Episode 7: Choosing Negative and Positive Cognitions
Walk with us through the details of Negative and Positive Cognitions. Listen while we discuss the how to support our clients in identifying the most fitting beliefs.http://content.blubrry.com/noticethat/Notice-That-Podcast-Episode07_1_.mp3Looking for negative cognitions during history taking phase.The importance of negative cognitions. They are the things our traumas have taught us about ourselves, others and what we can expect from life.They have to be a self-focused belief, and needs to be present moment focused. When possible you want it to be broad enough to allow for generalization.Make sure it is an irrational belief and not a true statement. When you need to get to the core of the issue ask the magic question, “if that were true, what would that mean about you.”Finding the ‘correct’ negative cognitionAs long as we have a self-focused, present moment irrational belief we can use it. It may change as reprocessing happens.Using a secondary negative cognition may slow down reprocessing, but it rarely completely stops it.Clients are usually more ready to work on safety related issues before shame issues or love ability issues.We don’t want to be in a power struggle during assessment phase. Our goal is to light up that memory and start reprocessing right after.3 Categories of Negative CognitionsGoogle” EMDR Negative Cognition” to find the list.Categories: Responsibility Safety and Vulnerability Control and Choice Hierarchy of Needs.What to do when the negative and positive cognition don’t seem to match.Different levels of therapist involvement in choosing cognitions. Some are very directive, others let clients chose no matter what. Consider using the ‘Zone of Proximal Development’ and ‘stages of change” as a guide. If you chose to guide the process, make sure the client has a chance to change it or ‘make it their own’.What do you do if they can’t choose between two different cognitions?Consider a combo. Use questions to narrow in:Which one is the most upsetting?Tools and techniques for working with kids. Remember childlike language.Francine said,” Don’t challenge the cognition.” Our intellect is not the tool to use when finding cognitions. ‘Positive CognitionsPositive cognitions often change during reprocessing. They will often spontaneously shift to something even more positive. There is often a physical reaction when that shift occurs.We don’t want to choose a positive cognition that feels to far way. It needs to feel within reach for them to really engage with the process. The post Episode 7: Choosing Negative and Positive Cognitions appeared first on Notice That.
2 Jul 2019
Episode 15: Calm Experience
http://media.blubrry.com/noticethat/content.blubrry.com/noticethat/Notice-That-Podcast-Episode16-Calm-Experience.mp3 A resource for returning to a calm and neutral state by focusing on created imagery of a calming space just for you. This resource can be used to manage daily stress or it can be used to lower distress during EMDR Reprocessing or at the end of a session. The post Episode 15: Calm Experience appeared first on Notice That.
17 Nov 2019
Episode 15: Introduction To EMDR Therapy
http://media.blubrry.com/noticethat/content.blubrry.com/noticethat/405_N_Jefferson_Ave.m4a The post Episode 15: Introduction To EMDR Therapy appeared first on Notice That.
17 Nov 2019
Episode 6: Performance Anxiety as a new EMDR Therapist
Listen in for tips on overcoming performance anxiety as a therapists in an EMDR session.http://content.blubrry.com/noticethat/Notice-That-Podcast-Episode06.mp3Our experiences when starting out as a new EMDR therapist. It was exhilarating, yet frightening. Ways you can begin to overcome your anxiety:Practice on anyone that will let you but consider the ethics when choosing targets. Practice with people who will provide honest feedback.In order to help diminish some performance anxiety, consider a trade with another therapist. However, remember to be careful with what targets you choose. If you are practicing on a friend or family member, consider trying EMDR on a situation you are already aware of.Expose yourself to multiple people receiving EMDR for a better educational experience.It’s always safe to practice explaining EMDR with anyone who is interested in learning. To do this thoroughly, practice different analogies and find the one’s that suit you best.Stay devoted to your scripts. Don’t worry about memorizing! Be focused on your client instead of trying to memorize the script.Get organized – finding a system that works for you in your practice.We explore the pros and cons of recording what your client says during a reprocessing session. What is worth recording?The benefits of going digital with our EMDR record keeping.Install success stories as a personal resource.Can our negative cognitions as a therapist block our clients progress? How do we overcome this? We have to learn to leave our clients within their window of tolerance even if it’s painful. That’s how real change happens.The benefits of getting EMDR for ourselves. Talk about buy in!How to use our own resources during reprocessing session that may trigger us as the therapist.How do we determine when a client has had enough resourcing and is ready to move into reprocessing?The post Episode 6: Performance Anxiety as a new EMDR Therapist appeared first on Notice That.
