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EMDR Phase 1&2 Eye movement desensitization and reprocessing therapy, commonly known as EMDR, is a mental health therapy approach. EMDR treats mental health conditions that occur because of the memories we have from traumatic events in the past. In this article I will be addressing phases 1&2 of EMDR. I will follow up with an […]
EMDR Phase 1&2
Eye movement desensitization and reprocessing therapy, commonly known as EMDR, is a mental health therapy approach. EMDR treats mental health conditions that occur because of the memories we have from traumatic events in the past.
In this article I will be addressing phases 1&2 of EMDR. I will follow up with an additional article addressing phase 3&4 and finally in my third and final article, I will address phases 5-7.
Phase 1: History and Treatment Planning
Phase 1 generally takes 1-2 sessions but can continue throughout the therapy process, especially if new issues are revealed. In the first phase of EMDR treatment, the therapist takes a thorough history of the client and develops a treatment plan. This phase will include a discussion of the specific problem that has brought him into therapy, the clients behaviors stemming from that problem, and the symptoms.
The therapist will assess the client’s readiness for EMDR. The client and therapist start toidentify possible targets for EMDR processing. These include distressing memories and current situations that cause emotional distress. Other targets may include related incidents from the past.
Initial EMDR processing often are connected to childhood events rather than to adult-onset stressors. Clients generally gain insight into their situations; the emotional distress resolves and they start to change their behaviors. The length of treatment depends upon the number of traumas and the age of onset.
EMDR therapy is most effective when a client feels a connection with the therapist – a sense that the therapist: 1. Has the client’s best interest in mind (that sense of ‘I’ve got you’): 2. Will help the client to feel safe: 3. Will help the client to feel grounded and present
A big part of Phase 1 and 2 is establishing this relationship between the therapist and client.
Phase 2: Preparation
For most clients this will take 1-4 sessions. For others, with a very traumatized background, or with certain diagnoses, a longer time may be necessary.
During the second phase of treatment, the therapist ensures the client has several different ways of handling emotional distress. The therapist may teach the client a variety of strategies and stress reduction techniques the client can learn and practice during and after sessions. In Phase 2 we are preparing for the worst. We are looking for the client’s ability to regulate, their ability to stay safe, and their ability to connect. We are investigating what they are currently doing and looking for any imbalance. In this phase we are making sure the client has all the tools and resources needed to begin the reprocessing of memories. We are looking for the dangerous issues and safety issues, as well as the annoying things and connection issues, that will impede the healing process. The therapist may talk about the Window of Tolerance and strategies to make your window larger.
Once a client can reduce emotional distress using the tools they were taught, they are generally able to proceed to the next phase
We want the client to get through the processing as quickly and safely as possible. We want to address all questions and concerns the client may have. The therapist’s task here is to understand what it is like to be the client as completely as possible.
An important goal of EMDR therapy is to make sure that the client can take care of him or herself.
In my next article on EMDR, we will look at phases 3&4.
Carol Van Kampen, LMSW is an individual private practice psychotherapist who specializes in anxiety, depression, grief, and trauma treatment at Marsh Psychology Group. Carol is EMDR trained. Contact her at marshpsychologygroup.com
cvankampen@marshpsychologygroup.com
” https://marshpsychologygroup.com/carol-van-kampen-lmsw/
Sources:
https://www.emdria.org/public-resources/the-eight-phases-of-emdr-therapy/
Image: https://britishpsychotherapy.co.uk/emdr-2/
At no other time in history have schools had to face so many challenges. The COVID-9 pandemic required teachers, students, and faculty to quickly pivot and move classes to an online environment during times of great uncertainty. Despite the work involved to keep education going, students of all ages have still been significantly impacted by […]
At no other time in history have schools had to face so many challenges. The COVID-9 pandemic required teachers, students, and faculty to quickly pivot and move classes to an online environment during times of great uncertainty.
Despite the work involved to keep education going, students of all ages have still been significantly impacted by the stress of lockdowns. Many students are dealing with mental health challenges as a result.
