Assessment, Reprocessing, Closure, and Reevaluation with EMDR: From the EMDR Supplement
Jan 25, 2024
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Explore the function and purpose of EMDR therapy's assessment, reprocessing, closure, and reevaluation phases. Learn about managing dissociation, utilizing grounding techniques, ego state work, and the differences between closing complete and incomplete sessions. Discover the significance of allowing natural processing, adapting EMDR therapy, and working with feeder memories and shifting targets.
43:32
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Quick takeaways
Case conceptualization is crucial in EMDR therapy to activate and reprocess traumatic memories effectively.
Successful reprocessing in EMDR therapy involves integrating somatic, emotional, and cognitive channels of processing with the help of interweaves.
Deep dives
Overview of EMDR Therapy Approach
EMDR is an approach to the entire therapeutic journey, not just reprocessing trauma. The podcast explores the therapeutic relationship, the original eight-phase protocol, and the importance of case conceptualization in EMDR therapy.
The Assessment Phase in EMDR
The assessment phase in EMDR serves the purpose of activating the material that needs to be reprocessed and re-consolidated. It involves stimulating the neural networks associated with the traumatic memory through visual, cognitive, emotional, and bodily sensations. While all parts of the assessment are significant, completing every question is not mandatory, as the primary goal is to fully activate the stored memory for effective reprocessing.
Channels of Processing and Interweaves
EMDR therapy involves three channels of processing: somatic, emotional, and cognitive. Successful reprocessing involves integrating all three channels, which are monitored and tracked during the therapeutic process. Interweaves, such as focused questions and techniques, are used to stimulate and support processing in each channel, promoting holistic healing and integration.
Addressing Dissociation and Closing Sessions
Dissociation, a common response during trauma, can pose challenges during reprocessing. The podcast emphasizes the importance of addressing dissociation through grounding techniques, ego state work, and honesty with the client about its normalcy. The episode also discusses the differences between closing a complete session and closing an incomplete session, providing strategies for both scenarios and highlighting the need for ongoing evaluation and adaptability in EMDR therapy.
Listen in to hear a special release from the Notice That podcast and The EMDR Supplement. Within this episode, you'll be able to dive into the function and purpose of each of these phases, with a specific focus on how you can be intentional with your case conceptualization approach to make the most of these crucial phases in EMDR therapy. While you will hear the phases described broadly within the context of the standard 8 phases of EMDR, you’ll also here discussion of the three channels of processing, interweaves, managing dissociation during processing, closing a complete vs. incomplete session, and how to adapt the treatment plan and approach after reprocessing.