0:00
um she's been a counselor since 2008 and she is an EMDR facilitator approved consultant a certified EMDR clinician
0:09
certified daring way facilitator and she post of a very good podcast if if you like podcasts I listen to all the time
0:15
adaptable Behavior explain um she has five children three of which have got
0:20
backgrounds so she has a lot of background on
0:28
traa let me introduce KY ooro thanks Melvin uh my family and also my clinic
0:35
infinite is really uh we're really big fans of what they do here at the an CL personally years back we attended my
0:44
husband that's Patrick myself and then U our youngest son who the psychiatrist
0:49
described as our Ferrari with no breaks I needed to see what's going on because
0:55
when you have a child that has you know deficits and we knew ADHD for sure since
1:00
pretty much birth and we knew anxiety same thing since birth that generational trauma there's no getting around it but
1:07
uh we I wanted him to see the data so that he could make informed decisions so
1:13
he's about 18 or maybe a tiny bit older than that and was making some Ferrari with no breaks decisions and uh I wanted
1:20
him to see some scans and so anyway it was very effective in knowing what is going on it gave us more grace behaviors
1:28
of course that doesn't change the need for boundaries and whatnot but when and he will say this he's 22 and he will say
1:34
when I take the the supplements that they told me to take my life is totally different now getting him to do it
1:41
compliant that's another story so at least he knows what to do to make his life better so I highly highly endorse
1:46
what they do over here um it's been it's been really helpful so like Melvin said I'm an amdr trainer and consultant and
1:54
through mrea and certified therapist for many years um I have a personal affinity
2:00
for EMDR therapy having been a therapist CBT prior to learning EMDR um because I
2:07
found read your hand if you're a therapist I hav actually should done my audience here okay so a lot of therapists and then raise your hand if
2:12
you're EMDR trained already okay so some of you this will be a bit uh you know um
2:18
repetitive or whatnot but maybe you'll a phras or two that you can share and borrow and whatever um to make it more
2:24
interesting as you talk about this with your clients but my hope is that if those of you who aren't trained would
2:29
like to be trained that there it doesn't seem like something you shouldn't do afterward um personally I you know your
2:37
clients come in you know week after week and it feels like play record rewind play record rewind because it's the cows
2:43
and cows right it's the crisis of the day it's the crisis of the week and we could give them as many inform any uh U
2:50
interventions as we can think of and they're compliant and they show up and they do all the things that suggest they really want to get better but it doesn't
2:57
address the sematic uh show of what's going on in their body it doesn't address the lyic
3:03
system and so when I went personally to the a therapist I saw a psychoanalytic
3:08
therapist for about a year and I was like okay great he's not my dad I'm not my mom why do I keep flipping out about
3:14
this stimulus I'm over it I'm super over it so I went over to an MVR therapist one of my professors uh had you know
3:21
really loved the MBR and said you have to learn about this and um and so I started seeing an MDR therapist and my
3:29
first first time uh reprocessing I was like holy that's why I keep getting
3:34
blipped out and it sprent right back it's my dad it's all this stuff that's unresolved because the way memory is
3:40
held when it's traumatically informed gets maladaptively encoded in our nervous systems and it shows up with
3:46
stimulus today as if it's happening again and again and again and so sorry I'm was super dehydrated add water to
3:53
drink like drinking water to my list of things I'm not doing well my mouth is so dry
3:59
so um so anyway I'm really passionate about this work for soon as I started seeing my own EMDR therapist I begged my
4:06
company please let me go I'm I know I'm green but please let me get trained thank you and um and so I got trained
4:13
and and of course then things started to really change clients and I felt so empowered that I finally knew something
4:20
that could make real lasting changes that were not just about what they know but getting what they know to match what
4:26
their body now shows up like and so I do do have a lot of bias towards bottomup therapies um I know there's a place for
4:33
talk therapy I know it's so important for us to all understand why we show up the way we show up I know it's important
4:39
to have the education ultimately we're learning beings and we didn't learn what we didn't learn and so we need a lot of
4:45
Education to understand the why and then taking it that step further with the MDR therapy for me has been just honestly uh
4:53
I could cry B like groundbreaking
5:00
funny that that happen I'm passionate so anyway I hope to uh bring
5:08
to you authenticity that makes you passionate about maybe learning this if you don't know or sharing it with clients that are a little bit stuck so
5:15
that they can have opportunities to change the way they show up in their lives because the beauty of it is it
5:20
offers full Psychotherapy it's a full psycho therapeutic model it's not just a tool you pull out sometimes when you're
5:26
good at it it's a full approach with eight full phases and um I think it's
5:32
just really important that we understand we can we can achieve full trait changes it's not just that I don't get trigger