A recent study looked at 195 students at a large public university in the United States to understand the effects the pandemic has had on their mental health. The researchers found that 71% of the participants were experiencing increased stress and anxiety as well as depressive thoughts.
While many schools have opened back up, many students are still experiencing symptoms of trauma and mental health issues.
It’s important that teachers and faculty become educated themselves on the indicators of a mental health crisis in their students. What is the best way to recognize those students who may be having issues and need extra support?
All educational institutions should put in place universal screenings to identify those students in need. These screenings may involve brief questionnaires to gauge student emotional concerns.
Schools should also be sure to have enough school-based mental health professionals on staff to provide direct support for at-risk individuals.
Students should recognize their feelings and be open to sharing them with others. Reach out to teachers and staff and get the help you need.
And if you are a student who would like to talk with someone about the stress and anxiety you are feeling, please don’t hesitate to get in touch with me.
SOURCES:
More and more people are opting to work from home. While this has its advantages, it definitely has its challenges as well. Particularly when your partner also works from home. The following are some tips to help you and your partner share a successful and harmonious dwelling while both working remotely: Give Each […]
More and more people are opting to work from home. While this has its advantages, it definitely has its challenges as well. Particularly when your partner also works from home.
The following are some tips to help you and your partner share a successful and harmonious dwelling while both working remotely:
Give Each Other Space
You might be tempted to spend every moment together now that you are both home all day. While some couples may be able to pull this off, it’s generally not a good idea to be on top of each other during your work day. For instance, if you partner is at the dining room table on their laptop, it might be a good idea for you to retreat to a spare bedroom with yours. It’s easier for most people to focus and get important work done when they have space and privacy.
Respect Each Other’s Timetable
Remote work often means you can set your own schedule. You may want to get up early and get right to work, while your partner may get more accomplished in the evening hours. As long as you both contribute to household and family chores, be sure to give each other permission to work at the times that suit you best.
Have Open and Clear Communication
There’s a very good chance that neither of you are mind readers. It’s for this reason that you’ve got to be clear about your needs. For instance, if you have an important Zoom call in the afternoon, be sure to let your partner know that you will need quiet and not to be interrupted between such-and-such hours. You might want to consider getting a dry erase board so you both can share any important information from day-to-day.
It won’t necessarily be easy, and it may take some getting used to… but with some consideration for each other’s needs, working from home together may turn out to be a very enjoyable experience!
SOURCES:
https://www.gq.com/story/we-can-work-from-home
https://remote.co/couples-who-both-work-from-home/
https://medium.com/swlh/how-to-avoid-killing-your-partner-when-you-both-work-from-home-6fb3506f996
Whether it’s across town or across country, moving is one of the most stressful experiences a person can go through. Everything takes longer and weighs more than you initially thought, and the internet provider never seems to have any openings to come out to your new place and get you hooked up! It’s no […]
Whether it’s across town or across country, moving is one of the most stressful experiences a person can go through. Everything takes longer and weighs more than you initially thought, and the internet provider never seems to have any openings to come out to your new place and get you hooked up!
It’s no wonder people absolutely dread moving.
If you have a big move coming up, here are some tips to help you reduce the stress:
Accept Reality
No move in the history of mankind has ever gone off without a hitch. It is important to expect the unexpected and to go with the flow as best you can.
Give Yourself Plenty of Time
One of the biggest reasons people get stressed while they’re moving is because they didn’t give themselves enough time. While a small apartment may take two days to fully pack up, a three or four bedroom house you’ve lived in for over a decade may take closer to a week or two. It’s always best to give yourself more time and not less.
Be sure to give yourself plenty of time with other aspects of moving as well. For instance, setting up the utilities in your new home, researching the right moving company, and giving your old home a thorough clean. These projects will all take time as well.
Stay Organized
Keeping stress at bay will require you to stay organized. From buying moving supplies to labeling boxes to packing, organization will help you stay in control when things could easily spin out of control. So make lists and use a day planner to stay on top of your tasks.
