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New EMDR for Early Developmental Trauma

Shapiro Francine EMDREye Motion Desensitization and Reprocessing (EMDR) is a potent trauma treatment developed by Dr. Francine Shapiro (left). 

 

"EMDR is effective and well-supported by research evidence for treating children with symptoms accompanying post-traumatic stress (PTSD), attachment issues, dissociation, and self-regulation," GoodTherapy.org recently reported: http://www.goodtherapy.org/blo...ective-is-it-0430155

 

It used to be thought that EMDR is best used on “incident trauma,” traumas due to one or any finite number of incidents, such as battlefield horrors, car accidents, rape, or other adult life threats. I also use EMDR to calm myself, by sitting with eyes closed and simply moving my eyes back and forth while focusing on the upsetting thought – until it dissipates. This works well with upsetting incidents in the present, such as arguments in which I don’t feel understood. I also use EMDR to heal grief over specific past incidents such as hurtful acts by others.

EMDR had been thought to be iffy, however, for developmental trauma, which starts with fetal stress “when the sperm hits the egg” and continues while the infant brain is developing until age three or so. As Dr. Bessel van der Kolk notes, in developmental trauma, discrete incidents are not the issue; instead, there’s a continuum of panic until we become a “frightened organism.” Dr. Shapiro and Dr. van der Kolk have said that in developmental trauma, EMDR may bring up deep feelings from infancy so overwhelming as to be re-traumatizing. [FN1]

But more recently, Dr. Sandra Paulsen and collaborators have reported success with EMDR to heal developmental trauma, and documented it in their authoritative 2014 book “Neurobiology and Treatment of Traumatic Dissociation: Toward an Embodied Self.”  [FN2]  Dr. Paulsen and Dr. Katie O’Shea have developed new methods carefully geared to the special dangers of developmental trauma, summarized on Dr. Paulsen’s website: http://www.bainbridgepsychology.com/EarlyTraumaOShea.html.

Dr. Paulsen’s collaborator Dr. D. Michael Coy details how he keeps patients safe while going deep into infancy with EMDR on his website:  https://www.dmcoy.com/main/my_...r-pre-verbal-trauma/

 

See also Dr. Coy’s comments on my original EMDR blog from March 2015.

 

He  also provides a link to the EMDR International Association’s EMDR therapist finder directory: http://www.emdria.org/search/custom.asp?id=2337


And so I still say, as in my book title, “Don’t Try This at Home.”  Please do not “do it yourself.”  Get a highly-trained attachment therapist and/or EMDR specialist with a lot of specific training in your type of trauma.

 

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Kathy’s blogs expand on her book “Don't Try This at Home: The Silent Epidemic of Attachment Disorder—How I accidentally regressed myself back to infancy and healed it all.”  She explores her journey of recovery by learning the hard way about Adult Attachment Disorder, Adult Attachment Theory, and the Adult Attachment Interview.

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Footnotes

 

FN1  Francine Shapiro, PhD, “The Power of EMDR to Treat Trauma,” April 17, 2013 and Bessel van der Kolk, MD, “Expanding the Perspective on Trauma,” April 24, 2013, webinars by the National Institute for Clinical Application of Behavioral Medicine (NICABM): http://www.nicabm.com/trauma2013/trauma2013-post/

 

FN2  “Neurobiology and Treatment of Traumatic Dissociation: Toward an Embodied Self,” by Lanius, Paulsen, and Corrigan, 2014, http://www.amazon.com/Neurobio...bodied/dp/0826106315

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Thank you Kathy (and Tina). I really appreciate your sharing of so called out there potential therapies.  (Also the biofeedback.) Although it seems it's not endorsed by all(!) yet, the feedback from some who have tried it seems extremely encouraging. 

I think if we are to help break through this trauma, any promising therapy should not be dismissed.  It could be used as part of TIC one day.  I've asked a few therapists about this and they look at me blankly.  Sometimes annoyed, as if it sounds like a new nonsensical fad. Do you see EMDR and biofeedback as becoming more and more popular as trauma tools?  Or does the science have to be completely confirmed before this can occur?  Are more therapists seriously looking at using it?

Probably stating and asking the bleeding obvious but just want to show my appreciation and enthusiasm as to your bringing additional hope to the table.

 

Sorry didn't get your email on your next 2 blogs

Also I can't download this attachment from here on ACEs

Please re-send email, tell me what the subject of the attachment p. 40 is, and attach it to the email

Hugs

K

 

Hi Kathy, 

 

I sent you an email about that (the next two blogs).  I wanted to point this out to you in the article "Are You One of Us?"  See page 40 in this attachment.   Actually the first paragraph in the right column on page 41. 

 

 

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For you, Tina, anything! But: when do we get your next two blogs on Dr. Felitti's trip to your home town, and the second one on all the ACE educational public organizing you're doing up there? 

I still like neurofeedback best for deep infant developmental trauma. I'm going to write a short blog soon on those two Sebern Fisher interviews you pointed out to me. Fisher makes it clear that she was dealing with deep infant developmental trauma for decades and got nowhere until she started to use neurofeedback.

If I get my nose out of writing my book, I may do neurofeedback if I can find a practitioner near me.

Still: after I wrote my first EMDR blog in March, I got such terrific news from Dr. Coy about Sandra Larsen's work on EMDR for developmental trauma, that I just had to post this update!

I guess everyone needs to look at all the options and decide what's best for each of us -- each of our neurology is so unique.

Good stuff. I have actually used it too for the simple things in the present that upset me or when someone does something that bothers me and I move my eyes back and forth and it does calm the roar down. Just one personal anecdote! But Kathy please keep the good stuff coming!!!
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