18 Jun 2019
Most Popular Podcasts
Episode 12: Pacing of an Individual Session
On this episode, we will break down some of the considerations of pacing an individual session with each client.http://content.blubrry.com/noticethat/Episode_12_Pacing_Part_1.mp3Considerations of Pacing an Individual SessionHave a conversation at the beginning of individual session to determine if it’s a good day to reprocess.Review resources ahead of time that you think you’ll need during reprocessing in an individual session.Window of tolerance – use this to monitor your client’s arousal level during reprocessing.Restriction of processing – consider containing material that you don’t feel prepared to reprocess right then.Containment – review their container skill or create it if you haven’t already. You can add things to their container if needed to strengthen it in the midst of reprocessing. You can use things like fences, body guards, guard dogs, padlocks.When you are uncertain about where you are in the process you can use the reboot question. “When you go back to that original incident, what comes up now?” Consider restricting processing based on time and client readiness.Strategies for StucknessWe don’t have to power through if reprocessing isn’t going well. We may need to go to preparation if we are stuck.Taking breaks – it’s okay to take breaks during reprocessing to help clients stay within the window of tolerance.Always leave 10 min at the end for wrap up if you can. This helps the client leave in a good state. We want client to leave feeling better than when they came in.The post Episode 12: Pacing of an Individual Session appeared first on Notice That.
1 Oct 2019
Episode 16: EMDR with Dissociative Clients
http://media.blubrry.com/noticethat/content.blubrry.com/noticethat/Notice-That-Podcast-Episode16_1_.mp3 In this episode we discuss the challenges of doing EMDR with dissociative clients and how to manage symptoms of dissociation throughout all phases of the EMDR process. We share books and resources we have found helpful in learning how to help this specific population and find success with EMDR. The post Episode 16: EMDR with Dissociative Clients appeared first on Notice That.
15 Dec 2019
Episode 15: Light Stream
Listen to our last talk in the Client Resources series.http://content.blubrry.com/noticethat/Notice-That-Podcast-Episode18-LightStream.mp3The post Episode 15: Light Stream appeared first on Notice That.
17 Nov 2019
Episode 15: Container
http://media.blubrry.com/noticethat/content.blubrry.com/noticethat/Notice-That-Podcast-Episode17-Container.mp3 A resource for containing distressing material that can be used to manage stress as it comes up during daily life. It can also be used for containing memories or material that comes up during reprocessing that isn’t ready to be processed. The post Episode 15: Container appeared first on Notice That.
17 Nov 2019
Episode 15: Client Resources Intro
A quick explanation of what the Client Resources series is designed for and how you can use it for yourself and with your clients. http://content.blubrry.com/noticethat/NTIntrotoclientresources.mp3The post Episode 15: Client Resources Intro appeared first on Notice That.
17 Nov 2019
EPISODE 10 PART 2: Two Handed Interweave Demo
Listen to a demo of Jen using the Two Handed Interweave with a real client. This shows how this technique can be used to help clients weigh the pros and cons of a decision and dig a little deeper into the cognitions and emotions behind the choice they are trying to make.The post EPISODE 10 PART 2: Two Handed Interweave Demo appeared first on Notice That.
27 Aug 2019
Episode 13: Pacing of Therapeutic Process
On this episode we will break down some of the considerations of pacing our therapeutic process with each client.http://content.blubrry.com/noticethat/Episode13_Pacing_of_Therapeutic_Process.mp3Considerations when determining pacing: Every client is unique. There are general guidelines to follow during therapeutic process, but the most important consideration is to stay responsive to the client in front of us. Readiness checklist – you should have received this in your basic training. If you did not receive this in your training, you can find it online. Kathleen Martin, a well known trainer has made this available. Thank you Kathleen. She has a normal version and a version for complex trauma. Therapeutic alliance Attachment challenges Personality Diagnosis – we are going to do a whole separate episode on EMDR with attachment issues and personality diagnosis. Babette Rothschild – The Body Remembers. She shared about different types of trauma and a how-to treatment plan for each type. Type I Type II -Preparation phase is about increasing resilience and readiness but also about assessing readiness and strength of therapeutic bond. Building the adaptive network for clients who have a weak adaptive network – how strong is it and does it exist at all? We may have to spend more time creating it.Consider if the following are present:Affect tolerance Dissociation Emotional awareness and regulation skills. Do they have vocabulary for their emotions and feelings? Do they have awareness of physical sensation and the ability to verbalize it?When readiness is determined for therapeutic process: Options: Exploratory EMDR – target recent or future events in order to assess readiness and observe tolerance for the process. This is not core trauma relief but it does give them increased regulation. This also increases their readiness for the deeper work. Concept of “test balloon” targets – see how they handle these smaller targets. Perpetual resourcing – we don’t to start processing we go back to resource whenever we need more. Case conceptualization – being adaptive and responsive to what’s happening with the client. The post Episode 13: Pacing of Therapeutic Process appeared first on Notice That.