Ask for Help
Don’t feel you need to do everything by yourself. If you need help, ask for it. Sometimes even just having some company from a friend or family member while you pack can lift your spirits. And try and plan ahead. Give your loved ones a heads up a week out so there is more of a chance they can say “yes.”
Is moving fun? Nope. But if you give yourself plenty of time, stay organized, ask for help and accept the fact that sh*t happens, your move will go much more smoothly.
SOURCES:
https://www.psychologytoday.com/us/blog/living-the-questions/201703/ten-simple-tips-manage-the-stress-moving
https://www.bustle.com/p/13-ways-to-make-moving-less-stressful-10031771
The Covid pandemic disrupted the lives of everyone on the globe. But without question, certain professions got hit the hardest. Teachers definitely belong in this category. Numerous teachers were laid off without notice; the rest were forced to adapt quickly and begin teaching remotely. While the pandemic is behind us, the mental health affects on […]
The Covid pandemic disrupted the lives of everyone on the globe. But without question, certain professions got hit the hardest. Teachers definitely belong in this category. Numerous teachers were laid off without notice; the rest were forced to adapt quickly and begin teaching remotely.
While the pandemic is behind us, the mental health affects on teachers are lingering. As these professionals head back to school this fall, it is important that they recognize they may be feeling stressed and mentally exhausted.
If you are a teacher heading back to the classroom, here are some thing you can do to look out for your own mental health:
Put Your Needs First
Teachers tend to be the kinds of people who always put their students’ – and other people’s – needs first. But now is the time to put your needs first, so you have the energy and mental clarity to give to your students throughout the rest of the year. Ask yourself, “What do I need to feel my best so I can be an effective and supportive teacher?”
Adjust Your Expectations
Everyone has been changed by Covid. You can’t expect yourself or anyone else to be the person they were before lockdowns. When you feel yourself judging yourself too harshly, try and adjust your expectations.
Talk to Someone
If your feelings of anxiety, depression or burnout don’t subside, even with making some adjustments to your life, then it’s important that you speak to someone. A mental health professional can help you work through the stress and emotions you have dealt with and may be holding on to. They can also provide coping strategies so you may get back to living a joyful life.
If you or someone you know is a teacher whose mental health has been affected by the Covid pandemic, please reach out to me. I would be happy to discuss treatment options with you.
SOURCES:
https://www.edweek.org/leadership/teachers-mental-health-has-suffered-in-the-pandemic-heres-how-districts-can-help/2021
https://www.kaplanco.com/ii/mental-health-effects-on-educators
https://www.unicef.org/eca/stories/ten-mental-health-and-well-being-tips-teachers
BIPOC Mental Health According to the American Counseling Association: “Black and Indigenous people and other people of color (BIPOC) experience a broad spectrum of ongoing discrimination, oppression, and inequity rooted in America’s colonialist history, all of which foster both collective and individual trauma in those communities.” The American Psychiatric Association reported in […]
BIPOC Mental Health
According to the American Counseling Association:
“Black and Indigenous people and other people of color (BIPOC) experience a broad spectrum of ongoing discrimination, oppression, and inequity rooted in America’s colonialist history, all of which foster both collective and individual trauma in those communities.”
The American Psychiatric Association reported in 2017 that 17% of Black people and 23% of Native Americans live with a mental illness. People who identify as multi-racial are more likely to report any mental illness within the past year than any other racial or ethnic group. According to research performed by the American Counseling Association, BIPOC groups are:
These barriers can be attributed to a variety of factors. Examples include cultural stigma around mental illness, systemic racism and discrimination, a lack of health insurance, language barriers, mistrust of mental health care providers, and a lack of cultural competency on the part of mental health care providers.
Since COVID-19, many BIPOC communities have been impacted in numerous ways. According to the Centers for Disease Control, symptoms of depression were reported 59% more frequently by Hispanic adults than non-Hispanic White adults. It was also reported that a larger percentage of multi-racial and non-Hispanic adults of other races and ethnicities reported stress and worry about stigma or discrimination associated with being blamed for spreading COVID-19 in comparison to White adults.
What can you do to help?
