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Getting unstuck in EMDR Therapy

Matthew Wesson

23 Oct 2024

Introduction

Psychotherapy is difficult.  It is arguable that trauma focussed psychotherapy is even more challenging. So, it is not surprising that when therapist gets stuck in processing with their clients, they can quickly lose confidence leading to confusion, drift, or avoidance of trauma work.  This workshop aims to refresh clinician’s knowledge on EMDR therapy’s core unblocking strategies together with teaching some approaches across all the 9 phases that they may never have considered before.  It will also spend time covering cognitive interweaves including the many options they offer to get unstuck.  There will also be considerations to how issues in treatment planning, preparation phases and in therapy review might also provide clues to why the client is not progressing as predicted.   


The event will be equivalent to 5.1/2hrs of CPD.

Content

Discussions and questions will be actively promoted throughout to make the day as practical as possible (although this is not a clinical supervision day). The strategies covered will be applicable to real-life clinical sessions. It will be delivered in Matthew’s friendly, clear, and empathic teaching approach that will make the learning fun, engaging, and interesting.

Learning Objectives

1. Refresh knowledge on Core Unblocking strategies within EMDR Therapy
2. Reviewing core unblocking strategies across the 8 phases
3. Revision of cognitive interweaves.
4. Explain how treatment planning, the preparation phase, and EMDR therapy reviews might can sometimes help to understand why a client might not be progressing.

Training Modalities

Didactic content, case discussions, questions, and answers.

Key References

Baas et al (2023) How safe is the treatment of pregnant women with fear
of childbirth using eye movement desensitization and reprocessing therapy? Obstetric outcomes of a multi-center RCT. Acta Obstet Gynecol Scand. 2023;00:1–11.

Coventry, P. A., Meader, N., Melton, H., Temple, M., Dale, H., Wright, K., … Gilbody, S. (2020). Psychological and pharmacological interventions for posttraumatic stress
disorder and comorbid mental health problems following complex traumatic events:
Systematic review and component network meta-analysis. PLoS Medicine, 17(8).
Article e1003262. http://refhub.elsevier.com/S0272-7358(22)00124-6/rf0110

Dautovic et al (2016) Pediatric seizure-related posttraumatic stress and anxiety symptoms treated with EMDR: a case series. European Journal of Psychotraumatology 2016, 7: 30123 - http://dx.doi.org/10.3402/ejpt.v7.30123

de Jongh, A., et al. (2019). The current status of EMDR therapy involving the treatment of complex posttraumatic stress disorder. Journal of EMDR Practice and Research, 13(4), 284–290. https://doi.org/10.1891/1933-3196.13.4.284

Every-Palmer et al (2024) Eye Movement Desensitization and Reprocessing (EMDR) Therapy Compared to Usual Treatment for Posttraumatic Stress Disorder in Adults With Psychosis in Forensic Settings: Randomized Controlled Trial. Psychological Trauma: Theory, Research, Practice, and Policy. Advance online publication. https://dx.doi.org/10.1037/tra0001643

Forgash et al (2013) Case Consultation: Traumatized Pregnant Woman. Journal of EMDR Practice and Research, Volume 7, Number 1

Gjerstad et al 2024 How is trauma-focused therapy experienced by adults with PTSD? A systematic review of qualitative studies BMC Psychology (2024) 12:135
https://doi.org/10.1186/s40359-024-01588-x

Health Education England & University College London (2021) A Competence Framework for Eye Movement Desensitisation and Reprocessing (EMDR) Therapy
https://www.ucl.ac.uk/pals/research/clinical-educational-and-health-psychology/research-groups/core/competence-frameworks-18

Knipe, J. (2015). EMDR toolbox: Theory and treatment of complex PTSD and dissociation. Springer Publishing Co.

Mavranezouli I, Megnin-Viggars O, Daly C, Dias S, Welton N, Stockton S, et al. Psychological treatments for post-traumatic stress disorder in adults: a network meta-analysis. (2020) Psychol Med. 50(4):542–55. pmid:32063234

National Institute for Clinical Excellence (NICE) (2018) Post-traumatic stress disorder (PTSD). London: NICE.

Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body: A sensorimotor approach to psychotherapy. W. W. Norton & Company.
Shapiro, F. (2017). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures (3rd ed.) New York, NY: Guilford Press.

Van Vliet et al (2024) Predictors and moderators of treatment outcomes in phase-based treatment and trauma-focused treatments in patients with childhood abuse-related post-traumatic stress disorder. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY. VOL. 15, NO. 1, 2300589 https://doi.org/10.1080/20008066.2023.2300589

Varese et al (2023) Trauma-focused therapy in early psychosis: results of a feasibility randomized controlled trial of EMDR for psychosis (EMDRp) in early intervention settings. Psychological Medicine 1–12. https://doi.org/10.1017/S0033291723002532

Wagenmans et al (2018) The impact of childhood sexual abuse on the outcomes of trauma-focused treatment for PTSD. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, 2018 VOL. 9, 1430962 https://doi.org/10.1080/20008198.2018.1430962

Wright et al (2023) Eye Movement Desensitization and Reprocessing (EMDR) Therapy for Childhood Sexual Abuse Memories in Men Who Have Sexually Offended
Against Children: Changes in Perceptions of Abuse and Offending. JOURNAL OF FORENSIC PSYCHOLOGY RESEARCH AND PRACTICE
https://doi.org/10.1080/24732850.2023.2279318

About the presenter

Matthew Wesson is an EMDR Europe Senior Accredited Trainer and Consultant. Up until March this year he was President of the EMDR Association UK and remains a specialist advisor to the board of trustees. He has 30 years’ experience in the field of mental health in numerous different settings including defence, NHS, industry, and private practice. He specialised in trauma and PTSD through his 21 years’ experience in the military both in the UK and combat zones abroad including Iraq and Afghanistan. He has been using EMDR therapy within his clinical work for 25 years. He is also accredited with the BABCP with a particular interest in schema therapy.

Matthew has been published in several peer reviewed journals on EMDR and CBT and has spoken at international events. He represents EMDR therapy at the national NHS England Talking Therapies Expert Advisory Group and regularly advises NHS Scotland and NHS Wales on matters around EMDR provision and supervision. Clinically Matthew currently works for an NHS forensic service in both a specialist outpatient clinic and in a Category B prison.

Who should attend

This workshop is suitable for EMDR therapists of all levels, from beginners to consultants. You must have completed an EMDR Europe Accredited Standard/Basic Training.

Low Intensity clinical contact hours survey - BABCP Low Intensity Special Interest Group

Please click below if you are interested in contributing to the survey.

 

The BACP Low Intensity SIG are interested in the impact of clinical contact hours on Low Intensity/Wellbeing Practitioner wellbeing. This questionnaire contains six multi-choice questions and a free text box for you to share your experiences. The answers to these questions will help the BABCP SIG plan how to meet CPD topics and other developments within the SIG.  The SIG hope to produce a write up of the answers to this questionnaire to be shared with SIG members and to be used in training.

View Survey

This FREE conference is for Psychological Wellbeing Practitioners working in Talking Therapies for Anxiety and Depression services and is brought to you by Bespoke Mental Health in collaboration with the NHS National PWP Leads Network.

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