15 Oct 2019
EPISODE 2 (PART 2): INTRODUCTION DEMONSTRATION
Episode part II provides a live demonstration on how to introduce EMDR therapy to a client.http://content.blubrry.com/noticethat/Podcast_Ep_2_Clip_Complete_.mp3The post EPISODE 2 (PART 2): INTRODUCTION DEMONSTRATION appeared first on Notice That.
14 Feb 2019
Episode 5: Interview with Sarah Jarvis
Meet our special guest Sarah Jarvis and listen in as we pick her brain to learn more about her experiences as an EMDR Therapist.http://content.blubrry.com/noticethat/Notice-That-Podcast-Episode05.mp3 Brief Introduction to Sarah Jarvis and her therapeutic practice Parent Child Interaction Therapy (PCIT) and EMDR Therapy Sarah presents her biggest hurdles in implementing EMDR into her existing practice We examine the challenges moving from basic training into implementing EMDR Therapy Experiencing skepticism about the process when you are newly trained Find your confidence through consultation, certification, advanced training, independent studies, support groups, etc. Techniques for using or refraining from using cognitive interweave Sarah also shares some of her most exciting cases Sarah talks about her biggest challenges implementing EMDR Therapy into her practice Developing Adaptive Information Processing (AIP) We provide several reading recommendations Sarah shares her wisdom/advice for a newly trained therapist If you want to reach Sarah to follow up with anything that she has shared, you can reach her at: firstname.lastname@example.org The post Episode 5: Interview with Sarah Jarvis appeared first on Notice That.
26 Mar 2019
Episode 18: EMDR with Sexual Abuse Survivors
http://media.blubrry.com/noticethat/content.blubrry.com/noticethat/Notice-That-Podcast-Episode17.mp3 In this episode, we discuss the challenges of doing EMDR with survivors of sexual abuse. We discuss important consideration throughout all phases of the EMDR process. We share books and resources we have found helpful in learning how to help this specific population and find success with EMDR. The post Episode 18: EMDR with Sexual Abuse Survivors appeared first on Notice That.
12 Jan 2020
Episode 10: Two Handed Interweave
Two Handed Interweave:-Created by Robin ShapiroLearn the basics of using this versatile processing interweave that allows the client to evaluate the pros and cons of divergent options. We talk through the steps for using the Two Handed Interweave with clients in multiple situations.http://content.blubrry.com/noticethat/Notice-That-Podcast-Episode09.mp3EMDR Solutions written by Robin Shapiro is highly recommended-An interweave can be utilized in the midst of processing or for processing an isolated target.– The clients anchor one thing in their left hand and one in their right hand, allowing the client to choose what to anchor into which hand.-Administer BLS, approximately 15 passes.-While the client is receiving BLS, encourage the clients to shift their focus back and forth between each hand and to just notice.-After BLS, ask the questions “What differences do you notice between the two?”-During the exercise, the client may process somatically, emotionally, or cognitively.-This can be self-administered.-It is possible for association to traumatic experiences to occur, so prepared to be able to switch into trauma processing or utilize appropriate containment exercises.-Two handed interweave can be a gentle way to help our clients to increase their awareness and insight.Non-traditional uses: Deliberating doing EMDR Conflicting ego state responses Determining the most fitting calm/comfortable place Negative vs positive cognitions Behavioral changes (exercising or staying in bed) The post Episode 10: Two Handed Interweave appeared first on Notice That.