Cultural competency and awareness do not occur in a vacuum. According to the American Psychological Association, the following tips can help in building cultural awareness and competency:
Claudia Coxx, LMSW , is a psychotherapist specializing in depression, anxiety, and BIPOC mental health at Marsh Psychology Group. She can be reached at ccoxx@marshpsychologygroup.com or 248-860-2024.
Watching a loved-one self-destruct and feeling helpless to stop them can feel devastating, particularly when that person is in complete denial about their unhealthy life patterns. While you may feel hopeless, there is something you can do to try and help your loved one get the help they need to change their life. What is […]
Watching a loved-one self-destruct and feeling helpless to stop them can feel devastating, particularly when that person is in complete denial about their unhealthy life patterns. While you may feel hopeless, there is something you can do to try and help your loved one get the help they need to change their life.
What is an Intervention?
An intervention is a carefully and thoughtfully planned meeting where friends, loved ones, and sometimes colleagues or other community members who care about the person struggling with addiction, come together to confront the person and ask them to accept treatment.
Interventions are led by professional interventionists, who specially trained mental health professionals. An interventionist provides guidance to loved ones and facilitates open communication among the group.
When is it Time for an Intervention?
It’s not easy to recognize when it’s time to confront your loved one. And planning an intervention can feel stressful. What if your loved one gets angry and refuses to participate? What if they retaliate by upping their bad behavior?
While there is no set rule on the best time to have an intervention, usually those closest to the person struggling with addiction simply know it is time. This knowing could be because of a recent DUI. It may be because their loved one is close to losing their job, their spouse and kids, their home. It may be because their health is rapidly deteriorating.
In my experience, the best time to plan an intervention is the sooner rather than later. Often, waiting until your loved one hits rock bottom to voice your concerns can be too late.
If you and your family believe you would like to hold an intervention for a loved one and need some guidance and support, please reach out to me.
SOURCES:
https://www.associationofinterventionspecialists.org/learn-about-intervention/
https://www.seabrook.org/blog/when-is-it-time-for-an-intervention/
https://www.allaboutinterventions.com/what-is-an-intervention/
According to the National Institute of Mental Health, Obsessive-Compulsive Disorder (OCD) affects 2-3% of the population. The disorder is characterized by a pattern of unwanted thoughts or fears (obsessions) that cause an individual to perform a set of repetitive behaviors (compulsions). OCD interferes with a person’s daily activities and can lead to significant distress. Symptoms […]
According to the National Institute of Mental Health, Obsessive-Compulsive Disorder (OCD) affects 2-3% of the population. The disorder is characterized by a pattern of unwanted thoughts or fears (obsessions) that cause an individual to perform a set of repetitive behaviors (compulsions). OCD interferes with a person’s daily activities and can lead to significant distress.
Symptoms of OCD
People that have been diagnosed with OCD typically experience both obsessions and compulsions. However, there are some individuals who only experience symptoms of obsessions or only symptoms of compulsion.
Symptoms of Obsession
Obsessions are persistent and repeated unwanted thoughts, urges or images that cause you to feel stress or anxiety. Though you may try to ignore these mental intrusions, most with OCD relieve the stress and tension by performing a compulsive behavior or ritual.
The following are some of the most common symptoms of obsessions:
Symptoms of Compulsion
OCD compulsions are repetitive behaviors that an individual feels driven to perform in an effort to relieve the stress triggered by their obsession or stop something bad from happening.
Some of the most common symptoms of compulsion are:
Is it Time to Get Help?
Some people make the mistake of confusing perfectionism – a driving urge to have flawless results or a perfect performance – with OCD. But they are not the same thing. OCD symptoms take a real toll on an individual and interfere with their quality of life.
If you or someone you know has been diagnosed with OCD or you think you or they may have OCD based on these symptoms, please feel free to call my office. I would be happy to speak to you about your specific concerns and the treatment options available to you.
