be scary for some of us who live and function in a way that attempts to control others to protect ourselves. As you begin or continue this journey, keep in mind- as you gain control and power over your own role in life, you will begin to feel less concerned about controlling outside forces that are uncontrollable. Reducing this concern is FREEDOM! You are no longer trying to take on a task that is impossible.