5:37
it's said I know I'm enough as I am no matter what's happening outside of me and when people can walk out of your
5:43
office with that new truth about themselves it's like I love my job and I love what I do and you know I'm really a
5:50
Difference Maker and so again why I'm passionate about spreading the word about it and I know people who aren't EMDR therapists go it's so culty and
5:57
these EMDR therapists with their cult nothing else works and it's not that nothing else works it just works so damn
6:03
well it's hard not to be like shouted to you know to the guy so when you're good at it there's a lot of people that
6:09
aren't very good at it so there's that too so um anyway I'm also daring way
6:14
facilitator I do brn neigh Browns um workshops Rising strong and daring way and they're really cool
6:22
what I would call phase two uh pieces of EMDR meaning preparation phase where education and all of that stuff happens
6:29
so that when we are working with clients they have adaptive information at the ready that they can then they can grab
6:36
and so what I call it is like um seeding the seeding the pond with some fish so that when they go fishing they have
6:42
something to catch and a lot of people just didn't learn what they didn't learn and so we're having to frontload that
6:48
data so that they know better when we do the reprocessing so um it's clear I'm
6:53
not doing anything that I plan to do on my slid so we're going to see what happens so so uh so EMDR therapy it
7:01
helps people heal from symptoms and emotional distress that are a result of things that happened in the past so um
7:09
it you know if uh simple examples veterans are a great example you know if I'm in a these are common PTSD symptoms
7:17
where if I'm in war and I hear gunshots and I'm taught your best chance of survival is to drop to the floor well
7:23
that's Survival Instincts but now everything gets loaded in my memory Network and I don't have time to cry
7:29
about SC scared I am I have to survive right it's truly a bootstraps moment and there's no is hands or butts about it so
7:35
I come home from war I'm no longer at at risk of being shot but I hear a car backfire and I slam on my brakes and I
7:42
put my family at risk because of the way I show up because the sound reminds me it takes me to a feeling flashback and I
7:48
am acting as if the same thing's happening or Worse to add the shame to the component I'm at a birthday party in
7:54
a balloon pops and I'm in Fr you know 13 six-year-olds and their parents and I'm
7:59
on the ground and now I have to go home and feel like a total loser now these are obvious things that people don't
8:06
doubt about PTSD but there's emotional distress that happens that loads in our
8:11
nervous systems from we have really critical parent and it didn't matter how good of a job I did every time I walked
8:18
in the door they said oh why did you do that oh I thought I told you you should do it
8:25
this way and no matter what you do the feedback is always critical creating a Bel deep in my mind that no matter what
8:30
I not enough and that carries forward into my adult life where my boss has a
8:36
little bit of a glare on their face because he can't find his keys earlier and he's annoyed and I now take it
8:41
personally that I did something wrong so it can be so very subtle the emotional distress that gets locked in our nervous
8:47
systems when memories are maladaptively encoded and so when people come in and they say this is what I'm bought you
8:53
know this is what I'm bothered with we can reverse engineer what happens to make that symptom Li ly right now and we
9:00
can we can change it so that that doesn't happen anymore um and our brains are so beautifully um wired for this and
9:07
it's really fun so we're going to talk about the essence the science and the effectiveness of the NVR in this to
9:12
today um and ultimately the history uh key principles and some things that uh
9:21
actually take here work key principles that underpin MDR so
9:27
how does it work why does it work the neurological um and psychological mechanisms that we believe are
9:33
responsible for EMDR uh and why it's so effective and then um and how it can
9:39
treat trauma not just trauma but other Related Disorders frankly I use it for every
9:44
present I think about the case through this lens every time all the time no
9:51
exceptions if I have someone with disorder eating I'm immediately going to attachment I'm immediately going to what
9:57
did or didn't happen zero to three probably Z to three maybe five I might
10:03
be in utero maybe there was a maybe there was a um you know some I had a
10:08
client where there was a there was a binge eating issue and she's like eight or nine years old and she's overweight
10:14
mom's worried and we be un cover that mom had a a something physically wrong
10:19
that prohibited the transfer of nutrition during uh in uteral time and so we did implicit trauma work with the
10:26
MDR therapy so the child could resolve that they were starving and they don't
10:31
have to overeat now because they're okay now so that's how beautifully things can
10:36
connect and also how we can address them um so the the way we can use this is so
10:43
cool um so for those of you who don't know this has been around since the 80s Dr Shapiro Francine Shapiro kind of
10:50
developed it or discovered it by accident walking in the park she notices some things coming to resolution and she
10:56
realizes something's going on here so she Dives in with some further research about what's going on and um we learned