22 Aug 2019
Episode 14: Interview w/ Jen
Listen in as Melissa interviews Jen about her life and how she can to be a therapist. Jen shares about her introduction to EMDR and why she was so drawn to it.The post Episode 14: Interview w/ Jen appeared first on Notice That.
4 Nov 2019
EPISODE 3: Integrating EMDR Therapy With Your Practice
Join us as we explore how to integrate EMDR Therapy into your new or existing practice. We will spend time exploring special considerations for agencies, residential settings, and private practice.http://content.blubrry.com/noticethat/Notice-That-Podcast-Episode03_1_.mp3Agency Integration: Consider what your role is within the agency. Check in with your supervisor to ensure they are comfortable with you using EMDR Therapy as a modality. You can seek out outside supervision with a therapist that is trained in EMDR Therapy or seek outside EMDR consultation while receiving supervision within your agency. Advocate for EMDR approach with the staff, administration, clients. Help the agency identify how they can support the client while they are going through the therapeutic process. If the client you are working with will be having contact with other staff members from the agency, you want staff members well informed on what they may notice and how they can best support that client. Be sure that you have someone that you can consult with that is trained in EMDR. If this is not available within your agency, seek outside consultation. When working with clients mandated into a program with specific requirements, evaluate the program expectations to see if the requirements need to be modified to support the client in their EMDR process. If flexibility in their program is not an option, we need to be flexible and mindful of our approach so that it supports the clients program. Consider the length of the program within the agency. While creating EMDR treatment plan, evaluate the client’s length of treatment in the specific program. Consider the length of the sessions available. Be mindful and wise in how we move forward with these clients and EMDR Therapy. Communicate with client to prevent exceeding their ability to do the trauma work within the guidelines of the program. Residential Program Benefits: safe environment, surrounded by support staff Potential Challenges: Client may not be regulated enough to proceed with reprocessing as well as the length of residential program may be an issue. The client could potentially leave the facility/program in a triggered state. Weigh the pros and cons before moving forward with trauma reprocessing in a residential setting. Until the client is more stabilized in an outpatient setting, it may be wise to remain in preparation and resourcing. Try to establish a team approach with trauma work. Consider anyone that the client is interacting with while in residential treatment. All other staff needs to be well informed of what EMDR Therapy is. How to inform other staff members about EMDR Therapy: Is it okay to do a demonstration on someone as a means of educating them about the process? If the team has personally experienced EMDR Therapy, they are more equipped to provide empathy and understanding to the clients. Explore if there is a way to include an experiential piece. Be mindful of all ethical Considerations! One option is to take someone through Calm/Safe Place with bilateral to demonstrate what a client may experience. Possibly reprocess a small target. Resourcing is a safe zone for demonstrating. Be cautions when targeting actual trauma or utilizing a floatback in this context. We never know how one memory may lead to something unexpected or be triggering for the individual. If you are going to utilize an experiential piece, be sure that you have a strong referral source and resources to direct them to following the experience. Options for consent to treat: EMDR Therapy provides a specific Consent to treat. Be sure to have the separate consent approved by your agency. You may adapt their existing consent to treat to include EMDR Therapy. You can maintain the existing consent to treat and do a verbal consent in session for EMDR Therapy. Always allow higher administration to make the final decision on what is needed to legally protect that agency. How to do trauma work in addition to program requirements? Partner with another therapist that provides traditional talk therapy. You remain their therapist focused specifically on trauma work and EMDR Therapy. You could become the point EMDR therapist for a program, while the clients work with other therapist to meet their other program requirements. When working with clients in a structured program, the division between EMDR Therapy and other therapy requirements can be helpful. It can allow for increased vulnerability due to EMDR Therapist not being in the role of creating accountability for the client to complete program requirements or legal requirements. Relinquish those accountability responsibilities to another therapist. Consider the stages of change when determining where EMDR Therapy can fit into their treatment. EMDR Therapy does not “magically” work when met with resistance or a client is unwilling to engage. The client needs to be in the Action Phase in order to be effective. We can utilize EMDR as a tool to attempt to further the client in their stage of change. Utilizing Motivational Interviewing in the Preparation