– Okay, I wanted to thank you– – You’re welcome. – For your willingness to join us today. So what’s your initial kind of sense about being up here and how it’s feeling? – It’s feeling fine.
– Good. – I think I’ve had a little anxiety in anticipatory of this. I’ve never done this, I’m not
familiar with the technique but I’ve worked on that
before I got in the room and so I’m feeling really
pretty comfortable with it. – Okay, anything you feel
we need to do visually like I talked to you about
to kind of put up a barrier between them and us. – I don’t think so, I think
I’m just going focus on you. – Okay, sounds good. So for the sake of getting
a little bit of history, I know I screened you yesterday and I didn’t mention this to the group, that what you are seeing
is a bit out of context in that the whole reason I
even let her come up here is I’m pretty confident
we can get this done in a shorter period a time. But if she were a client
what you’re seeing is likely three sessions of work kinda crammed into one here, ’cause we may have spent a whole session doing the history, slash clinical intake. Then a whole session just
working on prep skills. But a lot of why I brought her up here is I did a lot of the history
yesterday when we screened and I have a pretty good
assurance that she has a lot of preps skills all right, so we’re gonna just review them, and
we’ll see where it goes. – Okay.
– So, that being said, working with this idea of history, reminding you really
throughout this process you can give me as much
or as little detail as you feel you want to. That’s one of the things
that defines EMDR. Is you don’t have to get into this big, long narrative about things. – Okay.
– But it’s nice to check in, it’s nice for
me to have a little bit of a sense of where we’re
going with this work. So to review from yesterday, can you tell me a bit about the incident that it is you wanna target.
– Okay. When I was about six years old, I was out wading in the
ocean with my father. And a wave knocked me down. And I went under water, and I froze. The only thing I could think of to do was to raise my right
hand and call for him. Not really effective when
you’re completely submerged. So the result of course,
as you can understand, I just had this inrush of
water into my, into me, my lungs, my mouth, everything. He did get the idea that I needed help and pulled me up. And though the whole event is still pretty clear in my mind. And it’s been a barrier for me for doing things like
enjoying being in the ocean. I’ve got, I’ve made some
huge steps recently, I will say that. Or I grew up not able
to go into swimming pool unless I had my feet on the bottom. I’m not able to swim. I get very anxious if I start getting to that place where the water’s rising. And I just feel I’ve missed
out on a lot of things I’d like to do, and not have to wear a flotation belt to be in a pool – Sure.
– I’d like to learn to swim so I
can get some exercise. Those are some things I’d like to do. – Okay, great. So that gives me a pretty good goal, idea of what your goals
are, what you wanna get out of doing this work, which is
an important part of this. And I have enough of the
memory that we can work with. And just to affirm, like
we talked about yesterday, this is pretty single incident. You’re not identifying
any developmental trauma, any complex trauma issues?
– No, no. – And that’s one of the
reason I feel comfortable doing this demo style. Okay, so let’s review a little bit, moving on to preparation. A bit about your coping skills. So what do you use for what
we’ve been talking about, coping, stabilization, grounding? Tell me some of that. – I do a lot of the breathing. I use mindful walking.
– Nice. – I put myself through some, I tell myself that’s not the way to say it. I used that skill prior to my coming back in the room after lunch.
– Nice. – Stretching, sort of some
pressure points on my shoulders, as I was feeling the tension come up here. And just trying to stay
calm and watch my breathing. – Nice. Do you do any kind of
visualization, or no? – Not as a routine, no.
– Not as a routine. – No, I do that with clients, but I’ve not done it for myself. – Were you able to do
the light stream that we did yesterday as a group?
– Yes, I was. – Okay, so what I would like
to do for this preparation, is have you some me one
of your breath strategies. We’ll do that first. Then I’d like to review the
light stream exercise with you as a way to test out the
bilateral that we’re going to be doing as part of the EMDR. – Okay.
– And then we’ll also come up with a few other
safety measures that if, for example, what you wanna
signal if you wanna stop. We’ll get there.