11:04
that while like recalling traumatic events and having eye movements sequences change about the way we hold
11:11
data and we can uncover and access the emotions that are stored the physical
11:17
Sensations that are stored and the beliefs that come together with the with the original events that caused things
11:24
to get kind of uh encoded or mapped in our nervous systems the way they get mapped
11:39
uh uh so with with AIP adaptive information processing model this is the
11:45
theory by which EMDR was invented and it suggests that basically we are adaptive creatures we're all learning it's a
11:51
learning theory for those of you who don't know we learned everything we learned whether it was epigenetically or
11:57
in our environments and um some of those things are not so helpful and when they
12:02
come in why do I scream at my child you know why do I um road rage why do I shut
12:08
down and hide when I feel shamed my responses my adaptations were learned at
12:15
a time a different time in my life and some of them aren't so helpful for when so when the client comes in we want to
12:21
address what is it that you like about how you show up for yourself and what is it that's missing and what are we willing to work on and change what are
12:27
we willing to unlearn and relearn something that's more helpful for today's time and ecological uh
12:36
reality so um basically EMDR facilitates the processing of stuck or maladaptively
12:44
encoded information um it's a three-pronged prototyp so what's cool is
12:49
IT addresses the past IT addresses present scenarios and situations and it also addresses future um potentially
12:56
anticipatory anxieties or things that we're um dealing with or avoiding or not
13:02
you know performance enhancement type stuff like we can really hit anything uh with with MDR therapy but there's
13:08
specific uh order of things and depending on how the case presents we can choose we have some clinical
13:14
decision- making that that is part of the Choice points but so AIP basically um you know
13:21
it suggests that we all are doing the very best that we can with what we know and I TR I try to think that way like I
13:28
want to give a generous assess assumption that whatever it is that you're doing you don't know another way
13:33
or there is something encoded even possibly positively encoded about your behavior like if I use addiction or if I
13:40
do something um that's really bad for me and the negative consequences don't outweigh the positive that I get like
13:47
the numbing or like the checking out or like the you know Euphoria from whatever my drug of choices and that positive
13:54
feeling is now coupled together in my network that that is an adaptation so
14:01
your body needs to unlearn so there's protocols that address all of this kind of stuff but
14:06
ultimately everything's been learned we want to decide what we want to unlearn and we want to relearn something more
14:12
helpful and more adaptive uh and it aims to uh I love
14:19
that it's this natural healing mechanism for those people who are really religious and have um like some anxiety
14:27
or potential avoidance to something like this uh because it's like not God or God
14:32
is in charge of things I hear this sometimes uh where we where we work and
14:37
I tell people this is God's back door to fix the stuff that wasn't supposed to happen to you based on what I've gotten
14:43
to witness in my years of time and there's no shortcuts so I hate to tell you we can't just slap something on this
14:49
to make this go away we're hardwired to have all of the emotions and we don't get to pick and choose which ones we want to blunt or shut down and so we got
14:56
to go there but we can go there much more quickly quickly and we can review what wasn't reviewed and then we are
15:02
able to process and resolve what what did or didn't happen you know it's not just what happened to us it's also many
15:08
times what didn't happen you know think about someone who falls and skins their knees you see them at Disneyland and you
15:13
see the parent that says you know little little boys don't cry you need to stand up and quit your crying and we're at
15:20
Disneyland and you need to be grateful and this poor kid is just totally invalidated for their pain experience
15:25
that can turn into trauma and oftentimes the worst part is how my dad showed up for me when I hurt and I learned not to
15:31
cry and I learned that it's not okay to be vulnerable and I learned that there's no there's no room for my needs or my
15:37
emotional experience or I have a a dad who shows up and and says sweet boy gosh there's
15:43
nothing worse than getting skin I'm so sorry that happened to you and pulls them up on your lap and says I love you
15:50
so much what do you need right now says I need a hug and so I give them the hug that usually resolves because we're so
15:57
adaptive so often times it's not just what happened it's what didn't happen or what happened after what happened that
16:03
becomes the traumatic material we have to address and so um we we deal with
16:09
what's in front of us whatever that may be and it helps the brain to process the
16:14
traumatic memories that are held so that they no longer hold the disturbing charge that they used to so the
16:20
affective resolution is really significant and it's not that if you know um something terrible happened and
16:27
we we measure the stress it you know is it zero neutral attend the worst you can imagine and we say you know well it's
16:34