SOURCES:
https://www.mayoclinic.org/diseases-conditions/obsessive-compulsive-disorder/symptoms-causes/syc-20354432
https://www.disorders.org/anxiety/obsessive-compulsive-disorder/10-most-common-obsessive-compulsive-disorder-symptoms/
https://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd
Women and Depression: Ways to Feel Better Reach out for social support: Getting support from people who care about you plays an essential role in overcoming depression Ask for the help and support you need and share what you’re going through with the people you love and trust. You may have neglected your most important […]
Women and Depression: Ways to Feel Better
Reach out for social support:
Getting support from people who care about you plays an essential role in overcoming depression
Ask for the help and support you need and share what you’re going through with the people you love and trust. You may have neglected your most important relationships, but they can get you through this rough time.
How to reach out for support:
Look for support from people who make you feel safe and cared for. The person you talk to doesn’t have to be able to fix you; they just need to be a good listener—someone who’ll listen attentively and compassionately without judging you.
Make facetime a priority. Phone calls, social media, and texting are great ways to stay in touch, but they don’t replace in-person quality time. The simple act of talking to someone face to face about how you feel can play a big role in relieving depression and keeping it away.
Try to keep up with social activities even if you don’t feel like it. Often when you’re depressed it feels more comfortable to retreat into your shell- but being around other people will make you feel less depressed.
Find ways to support others. It’s nice to receive support, but research shows you get an even bigger mood boost from providing support yourself. So, find ways to help others: volunteer, or help a friend.
Join a support group for depression. Being with others dealing with depression can go a long way in reducing your sense of isolation.
Support your health
In order to overcome depression, you must do things that relax and energize you. This includes following a healthy lifestyle, learning how to better manage stress, setting boundaries on what you’re able to do, and scheduling fun activities into your day.
Aim for eight hours of sleep. Depression often involves sleep problems, whether you’re sleeping too little or too much, your mood suffers.
Keep stress in check. Not only does stress prolong and worsen depression, but it can also trigger it. Figure out all the things in your life that stress you out, such as work overload, money problems, or unsupportive relationships, and find ways to manage the stress so you feel more in control.
Practice relaxation techniques. A daily relaxation practice can help relieve symptoms of depression, reduce stress, and boost feelings of well-being. Try yoga, deep breathing, progressive muscle relaxation, or meditation.
Do things you enjoy (or used to). While you can’t force yourself to have fun or experience pleasure, you can push yourself to do things, even when you don’t feel like it. Pick up a former hobby or a sport you used to like. Express yourself creatively through music, art, or writing. Go out with friends. Take a day trip to, the park, the beach, or the ballpark.
Come up with a list of things that you can do for a quick mood boost. The more “tools” for coping with depression, the better. Try and implement a few of these ideas each day, even if you’re feeling well.
Get up and get moving
When you’re depressed, just getting out of bed can seem overwhelming, let alone working out! But exercise is a powerful depression fighter—and one of the most important tools for depression recovery.
Studies show that regular exercise can be as effective as antidepressant medication at increasing energy levels and decreasing feelings of fatigue. A 30-minute walk each day will give you a much-needed boost. And if you can’t manage 30 minutes, three 10-minute bursts of movement throughout the day are just as effective.
Your fatigue will improve if you stick with it. Starting to exercise can be difficult when you’re depressed and feeling exhausted. But research shows that your energy levels will improve if you keep with it. Exercise will help you to feel energized and less fatigued.
Find exercises that are continuous and rhythmic. The most benefits for depression come from rhythmic exercise—such as walking, weight training, swimming, martial arts, or dancing—where you move both your arms and legs.
Add a mindfulness element, especially if your depression is rooted in unresolved trauma or fed by obsessive, negative thoughts.
Eat a healthy, depression-fighting diet
What you eat has a direct impact on the way you feel. Some women find dietary modifications, nutritional supplements and herbal remedies can help aid in the relief of depression symptoms. These include:
Cutting back on salt, unhealthy fats, caffeine, sugar/refined carbs, and alcohol.
Not skipping meals. Going too long between meals can make you feel irritable and tired, so aim to eat something at least every three to four hours.