– Okay, okay. – All right, so let’s
start with the breathing. So you can close your
eyes or leave them open. Just come into a breath pattern that works really well for you. And give yourself a
couple sets to do that. What are you noticing now?
– I’m more calm. – More calm, okay. So just to orient you,
that is a question we use a lot in EMDR, what
are you noticing now? So after I apply the stimulus, it’s almost gonna sound exhaustive that I ask you that question,
what are you noticing now? And it’s intended that
way to be very open-ended. So whatever is there. Like you just said, I’m calm. It could be, I’m seeing this image, or I’m noticing this sensation. So whatever is you’re most aware of, that’s what I want. And I’ll help guide you
to that, through that, if you have questions as we go. All right, so let’s go to, I think it’s awesome you did some mindful walking before this. That’s a nice strategy you can take with you from the office. So let’s go to that light stream imagery. So I’ll walk you through
a couple points of it. And then, I’m gonna use this as a chance to start testing out the
bilateral stimulation. So let’s get a few things
set before we even do that. So the first thing we have
to test is the distance. So we’ll start this with eye movements, and if for some reason you
can’t track the eye movements, we’ll go over to tapping. So tell me when it feels too close. – That’s too close.
– Okay, is here good? – That’s good.
– That’s good. Okay.
– Mm-hmm, mm-hmm. – So let’s just do a couple
test sets to test the speed. Nice, and I have the option to do them horizontally or diagonally. Okay. Were you able to track?
– Mm-hmm. – Okay, cool.
– Yes. – All right, so let’s come
into the light stream. And for the actual visualization parts, you can close your eyes
or leave them open. At a few intervals, I’m gonna invite you to follow the fingers.
– You’ll let me know when to open my eyes?
– I’ll let you know. Yep, yep.
– Okay. – All right, so take a moment, and just allow that light,
that color to come into focus. Maybe imagine it form
at the top of your head. And with your breath, allow that light to begin
moving either through your body or over your body. Whatever feels better for you. And what are you noticing?
– My heartbeat. – Okay.
– I can actually see it in my eyes.
– Okay. Is that something,
what’s that like for you? – It’s nice to know it’s beating. – Okay.
– It’s calming. – It’s calming.
– It’s comfortable. – All right, so go ahead
and open your eyes, and let’s just notice that. That my heart is beating and it’s calming. Nice deep breath. And staying with this
idea of the light stream or the color stream, begin to notice if there are
any other sensory details. Is there a color? You don’t have to answer,
these are just guidelines. Is there a color, a
texture, a temperature? Maybe a sound or a smell? – Warmth.
– Warmth? All right, let’s notice warmth as you go ahead and follow my fingers. Breath. And what are you noticing now? – Relaxed.
– Relaxed. All right, let’s do one more set to strengthen that relaxed. Breath. So this light is available
to us at any time. If you want to stop while we’re doing the processing on the target, if we run out of time and we
need to close the session down, does this light feel like something we can come to, that would
help you kind of soothe again? – I think so, yes.
– All right. Any kind of cue name you wanna put on it, like my light, my, you don’t have to. You can just say the light. But some people like to name their light. – Think pink.
– Think pink? Let’s do some set here,
just with that, think pink. Nice, deep breath. All right, nice work.
– Thank you. – So two other orientation
things I wanna cover. The first is, did you like the horizontal, or did you think you
might prefer the diagonal? – I liked the horizontal.
– Horizontal, okay. And the other thing is, I wanna come up with a signal with you,
that might indicate I wanna stop this. This is too much, it’s
more than I bargained for. And what’s interesting is,
you held up the stop sign during the memory itself,
so I’m wondering if you can give me something else. – Oh, good point, interesting.
– Yeah, like– – A different sign. – Like, Jamie this is too much. I wanna come back to my light. And a lot of people will
tell us that they’re done. But some, we like to have the signal there just to be safe. – Would a gesture work?
– Yeah, yeah. – Like?
– Yep, we’ll go with that. If you do need to stop.