sad that it happened and I say is it still sad that it's h like it it's happening or is it sad that it happened
16:41
okay so can it live neutral in your body like it's not happening now the way we hold the information changes and so this
16:48
is what's so beautiful about being able to change the way something's held we're not going to change the way memory is
16:53
we're just going to change the way how it lives in our body and that's I mean that's been my experience
16:59
day after day hour after hour with everybody I do this with it's like that's it happened it's like you know
17:05
like in that movie Inside Out it's just turned into moner memory it's just a thing you know the balls is they're done
17:11
with and we don't need to keep them right here and alive so am I doing on time to okay talking fast okay so
17:19
three-prong approach we know that we address um present triggers we address
17:24
um past memories that inform what happened to us and how we are showing up today and then like I said we address
17:30
future things um that we need to resolve uh the big piece about this that's
17:37
significant is sometimes therapists will do the trauma work and they won't do future templates and that's a mistake
17:44
because present triggers uh the absence of a negative doesn't always translate into a positive so we want to make sure
17:50
we uh add adaptive tracks and that we make sure that if I can kind of dress
17:56
rehearse the future scenario that's similar even presented with challenge scenarios that I can see myself showing
18:03
up to that boss that I used to get triggered that he do his face with you know whatever and I think I would think it was about me now I need to rehearse
18:10
he calls me into his office and I'm standing in front of him and you know he seems rough about something and I don't
18:17
feel like that's about me I can get curious I can be open I can ask questions and I don't have to
18:24
automatically personalize it like like I'm a little kid who's getting yelled at by his that and feel young because
18:29
remember when we have bad things happen we end up developmentally and emotionally stuck in those times of our
18:36
experience and so then when we're triggered in today I feel like I'm 12 I feel like I'm
18:41
eight I can't believe I keep showing up for myself in these ridiculous ways that are not adultlike and so that's why we
18:48
have to address future scenarios as well we can't just let it lie some people who had more secure attachment Styles
18:55
they'll have the Adaptive tracks that hold greater and you don't have to worry about it quite so much but raise your
19:00
hand if you see secure attached people all day long I don't know I don't know even if I
19:06
know SEC attachment but not starting from scratch not usually on my couch so
19:12
so anyways we have to address all those times um of what's going
19:18
on so while we know that the exact mechanisms are not sure we know that um
19:24
there's a lot of evidence that that supports a whole whole variety of
19:30
presenting issues so like I said I use it for everything um and it it just
19:37
works so um it treats PTSD and we can we recall the events while focusing on
19:44
bilateral movements there's other ways we can do stimulation um and we're reprocessing traumatic memories uh it
19:50
reduces the emotional impact like I said it Alters the brain activity and the connectivity and I've got some slides
19:57
actually from from Aman um from one of his presentations thank you that I can show you what the brain
20:02
looks like before and after EMDR which I find very helpful because people judge their behaviors and I show them this um
20:10
uh slide I have from I think it's like Harvard or some medical school and I'm like it's this is a physiological thing
20:17
we have to address the physiology of what's going on with your body this isn't just like you have a broken arm
20:22
and you're going to tough it you go and like get a get a sling and get a cast and you address it because you can see
20:28
that there's no shame in it but with the with the brain stuff people can't see it and then this helps to unshame so if you
20:33
have some data to show them like this is normal you reacting as if this stuff is uh going on because look at look at what
20:40
your brain can look like this part what I love about aan Clinic is you can have
20:45
them come before have them get scanned and then after you do your EMDR work with them and they can see the
20:51
physiological changes they're like this is awesome so these are actual cases um
20:57
that that came from a study I think in 2001 to 2003 that that did and so I just
21:05
I love rag um and so you can see a couple of cases that he specifically talks about
21:12
the changes and the way the brain activity is and that is pretty
21:18
powerful and um so initially MDR sessions increase overall brain activity
21:24
especially in the prefrontal course uh uh cortical area but decreas temporal lob activity and after treatment with
21:32
EMDR there's a increase in prefrontal cortex activity especially on the left significant decrease right temperal Lo
21:39
activity so we just see physiological change even after one session and so I
21:44
personally have the approach that I'm going to do some EMDR meaning phase four on because it's an eight-phase thing
21:51
pretty much every time even if I'm just dipping into something that's hot and present because I believe this is like
21:57
WD40 in the brain natural mechanism and a ability to heal and I like to keep
22:02
that moving so that after sessions there's more pathway and um it's it's it's to me more effective that it keeps
22:09
