1st Edition
EMDR Within a Phase Model of Trauma-Informed Treatment
A practical guide to learning and using EMDR Trauma is a potential source of most types of emotional or behavioral problems. Extensive research has shown EMDR to be an effective and efficient trauma treatment. EMDR Within a Phase Model of Trauma-Informed Treatment offers mental health professionals an accessible plain-language guide to this popular and successful method. The book also introduces the “Fairy Tale Model” as a way to understand and remember the essential phases of treatment and the tasks in each phase.
This manual teaches a clear rationale and a systematic approach to trauma-informed treatment, including often-neglected elements of treatment that are essential to preparing clients for EMDR. The reader is led step by step through the treatment process, with scripted hands-on exercises to learn each skill. In addition to presenting the fundamental EMDR procedures, EMDR Within a Phase Model of Trauma-Informed Treatment teaches a treatment system that can be applied to a variety of cases. Using research-supported and proven-effective methods, this book takes you through the treatment process with easily-understood dialogues and examples. Explicitly guided exercises produce hands-on skills and familiarize you with ways to explain trauma to clients and prepare them for EMDR. You will also learn to problem-solve challenging cases using the trauma framework. EMDR Within a Phase Model of Trauma-Informed Treatment also includes an Instructor’s Manual with:
- sample syllabus
- teaching tips
- PowerPoint slides
- test bank.
- why trauma matters
- posttraumatic symptoms
- the “trauma wall”
- the structure of trauma treatment
- the role of EMDR
- the eight phases of EMDR
- preparing clients for EMDR
- legal and medical issues in EMDR
- problem solving strategies in EMDR sessions
- treatment strategies for a variety of presenting problems
- using EMDR with children and adolescents
- use and application of the “fairy tale model”
- on-line and digital resources
- Acknowledgments
- Introduction
- SECTION I: TRAUMA-INFORMED TREATMENT AND EMDR
- Chapter 1. Understanding Trauma
- Why Trauma Matters
- A Useful Definition of Trauma
- What Makes an Event Traumatic?
- The “Trauma Wall”
- Resiliency and Vulnerability
- Safety and Attachment
- Posttraumatic Symptoms
- Posttraumatic Symptoms over Time
- A Note on Exercises/Activities in this Book
- Exercise: Float-Back
- Chapter 2. The Structure of Trauma Treatment
- Meaning of Behavior
- Selecting a Trauma Treatment Structure
- Chapter 3. The Role of EMDR
- Exposure
- EMDR
- Adaptive Information Processing Theory
- The EMDR Protocol: The Eight Phases of Treatment
- EMDR and Other Therapy Approaches
- EMDR and the Fairy Tale Model
- SECTION II: PHASE 1—CLIENT HISTORY AND TREATMENT PLANNING
- Chapter 4. The Initial Interview: From “Hello” to History
- Acculturation
- Therapist Style
- Introducing Treatment
- The Rules
- Individual Interview Strategies
- How Much Should the Client Talk?
- Obtaining More History While Focusing on Strengths
- Chapter 5. Taking a Trauma History
- Exercise: Take a Trauma/Loss History
- Exercise Follow-Up Questions
- Chapter 6. Trauma-Informed Case Formulation
- Exercise: Do It Yourself
- Chapter 7. Making a Treatment Contract
- Motivation Enhancement
- Finding the Princess
- Treatment Planning and Contracting
- Presenting the Treatment Plan
- Obstacles to Following Through with the Contract
- SECTION III: PHASE 2—CLIENT PREPARATION
- Chapter 8. Safety and Stabilization
- Avoiding High Risk
- How Long Does Fence-Around Take?
- Clients in Perpetual Crisis
- Routines for Starting and Ending the Session
- Fence-Around in the Session
- Chapter 9. Resource Development and Installation
- Introducing Eye Movements
- Exercise: Practice Eye Movements
- The Safe Place Visualization
- Exercise: Safe Place
- Safe Place Script
- Problem Solving the Safe Place Intervention
- Resource Development and Installation
- Exercise: Resource Development and Installation
- Exercise: Using the Resource in a Positive Template
- Chapter 10. Self-Management Training
- Self-Management of Anxiety Symptoms
- Self-Control of Behavioral Choices
- Choices Have Consequences
- Exercise: Map Out a Problem
- Chapter 11. Precautions for EMDR
- Legal Issues
- Medical Issues
- Self-Control Issues
- Secondary Gain
- Timing
- Dissociation
- Dissociative Experiences Scale (DES) Information
- Chapter 12. Final Preparations for EMDR
- Reorient to the Treatment Plan
- Target Order
- Introducing EMDR
- Accessing Resources
- Exercise: Stop Means Stop and Safety Device
- Stop Means Stop
- Safety Device
- Discussion
- SECTION IV: PHASES 3-8—TRAUMA RESOLUTION
- Chapter 13. Phase 3: Assessment, or “Setting Up the Target”
- Exercise: Practice Target Setup
- Discussion
- Chapter 14. Phases 4 to 5: Desensitization and Installation
- Preparing the Client
- Doing the Eye Movements (EM)
- Some Tips and Reminders
- Exercise: Practice EMDR
- Discussion
- Chapter 15. Phases 6 to 7: Body Scan and Closure
- Body Scan
- Checks on Completion
- Closure
- Exercise: Container
- Discussion Questions
- Closure for All Sessions
- Exercise: Practice EMDR
- Chapter 16. Phase 8: Reevaluation and Consolidation of Gains
- Reevaluation
- Exercise: Reevaluation
- Using the Float-Back
- Exercise: Float Back and EMDR
- Consolidation of Gains
- Other Aspects of Daily Functioning
- Anticipating and Preparing for Future Challenges
- Ending Treatment
- SECTION V: ADVANCED EMDR APPLICATIONS
- Chapter 17. Problem Solving in an EMDR Session
- When the Client Is Stuck
- Other Challenges and Strategies
Biography
Ricky Greenwald
