Eye Movement Desensitization and Reprocessing (EMDR) Therapy: Basic Principles, Protocols, and Procedures

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In addition to getting a full history and conducting appropriate assessment, the therapist and client work together to identify targets for treatment. Targets include past memories, current triggers and future goals. Preparation Dworkin, M. (2005). EMDR and the Relational Imperative: The Therapeutic Relationship in EMDR Treatment. New York: Brunner-Routledge. Parnell, L. (2008). Tapping In: A Step-by-Step Guide to Activating your Healing Resources Through Bilateral Stimulation. Boulder, CO: Sounds True Books. Dr. Russell is a retired Navy commander and military psychologist, who became the first certified military EMDR trainer in the Department of Defense, and organized a series of just-in-time EMDR trainings for more than 265 mental health providers in response to a growing military mental health crisis. Closure is used to end the session. If the targeted memory was not fully processed in the session, specific instructions and techniques are used to provide containment and ensure safety until the next session. Re-evaluation

The third phase of EMDR, assessment, activates the memory that is being targeted in the session, by identifying and assessing each of the memory components: image, cognition, affect and body sensation.

Over 15 years of important advances in therapy and research, including findings from clinical and neurophysiological studies.

Discusses additional applications, including the treatment of complex trauma, addictions, pain, depression, and moral injury, as well as post-disaster response. The fifth phase of EMDR is installation, which strengthens the preferred positive cognition. Body Scan During this phase, the client focuses on the memory, while engaging in eye movements or other BLS. Then the client reports whatever new thoughts have emerged. The therapist determines the focus of each set of BLS using standardized procedures. Usually the associated material becomes the focus of the next set of brief BLS. This process continues until the client reports that the memory is no longer distressing. Installation Marich, J. (2014). Trauma Made Simple: Competencies in assessment, treatment, and working with survivors. PESI Publishing: Eau Claire, WI. EMDR revolutionized the treatment of PTSD and has emerged as a front-line therapy for multiple forms of psychological trauma. The third edition of this foundational work underscores EMDR's integrative nature, research support, and sensitive adaptations to diverse populations. The clinical aids, client transcripts, and fidelity scales will prove a boon to practitioners and researchers alike."--John C. Norcross, PhD, ABPP, Distinguished Professor of Psychology, University of ScrantonBaldwin, M. & Korn, D. (2021). Every memory deserves respect: EMDR, the proven trauma therapy with the power to heal. New York: Workman Publishing Company.

Archer, D. (2021). Anti-racist psychotherapy: Confronting systemic racism and healing racial trauma. Montreal: Each One Teach One Publications. It's not easy to take a classic and improve on it, but that's what Shapiro has done in this third edition, with her usual combination of incisive writing, scientific rigor, and deep compassion for human suffering. The strength of EMDR's research base is now available in one easily accessible place, a testament to Shapiro's decades of insistence that no matter how clinically useful EMDR therapy might be, it needs to be supported by empirical data. The book clearly describes applications to the range of posttraumatic responses as well as other clinical problems. It is truly a gift for clinicians--and our clients."--Laura S. Brown, PhD, ABPP, past president, Division of Trauma Psychology, American Psychological Association; private practice, Seattle, Washington Marich, J. (2011). EMDR Made Simple: Four Approaches to Using EMDR with Every Client. Eau Claire, WI: PESI Publishing (Premiere) Schwartz, A. (2017). The complex PTSD workbook: A mind-body approach to regaining emotional control and becoming whole. Berkeley, CA: Althea Press. An excellent resource on an important evidence-based treatment for traumatic stress. This book is relevant for all practitioners interested in EMDR therapy, including novices as well as those who already use the approach. The third edition offers a wealth of detail to guide the reader in applying EMDR across a range of clinical presentations. Highly recommended."--David Forbes, PhD, Professor, Department of Psychiatry, University of Melbourne; Director, Phoenix Australia--Centre for Posttraumatic Mental HealthMenakem, R. (2017). My grandmother’s hands: Racialized trauma and the path to mending our hearts and bodies. Las Vegas: Central Recovery Press.

Mark C. Russell, PhD, ABPP, is a core faculty member at Antioch University, Seattle, and the establishing director of the Institute of War Stress Injury, Recovery, and Social Justice. As a graduate student, Dr. Russell became Francine Shapiro's research assistant and was primarily responsible for developing the theory underlying EMDR. Unlike other treatments that focus on directly altering the emotions, thoughts and responses resulting from traumatic experiences, EMDR therapy focuses directly on the memory, and is intended to change the way that the memory is stored in the brain, thus reducing and eliminating the problematic symptoms.

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Those little buzzers had worked some kind of Robin Williams magic. I didn't just understand the weight of my abuse logically. I felt it, like a blade through flesh, a bone popping out of place. I felt it like a lover saying it's not going to work: sharp, immediate, and terrifying. I actually felt, with searing clarity, the horror of what happened to me -- maybe for the first time ever. I felt how tremendously sad it was that I was forced to make my parents feel loved at such a young age. I felt how courageous I must have been to endure that torture, day after day for so many years, by the people I trusted most in this world. I felt a sense of love and adoration for my childhood self that I'd never been able to summon before. After the client has named the emotion he or she is feeling, the clinician asks, "On a scale of 0-10, where 0 is no disturbance or neutral and 10 is the highest disturbance you can imagine, how disturbing does it feel now?"