them moving so we've got um it rebalances
22:15
brain activity and memory and emotional processing centers uh reduces intensity of traumatic memories and emotions and
22:22
like I said before the way um that it's held and we know that the eye movements
22:27
helped us to um simulate the natural thing that happens during REM
22:33
sleep and so there's some studies that suggest this is part of why it works however we know about well am and might
22:41
say more but I think we know about 10% of what the brain does and we learn so
22:47
much so we've got all these theories we just know that it works I feel like it's pretty magic and I just tell them here's
22:53
here's what we but we don't really know fully why um and there's new research that talks about some of the different
22:59
changes that we think are going on in the neurobiology but How We Believe It's
23:05
Working is there's an orienting response um we so it's it's mismatching what
23:11
happened then with what's happening here and all of our cues is the therapist is grounding and there's you know kind of
23:16
presentification happening at this time and so we're orienting them to the now so it's not then it's now so we have one
23:23
foot in the past one foot in the present and there's a dual awareness component where that where the relationship
23:28
orients the person to now I said the REM sleep um temporal binding vialist I I
23:35
looked up a way to explain that simply doesn't exist like Chad gbt make it more simple
23:42
and it was still like so inter and intro hemispheric activation activation this is like right
23:48
left hemisphere we go back we go forth we go um quantitative qualitative data
23:54
when we set up an EMDR Target and um prefrontal attention flexibility
23:59
mindfulness and that meta awareness of Now versus then and um you saw the
24:05
stands on the preal cortex activity and so there's a huge mindfulness component if we're not in our body and we had to
24:11
dissociate to survive we have to we have to do a re-entry project to get back in
24:16
the body and so um I don't know if you guys knew this but PTSD is actually a dissociative disorder and uh and
24:24
so we have to go away to survive the things we have to compartmentalize and check out to a degree and so um I think
24:31
it's good to know that about Association um and the most recent research is done
24:38
by a jang out of Holland and back in September of 2018 he published the first
24:45
uh study about how he believes most of whyatt works or a huge chunk of whyatt
24:50
works is that we can tax working memory so um when you think about it if I'm
24:55
doing eye movement and they're tapping and there's or there's things that are going on to to um perform MDR
25:03
therapy there's a lot going on and you can't really be in so much eff of distress if you're doing all of these
25:09
things at once and so after this research uh came out at uh mrea uh six
25:14
or seven of my team we decided we're going to come back and experiment because this seems too good to be true
25:20
and we all decided we're just going to add more things to tax working memory we're going to up the anti like we just learned about and see what happens and
25:27
holy we're popping out of our offices and we're like I have been stuck on this part for so long with these
25:33
people and they're moving through it because they don't have room to dissociate in the reprocessing when I've
25:39
got so much Demand on their working memory at the same time and so they have to be here when I'm saying named farm
25:45
animals you can't be somewhere else and so it reduces the amount of Association that takes place thus moving us through
25:51
to resolution more expeditiously and so I am super a fan of this now it doesn't
25:57
necessarily address the attachment deficits so there's a lot of relational interviews that must be um focused on
26:03
and and take place in order to sh up the sense of self and and the safety of the
26:09
now and the trust and the therapeutic relationship but for things that are safety powerless adding a lot of toxine
26:15
working memory when we're doing this work is super powerful and I was a little skeptical I was like we'll see if
26:22
it holds I think it's just desensitization I don't think it's full reprocessing and sure enough going back and reassessing taret after a month two
26:29
months three months and that they held I was like I mean it's still zero it's still seven I guess it worked so I'm a
26:36
huge believer that adding things to F thean is helpful with reprocessing um and just like any career or profession
26:43
if you have old dogs and we try to introduce something new there's reluctance because don't dismiss what
26:48
I've done my whole career and it's like but if we know better and we learn better then it is our responsibility
26:54
better so I love being in this field and knowing we can learn and then what and what else can we do to make it better
27:00
and more um efficient for our clients so we know that it works um
27:06
through cogni a combination of cognitive and behavioral mechanisms people can change the way they think about
27:12
themselves and traumatic experiences and ultimately changes negative thought
27:17
patterns that are associated with PTSD and many other related dis so when clients come in and they
27:24
tell us about their Chief complaint or they're presenting issues I hand them this slide I have laminates in my office
27:30
I say tell me which ones are bugging you and I write them down under Chief complaint and then I know where are we
27:35
going and the symptoms that are most bothersome those are the ones we're going to go for first that's where the