Phase or targeting what is creating resistance toward the program, are both optional approaches. Some possible Negative Beliefs that may create resistance in therapy: “I can’t handle it” “I’m not worth it” “I don’t deserve to be happy” Private Practice Integration: More Flexibility. Do not have to try to fit into a specific structure of an existing program or agency. Consider if you want to structure your practice around EMDR Therapy approach. Or if you have a specific structure already in place, you may want to determine where EMDR Therapy fits into that structure. Optional method of integration: “EMDR is our primary and preferred modality.” We are going to utilize EMDR first due to it being effective and efficient. When it is not an appropriate approach or the client is resistant, we then turn to other modalities. Marketing Considerations: In order to have success and longevity in private practice, we need to be attracting the population of clients that we are the best match for. The best referral source is satisfied clients. If you connect with EMDR as a modality, do not be afraid to narrow your focus and market that. People that are fearful of not having referrals, advertise themselves with too many specialities. If EMDR is going to be one of your specialities, create a reputation for yourself with that specific modality. There’s a difference in marketing yourself as an EMDR Trained vs EMDR Certified Therapist. Being Certified comes with a more positive reputation and professional respect. Go even further with your specialization in EMDR Therapy. Identify your niche and fine tune your knowledge and skills of EMDR Therapy with that population and disorder. Seek out certification to really explore those various specializations. As more therapist get trained in EMDR Therapy, having a niche will become more and more necessary. When bringing EMDR Therapy into Private practice, is there a difference in the rate that you charge due to it being a specialty service? Benefits: Helps to recuperate your financial investment in being trained, certified, etc. Challenges: If you are a clinician that primarily utilizes EMDR Therapy but integrates other modalities, it becomes difficult to distinguish between when you are utilizing EMDR Therapy and when you are utilizing another modality. Alternative Options: Charge a higher rate for the therapist rather than for the service. Charge a higher rate based on experience level, basic trained vs. certified. Don’t be afraid to price your services in a way that values your financial and time investment while becoming an EMDR Therapist. The post EPISODE 3: Integrating EMDR Therapy With Your Practice appeared first on Notice That.
14 Feb 2019
Episode 11: Interview with Melissa Sundwall
Take a deeper look into the personal and professional life of your host, Melissa Sundwall.http://content.blubrry.com/noticethat/Notice-That-Podcast-Episode11.mp3The post Episode 11: Interview with Melissa Sundwall appeared first on Notice That.
12 Sep 2019
Episode 19: The EMDR Intensive Model
Learn the difference between the intensive model and traditional therapy model. In this episode, learn the challenges associated with both models.http://content.blubrry.com/noticethat/Notice-That-Podcast-Episode19.mp3DESCRIPTION OF AN EMDR INTENSIVE TRADITIONAL THERAPY MODEL: Typically longer than a 50 minute session Sometimes sessions can be several hours long or even several days. There’s much more that occurs in a session than just bilateral stimulation. For example, this includes spending time on reprocessing. It also allows time for resourcing and preparation. It also allows for more stabilization at the end of a session. However, not everyone is a good candidate for this type of model (ex: children) It makes a difference for clients to get through a whole target in one setting, while still having time for closing stabilization. TRADITIONAL MODEL CHALLENGES: There’s not enough time in a 50 minute session. After opening and closing, there is limited time left for processing (20-30 minutes). When a client arrives to their session, it requires motivation and courage every time they have to reopen the container. The therapist has back to back sessions with different trauma stories. It’s sometimes difficult to switch between sessions. Many clients have to take off work weekly Lastly, clients are also limited to therapists in their area INTENSIVE CHALLENGES: Initially intimidating to clients -Not supported by insurance The length of the sessions can be overwhelming to clients There’s a concern for exhaustion of the client There’s also a concern for exhaustion of the therapist EMDR THERAPY RETREATS:TYPICAL STRUCTURE OF RETREATS: Massage therapy Yoga therapy Ayurvedic food ADDITIONAL SERVICES: Art Art journaling Bio mat session Reiki Neurofeedback and more The post Episode 19: The EMDR Intensive Model appeared first on Notice That.
29 Jan 2020
Episode 17: Natural Forms of Bilateral Stimulation
http://media.blubrry.com/noticethat/content.blubrry.com/noticethat/Notice-That-Podcast-Episode18A.mp3 Listen in as we brainstorm different ways to include natural bilateral stimulation in our daily lives to help with stress management and natural processing. We talk about how to encourage our clients to include natural BLS in their daily lives as well. The post Episode 17: Natural Forms of Bilateral Stimulation appeared first on Notice That.
29 Dec 2019