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In this phase, the EMDR therapist and the client identify the trauma target that the client would like to process first. The EMDR therapist will ask for an image of the trauma target, a negative ...
Phase 1: History-Taking The therapist gets the patient’s full history and together the two work to identify targets for treatment, which can include past memories, current triggers and future goals.
Eye movement desensitization and reprocessing (EMDR) was developed by Francine Shapiro in 1988 as a method to diminish the impacts of traumatic memories. During treatment, patients are asked to focus on specific distressing memories while at the same time undergoing bilateral stimulation.
There is some evidence that EMDR can be as effective as trauma focused cognitive behavioral therapy (TF-CBT) for treating PTSD, though concerns have been raised about the poor quality of the underlying studies. [4] [24] In a 2021 systematic review of 13 studies, clients had mixed perceptions of the effectiveness of EMDR therapy. [33]
EMDR begins by identifying troubling memories, cognitions and sensations a patient is struggling with. Then negative thoughts are found that the patient has associated with each memory. While both memory and thought are held in mind the patient follows a moving object with their eyes.
Evidence-based, trauma-focused psychotherapy is the first-line treatment for PTSD. [8] [9] [6] Psychotherapy is defined as a treatment where a therapist and patient build a therapeutic relationship and focus on the patient's thoughts, attitudes, affect, behavior, and social development to lessen the patient's psychopathologies and functional impairment.
The therapist asks the client to write a detailed account of their worst traumatic experience, which the client then reads to the therapist in session. This is intended to break the pattern of avoidance and enable emotional processing to take place, with the ultimate goal being for the client to clarify and modify their cognitive distortions.
They include lack of time, being too risk-averse, lack of training and understanding of trauma, fear of discussing emotions and difficult situations, fear of upsetting clients, male or older clients, lack of opportunity to reflect on professional experiences, over-reliance on non trauma-informed care models (such as traditional psychology, and ...