27:40
heat is that's what we're going to chase and that's what we're going to address and um and so whatever they're
27:46
doing I want to know and however they're showing up I want to help with and so one side is more of a hyperaroused state
27:52
of being and the other side is more hypo aroused more of your anxiety shut down depression or uh sorry hyper anxiety and
27:59
shut down more depression and usually more attachment injuries more complex
28:06
cases and of course we can treat PTSD anxiety depression addiction because of
28:12
the positive feelings that are associated with use and abuse of certain um you know substances and activities
28:18
and so we can desensitize the pairings of those things uh when people are ready to give those choices up it doesn't go
28:25
anywhere if they're holding on with their dear life like we are not magicians but if they're ready and
28:31
they're ready to surrender to learning something else besides their cigarettes or their alcohol or whatever they're
28:36
using then it's really effective to treat um those presenting issues and of
28:42
course the uh research that supports the um efficacy is there more than 30 random
28:48
control studies now so we're not short of research anymore so for if you ever hear that it's it's uninformed it just
28:54
truly is so additional applications r on time it's 12:33 okay I'm okay I think we're g
29:01
to get through it without me cutting too many more so um the thing that I love is that people can come in with their
29:07
headaches their migraines their back pain their gastro issues and it IT addresses sematic disorders and things
29:13
that are physical in nature because just like Bessel talks about the body keeps the score and the body is the first in
29:20
and the last out so we can actually Target migraines anything physical related now it's going to go back to
29:26
their stuff it's it's all always going to be related I've never seen it not um I worked with this young man who had
29:33
cancer and it was terminal and he was 24 when I started seeing him and I had counter transfer that I was very aware
29:39
of and I decided I was going to use that to my benefit because I at the time I had a 24y old son and I was like I'm
29:45
gonna love on this guy like nobody's loved on him and if that's what helps get him through then that's what I'm
29:50
going to use and so um I had to do a lot of my own vicarious trauma work to keep in this case but I decided I was going
29:56
to use it because I I was going to help this guy drop the defenses and no one was going to love him and no one was
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going to let him in and he was going to get cancer and die to spite of death that's his story he has so much
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resentment and rage that he wanted to die because that would get his dad backward non- nurturing and non loving
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and use of and I was like well this is not good this heart that wants to sabotage survival for the you know the
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cost of your wife and your child so I I held no stops and I brought it in but he was supposed to die a year after started
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seeing super rare cancer that you had to go to all these doctors super far away no one had ever seen it like 1% of
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people get this kind and no medical treatment available for it and we got in
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the goal was survive long enough so the sun could turn four so that we could get enough attachment so that his son had a
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possibility of having a securely attached nervous system himself and he made it so past this for so I like
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cannot say enough about how much I think when someone's willing to do were and and how they can move through their pain
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and I got really creative with this case i' lay them on the ground we draw around them and he drew that you know the
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pictures of what's happening in this cancer we targeted it and then he changed the colors of the pictures as I mean I whatever I could come up what to
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help make this stuff settle down so that he could live a bit longer and it's it's
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just so beautiful and for people who think it's a robotic thing it is when you're new it's supposed to be when
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you're new it's just like any any fundament Al sport you got to learn how to hold the ball where to put your hands
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how to dribble use the scripts but then once you become more um efficient and
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you know what you're doing then it becomes where you can incorporate an art form and the relationship is so CRI so
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it doesn't look um robotic or scripted when it's done well by someone who knows
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what they're doing but it does feel that way at the beginning I had my scripts out my clipboard and I was reading and
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I'm like next thing I need to ask you is you know but that eventually goes um and