– I don’t wanna repeat the other one,
because it’s attached to it. – It is attached to it. And that’ll just clarify. If I see you do this, if you wanna come back to light or not.
– Okay. – And the other thing I wanna test is, so when we’re in the
trauma processing here, the speed is gonna be a little faster. So I wanna do just a test
set before I set this up, to make sure you kinda
know how it’s gonna change. – Okay.
– So go ahead and follow my fingers. – You weren’t kidding.
– Yeah. Can you track it?
– Mm-hmm. – All right, and I can go wider, too. Or narrower. I don’t know if you notice
a difference either way. – You can do it a little
wider, we can try that. That’s a little more difficult, we may need to narrow it a stitch. That’s okay. That’ll work, I think.
– Okay, that’ll work? – I think so, yeah.
– All right. And if at any time you’re into this, but it’s just hurting you
to do the eyes, let me know. And I would have to move
my chair a little closer and touch you, but I can
come over to tapping. – Okay.
– So if that is what you want, just let me know as we go. – Okay, okay. I’ll do that.
– All right, so let’s get rollin’. So, yeah, wanna take a sip of your tea? – So I’m gonna have a sip of tea. – That sounds good. All right, so bringing
up your target memory of being age six, this
experience at the ocean that you told me about
during your history, in this moment, when you bring
that into your awareness, is there an image that’s coming up for you that represents the worst part
of this particular target? – There’s one that’s the most candid. I’m not sure if it’s the worst part, but it’s the most candid one.
– Go ahead. – As I’m laying on my back, I can see out towards the ocean, and I’m watching the
pebbles, the sand, move. I can see the sunlight above me, sort of. But I can’t, it can, these
sandals, these pebbles can move. I cannot move. – Okay. So holding that image,
what is a negative belief about yourself that you
associate with that image? It’s usually an I am or
an I am not statement. Examples might include, I’m powerless, I’m helpless, I’m trapped. – Okay, it’s an identification phrase. – Yes.
– It’s not an emotion phrase.
– Yes, it’s a very good way to distinguish.
– I wanted to be sure. I’m powerless.
– Okay. What would you like to believe now, instead of I am powerless?
– I’m powerful. – Okay. So how true does that statement feel? I am powerful, at the gut
level, in this moment? One to seven, this is
a weird Shapiro Scale. So one is completely false,
seven is completely true. So that’s the scale. Here’s the question. How true, at the gut level, does it feel that I am powerful? Even when you see that image? – So we’re talking about
when I see the image? – Yeah. So it’s now looking back, is a way to look at it.
– Okay, I wanted to make sure in I’m the right time zone. – It’s confusing.
– That’s okay. So one is powerless and seven is powerful? – Yeah, well, one would be,
if I am powerful is the goal, one is completely false,
seven is completely true. – If powerful is the goal,
one is completely false, in the moment, I’m one.
– Okay. So what emotions are
you noticing right now, as we bring up the image
and that negative belief, I am powerless?
– Fear. – Okay. – I think terror might
be a better descriptor. – Okay, all right. So now another scale she asks us to use, this is the classic zero to 10. If zero is no distress or neutral, 10 is the worst you can imagine, where would you rate your
distress in this moment, as you see that image, and
hold that negative belief? I am powerless.
– An eight. – Okay. And what are you noticing in your body? – My shoulders are contracting. – Okay.
– I think they’re starting to rise up to my ears. I’m not sure, but it’s
starting to feel like that. My breathing is getting more shallow. – Okay.
– My facial expression is changing.
– Mm-hmm, okay. So notice all of those body sensations. And we’re gonna get rollin’ now. – Okay.
– Just gonna read back a few things to you. So notice those body sensations. Pair those together, or
notice those together with your image. You’re seeing out towards the ocean, the pebbles can move, but you cannot. So those body sensations, that image, and the negative belief
that I am powerless. And just notice whatever
it is you notice, Madeline, as I begin the stimulation. Breath. (loud breathing) What are you noticing now? – During that process?
