What EMDR is and how it works

1. EMDR Treatment With Juvenile Delinquent Populations CJC 2004 Jay D. Fellers, LCSW

3. EMDR “ Looking Through Hemispheres” An Introductory Video Dr. Francine Shapiro Dr. Bessel van der Kolk David Grand, CSW

6. TRIGGERS Components of Traumatic Memory EMOTIONS BELIEFS SENSATIONS PICTURES TRAUMA

12. EMDR: Hypothesized Mechanisms One hypothesis was proposed by Harvard Medical School sleep researcher Robert Stickgold, Ph.D. at the 1998 EMDRIA Annual Conference:

13. EMDR : Hypothesized Mechanisms “ EMDR facilitates the processing of traumatic memory by activating brain systems normally activated during REM sleep.”

17. What is the Research Indicating the Efficacy of EMDR?

27. The Eight Phases of EMDR Treatment 1. Client History and Treatment Planning 2. Client Preparation 3. Assessment 4. Desensitization 5. Installation 6. Body Scan 7. Closure 8. Reevaluation

30. The Core of EMDR Treatment ASSESSMENT PHASE DESENSITIZATI0N PHASE INSTALLATI0N PHASE SOMATIC

31. The Core of EMDR Treatment ASSESSMENT PHASE Presenting Issue Picture Negative Cognition (NC) and Positive Cognition (PC) Validity of Cognition (VOC) Emotions/Feelings Subjective Units of Distress (SUDS) Location of Body Sensation DESENSITIZATI0N PHASE Potential Responses: Pictorial Processing, Cognitive Processing, Emotional Processing, Sensory Processing Associative Links and Feeder Memories Informational Plateaus: Responsibility, Safety, and Choices INSTALLATI0N PHASE Integration of Positive Cognition with Targeted Information and VOC Check SOMATIC OR BODY SCAN

32. Brief Therapy Inside Out Video EMDR: Working Through Grief Dr. Francine Shapiro with Jon Carlson, Psy.D., Ed.D. Diane Kjos, Ph.D.

35. Childhood Trauma Case Example Possible Information Processing Shifts : Responsibility Safety Choices

43. Substance Abuse RDI Example (cont.) Reinforce each example with 3 Short Sets of Bilateral Stimulation (less if negative content arises) Anchor with “Self-Control” Install Future Templates re: Peers talking about using drugs, thinking about skipping class and getting high, using anchor & recalling inner resources, imagining doing something different. Note emotions and body sensations, reinforce with short set of bilateral stimulation.