Boosting your B vitamins. Deficiencies in B vitamins such as folic acid and B-12 can trigger depression. To increase your intake, eat more citrus fruit, leafy greens, beans, chicken, and eggs. Vitamin B-6 along with calcium, magnesium, Vitamin E, and tryptophan have all been shown to benefit women suffering from PMDD.
Eating foods with Omega-3 fatty acids. Omega-3 fatty acids play an essential role in stabilizing mood. The best sources are fatty fish such as salmon, herring, mackerel, anchovies, sardines, and tuna, or vegetarian options such as seaweed, flaxseed, and walnuts.
Making sure you’re getting enough iron. Low iron levels can produce common depression symptoms like irritability, fatigue, and difficulty concentrating. Iron rich foods to add to your diet include red meat, beans, leafy greens and dried fruit.
Get a daily dose of sunlight
Sunlight can help boost serotonin levels and improve your mood. Aim for at least 15 minutes of sunlight a day.
Take a walk on your lunch break, have your coffee outside, enjoy an al fresco meal, people-watch on a park bench, or spend time gardening.
Challenge negative thinking
Depression puts a negative spin on everything, including the way you see yourself and your expectations for the future. When these types of thoughts overwhelm you, it’s important to remember that this is a symptom of your depression and these irrational, pessimistic attitudes—known as cognitive distortions—aren’t realistic.
Women also tend to ruminate when we’re depressed, perhaps spending hours trying to figure out why we’re feeling this way. However, rumination can maintain depression or even make it worse.
Once you identify the destructive thought patterns that contribute to your depression, you can start to challenge them with questions such as:
Get professional help if needed
If you don’t benefit sufficiently from behavioral tools, seek help from a mental health professional.
Therapy. Talk therapy is an extremely effective treatment for depression. It can provide you with the skills and insight to relieve depression symptoms and help prevent depression from coming back. One of the most important things to consider when choosing a therapist is your connection with this person. The right therapist will be a caring and supportive partner in your depression treatment and recovery.
Medication. Antidepressant medication may help relieve some symptoms of depression in women, but it won’t cure the root cause of depression.
If you feel you could benefit from further support and counseling consider finding a qualified therapist you trust who can help you manage your mental health.
Carol Van Kampen, LMSW
Carol Van Kampen, LMSW is an individual private practice psychotherapist who specializes in anxiety, depression, grief, and trauma treatment at Marsh Psychology Group. Carol is EMDR trained. Contact her at marshpsychologygroup.com
cvankampen@marshpsychologygroup.com
https://marshpsychologygroup.com/carol-van-kampen-lmsw/
Emotional abuse is not as easy to spot as physical abuse, but oftentimes its effects can be just as traumatic. Emotional abuse can involve a wide range of tactics, including gaslighting, shaming and manipulation. All of these are intended to leave the victim feeling confused, powerless and hopeless. Typically people suffer from long-term or short-term […]
Emotional abuse is not as easy to spot as physical abuse, but oftentimes its effects can be just as traumatic. Emotional abuse can involve a wide range of tactics, including gaslighting, shaming and manipulation. All of these are intended to leave the victim feeling confused, powerless and hopeless.
Typically people suffer from long-term or short-term emotional abuse, and depending on the length of time, there can be varying mental health effects.
Long-term emotional abuse happens over many years. Examples are a child growing up in a home with an alcoholic parent or a sibling with anger issues. Someone may find themselves in a marriage with a narcissistic partner.
Short-term emotional abuse can result from a nasty exchange with a stranger or micro-interactions with colleagues or neighbors.
The following are some short-term and long-term effects of emotional abuse:
Short-Term Effects
Long-term Effects
You Can Heal from Emotional Abuse
With time, patience and plenty of self-compassion, it is very possible to heal from the trauma of emotional abuse. Working with a mental health professional who has been trained specifically to help people who have been the victim of emotional abuse is a great starting point.
If you’d like to explore treatment options, please reach out to me.
SOURCES:
https://psychcentral.com/health/effects-of-emotional-abuse
http://aware-ae.com/emotional-abuse-and-its-impact-on-mental-health/
https://www.medicalnewstoday.com/articles/327080