– Right now, in this moment. You don’t have to give me the whole thing, just right now.
– Anxious. – Okay. – Frozen.
– Okay. – Like I can’t move.
– Okay, so the phrase we use with
EMDR is go with that. So what I mean by go with
that is just notice frozen, continue to follow the stimulation, and let’s see what else happens. – Okay. Take a breath. What are you getting now? – Feel like I’m panting.
– Okay. – Really shallow, fast breath.
– Okay, keep going with that. Keep noticing that. God! – Keep going, are you okay to keep going? – Mm-hmm.
– Okay, keep going. Go with that. Take a breath. – I didn’t wanna breathe.
– Okay. Anything else you’re noticing right now? – Like my lungs can’t take air in. – Okay, go with that.
– So I’m really feeling– – Go with that.
– Mm-hmm. – Keep noticing. (coughing) (coughing) Go with that, whatever you’re at. – I’m on my feet.
– Okay. What else are you noticing? – I wanna get out of the water. – Okay.
– I can’t get out of there fast enough.
– Okay, go with that. – I’m crying.
– Okay. And you notice that?
– Yeah. And I’m angry. – Go with angry. – I’m need a breath.
– Take your breath. – Okay. – Keep going. Take a breath. What are you noticing now? – Confusion.
– Okay. – Questioning. – Go with that.
– Mh-hmm. Breath. What are you getting,
what are you noticing? – I’m wondering, I have a question. – Okay, of me, or just you have a question coming up?
– No, a question coming up. It’s not about you.
– Go with the question, then. Just wanted to clarify.
– Mm-hmm. – Breath. What are you noticing? – It still gets back to that question. – Okay. – I’m never gonna get an answer to it. – Okay.
– I know that. – Okay. Let’s go with that.
– Okay. – Breath. What are you getting? – An answer I heard. He thought I would sit up.
– Go with it. – Mm-hmm.
– Go with that. Breath. What are you noticing? – It wasn’t intentional.
– Go with that. It wasn’t intentional.
– Mm-hmm. – Breath. What are you noticing, now, Madeline? – He pulled me up.
– Go with that. – Mm-hmm. – Breath. What are you getting?
– I’m here. – Yeah, go with that.
– I survived. – I’m here, I survived. I love that.
(laughing) – I know. – Yeah?
– Yeah. – Cool, let’s go with that.
– Yeah, we’ll go with that one, right?
– Yeah. – Okay, cool. – Breath. What are you getting? – At the end I was safe.
– Okay. Go with that. Breath. What are you getting? – You don’t need to hang
onto this any longer. Is that okay?
– Yeah. – Why?
– Why do that? – Like, why do that?
– And then we’ll check in on a few things. Let’s just do a set with that.
– Okay. – Breath. Whatcha getting?
– Starting to feel peaceful. – Good. Notice that, I’m starting
to feel peaceful. Maybe see, is there anything
else that’s still lingering? Or is it just, we have to let ourselves sink into the peace. – Probably need to sink into the peace. – Go.
– Should we do that? – Yep, go with that.
– Just keep going. – Mm-hmm.
– Okay. – Go with the peace. And what are you getting? – I don’t need to be afraid of the water. – Go with that and hold
up your hands like that. Yeah, I love it, I love it.
– Okay. – And let anything else
that needs to happen movement wise, happen.
– Mm-hmm. – Breath. Cool?
– Cool. – So let’s go back to the
original target image. – Mm-hmm.
– Where would you rate your distress with it
in this moment, zero to 10? If zero is nothing or neutral, 10 is the worst you can imagine. – Neutral, nothing.
– Okay. So let’s go to–
– It’s just a memory. – Yeah, it’s just a memory, neat. – That’s awesome.
– That is awesome. So that’s the desensitization part. Now, here’s the reprocessing part. – Okay.
– So your positive cognition that you wanted to come
to of I am powerful, does that still fit? Or is there another one that seems like it’s an even better fit? – Let me think on that a minute. – Sure, take a moment. – I think what might be a better thing to work on is the feeling
of safety in the water. – Okay.
