ONLINE THERAPY IN WASHINGTON STATE & California

EMDR Therapy

Blending Internal Family Systems (IFS) & Somatic Experiencing (SE)

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What Is Eye Movement Desensitization Reprocessing (EMDR) Therapy?

  • A structured/manualized therapy that encourages the patient to briefly focus on the trauma memory while simultaneously experiencing bilateral stimulation (typically eye movements), which is associated with a reduction in the vividness and emotion associated with the trauma memories.

  • Helpful for anxiety, phobias, and PTSD, but the evidence based is most helpful for PTSD and trauma.

  • Second line treatment for PTSD. First time is PE or CPT, which means the evidence based suggests this is most helpful and is widely studied for PTSD treatment.

What Does EMDR Help With?

  • PTSD and single incident traumas

  • Adverse life experiences and childhood traumas and neglects

  • Anxiety

  • Depression

  • Addiction and substance use

  • Eating disorders

In my practice, I use EMDR for PTSD, childhood trauma & neglect, anxiety, and depression.

There are other therapists who can help you with addiction, substance use, and eating disorders using EMDR.

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Benefits of EMDR

  1. Short-term (for single incident trauma like a car accident or sexual assault/rape); about 14-16 weeks of treatment.

    1. Longer for complex/development/childhood traumas and neglect.

  2. No homework assigned outside of session

    1. Other modalities like CPT requires journaling/writing outside of session

  3. Less verbal processing compared to other modalities like CPT

  4. Can be blended or integrated with other modalities like somatic therapies, IFS, ego states, etc.

  5. Can be helpful for clients where CPT or PE hasn’t worked effectively prior.

Difficulties & Risks With EMDR

  1. Therapists who do not have adequate training to adapt treatment for clients with dissociation and/or complex traumas. They can invalidate you and/or push you too far outside of your window of tolerance.

  2. Those who tend to dissociate often and have structural dissociation must learn to connect to their bodies, sensations, and emotions before engaging in BLS with EMDR, as this can create adverse reactions like feeling all emotions, sensations, or remembering experiences all at once which can be terrifying and overwhelming.

    Those with a history of complex traumas and have protective parts where EMDR processing stalls and plateaus.

  3. Emotional flooding and feeling overwhelmed

  4. Nightmares and sleep issues/disturbances

  5. Therapy hangover and fatigue

  6. Irritability and emotional changes

What to Expect With EMDR With Me

  1. Takes adequate skills/tools and preparation.

    • One foot in the past, and one foot in the present.

    • Ability to self soothe and regulate emotions when overwhelmed

    • Some clients need more attachment focused skills/tools rather than general skills/tools due to childhood traumas and neglect

    • Strong therapeutic relationship where you can tell your therapist your dislikes and likes (e.g. “I need to stop processing. I’m overwhelmed right now and need to use my container”)

  2. Not a quick fix. It’s just another tool for trauma processing and healing.

    • There are many ways to heal from trauma. EMDR is one way. It may work for you. It may not.

  3. Takes time and patience.

    • Slow is the fastest way to healing.

    • Pushing through processing without adequate skills and preparation is a recipe for disaster.

  4. Complex, contextual, and requires adaption and flexibility

    1. Depends on the client and where you’re at

      1. Have you tried EMDR prior? Was it helpful? Harmful? What occurred? What didn’t occur?

    2. Depends on the client and what you need

      1. Some clients need a lot of skills and tools

      2. Some clients need to build a strong relationship and this takes longer due to past history of mistrust, lack of control, and/or powerlessness

    3. We might take a break from EMDR processing

  5. Normalizing what comes up

    1. Most of my clients have complex trauma so traditional EMDR won’t be effective and needs to be adapted

    2. This might mean: 1) Protective parts (e.g. fear, anger, grief, thinking, self-like parts, manager parts) coming up during BLS preventing processing, 2) Not knowing, being vague, and dissociating at times, 3) Fear of healing and getting rid of parts that have helped you survive (e.g. secondary gains), 4) Trauma repetition/compulsion and the Karpman triangle roles (e.g. rescuer, victim, persecutor)

EMDR with IFS & SE

  • EMDR helps with reprocessing certain memories, experiences, and events using bilateral stimulation (BLS) such as eye movements, tapping, or hand buzzers which reduces the intensity of the traumatic experiences/events.

    IFS helps with protective parts that usually carry fear, guilt, and shame that may prevent EMDR processing

    • A thinking or self-like part may come out wanting to understand what is happening all the time

    • A part holding shame may be fearful of being rid of after a lifetime of helping you survive

  • SE helps with the sensations and physiological responses that may get stuck or incomplete due to trauma.

    • This could include: fight, flight, freeze, fawn, and fright.

    • Feeling frozen or shutting down

    • Wanting to run out the door and flighting

Common Changes With EMDR Therapy

✔️ Decrease rigid and unhelpful beliefs like “I am bad” or “I am responsible for everything and everyone”

✔️ Decreased levels of Shame and greater ability to notice when Shame is in the room/present

✔️ Learn practical skills and tools to manage overwhelm and stress

✔️ Become more comfortable in your body (safety, power, control)

✔️ Increased self esteem and self-efficacy (e.g. greater ability to talk in front of others, less social anxiety, confidence, starting a business, switching jobs)

✔️ Increased knowledge and awareness of one’s limits and personal needs (e.g. saying no when you don’t like something, saying yes when you want to do something)

✔️ Increased motivation

✔️ Greater ability to notice effects on others (e.g. less sarcastic, more honest, more kind)

✔️ Increased self awareness and insight (why I do what I do)

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Healing Is Possible

There is hope.

I am an EMDR basic trained therapist (not EMDR certified).

I’ve also completed advanced trainings and consultation in EMDR with complex trauma, attachment issues, and multicultural issues.

I enjoy working with survivors of childhood trauma, emotional neglect, grief, and attachment/developmental trauma.

I’ve worked with many survivors of childhood, attachment, and developmental trauma who now have more peace, joy, freedom in their lives.

I work with survivors of trauma who are now parents who want to parent healthier children and break the cycle of trauma.

I work with therapists and social workers who are wounded healers.

I work with professionals who feel exhausted, overwhelmed, burnt out, and want to take better care of themselves.

Reach out today to schedule a consultation.

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Still Have Questions?

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Start EMDR Therapy Today

Beginning therapy is the hardest step.

I’m here to make it as easy as possible.

I offer in person therapy in Seattle’s Ballard neighborhood Mondays - Thursdays.

I also offer online therapy for residents of California living in Los Angeles as well as the San Francisco Bay Area.