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case reports uh talk about strategies that describe the application of EMDR
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for personality disorders so I've treated three people that when I met them personality disorder back when we
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had it in that label and ta stuff but um you know they met criteria for borderline and they don't anymore and
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because it's complex traa you know it just is and I think anyone who sees it that way there's there's hope for it to
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change and it's not an easy case and you're going to be at it for a while they sure going to test you but it is
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possible um and there's even ways to treat it in couples and you can do work
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with one partner and then the other and they hold space for one another and that that transference energy and the safety
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of the relationship is some of the most beautiful work that I've ever gotten to see in um and holding when it's the
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right kind of person that space for people to heal through those things you do Parts work ego States work
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ifs however you like to do it whatever you call it structal dissociation there's I think six or seven theories of
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dissociation ultimately if you understand it through the lens of protection and defense and you address
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it from that lens of learning we can address all of those things and there it's slower going when there's a lot of
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you know Defenders but we can get to it so treating dissociation and such are
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usually part of the cas is back to my initial statement about PTSD it is a mild dissociative
33:28
so that said um evidence speed is fast
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it's effective um depending on the complexity of the case doesn't mean we're out of there quickly but we can
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get quite a bit of work done and symptom reduction very quickly once we start phases t on there's change that happens
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in the nervous system pretty much pretty much always and sometimes change looks
33:51
like worse before better and therapists get freaked out by that but that's just part we you know locking and pull the
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cork it's going to hurt but it gets better and emotion is it moves through it's temporary so if we can do proper
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education with our clients about how that's going to be and I'm going to get you through it and you're going to get yourself through it but we're going to
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do it together they can they can make a lot of progress so here's all the things
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that I think about why it's awesome it's faster um it's it's faster
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than talk therapy we get the sematic significant improvements quickly um it
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does doesn't require them to talk about everything I've worked with people that are not allowed to say things that
34:32
happened because of their government roles and so I can go in blind and as long as we know things are changing I
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can keep them moving so that they can pass their polygraphs so there's a lot of ability to do this kind of stuff with
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people where they can um really get change and move through to more
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adaptive networks um again like I said it targets the root of the traumatic memory so I showed this slide I didn't
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include it here but if we look at a weed and you know if we just go talk about it
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it's like chopping off the top next time it's sunny and it rains it just grows back so we go to the roots and we pull
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out the initial start of what's going on um and it can be more efficient at
35:12
addressing multiple trauma related symptoms at the same time because of the generalization effect and how we store
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data it's not loaded uh cognitively it's loaded thematically it's loaded
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emotionally and it's loaded in tied with those negative beliefs that we believe about ourselves and so that said it's
35:30
just efficient and as you can tell at the speed that I talk I like things
35:36
like let make some change here um so structured standardized uh consistent
35:44
and effective there's data to support it
35:49
we're not getting looked at like we have three eyes anymore that's nice anyways I
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think that's the gist of my H brief talk on something that takes eight days to