– Because I think– – We’re going to do that.
– Would that work? – Yeah, we’re gonna do a
little future template here, but right in this moment, I am powerful. How true would you say
that feels, one to seven? If one is completely false,
seven is completely true. – I think we’re moving,
I think we’re pretty much to like a five and a six.
– Okay. So in this next pass, I just
want you to ask yourself, what keeps it from being a seven? – My feeling completely powerful. Making me powerful. – Just go with that, just see what keeps it from being a seven.
– Okay. – What’d you get?
– I couldn’t sit up. – Go with that. Breath. What are you noticing? – I was too afraid to sit up.
– Okay, let’s go with that. That’s okay, that’s okay.
– Mm-hmm. Breath. What are you getting?
– We did the best we could at the time.
– Go with that, we did the best we could at the time. Breath. What you getting?
– It’s okay. – It’s okay. All right, let’s do a set with it’s okay. Okay, so in this moment, I am powerful. One is completely false,
seven is completely true. In this moment looking back, how true does that statement feel to you? – In this moment?
– Yeah. – Seven.
– Okay. So go with that. Hold that true statement, that
completely true statement, I am powerful, together
with the original image. Notice what you notice. – Interesting.
– Yeah. Take a breath. What are you noticing? – I could sit up. I mean, if, yeah. – Go with that. – That was simple.
– Yeah. – (murmurs). – Breath. What are you getting?
– I’m sitting up. – I’m sitting up. All right, so scan your
body from head to toe. And if there’s any odd
or unusual disturbances, let me know. If it feels pretty neutral, pretty clear. – Mm-hmm, mm-hmm.
– How would you describe it? – I wanna check something.
– Okay. You wanna check something?
– I’m checking something. – Okay.
– It’s one of my fascinating, this is very fascinating. My scientist side’s looking.
– Okay. – Wow, that’s amazing. – What are you noticing there? – Before we started, I had
golf balls living in there. – Yeah. – They’re not there. There’s a little soreness
from where they were. As this was going on, I
was having almost like someone was taking a poker in my muscles. So there’s some soreness there. Wow. They’re gone.
– Notice they’re gone. – I’m amazed, okay. – What are you getting? – I hope this lasts.
– Yeah. Well, let’s test it out. Let me just check our time real quick. – That would be nice.
– Yeah. Oh, yeah, we’ve got plenty of time. So hold this kind of clear body scan together with I am powerful. Let’s start there. So clear body scan,
together with I am powerful. – Okay, give me a second.
– Take your time. – Okay.
– All right. Breath. What are you getting?
– I like the feeling. – I like the feeling, cool. All right, so you said, I hope this lasts. So bring up a future scenario for me, of maybe someplace you would
like to go in the water, but have always kind of
stopped yourself short. You got a place?
– Mm-hmm. – Okay.
– Not hard. – Not hard. All right, so whatever that place is, bring it up in your memory. Maybe picture in your mind, maybe picture what you would
like to be doing there. How true does I am powerful feel, at your gut level in this
moment, one to seven, as you notice that place,
and what you wanna do there. One is completely false,
seven is completely true. – Probably about a five.
– Okay. – Which is an improvement.
– Which is an improvement. So we’re gonna do a set
here, but the same question. What keeps it from being a seven? What keeps it from being totally true? – Okay.
– Let’s go with that. Breath. What are you getting? – I don’t know that it’s not,
that it is true that I’m… The reality is, is I can’t sit here and know if it’s truth because
I haven’t tried it. – Is your intention to try it?
– Yes. – So go with that. That it’s my intention to try this. – Okay. – If you can, maybe
visualize it happening. – Okay. Mm-hmm. – What are you getting? – Well, I’m in the pool and my toes are not touching the bottom.
– You’re in the pool, and two of your toes are
not touching the bottom. – My toes aren’t touching.
– Okay, you can see that? – Mm-hmm.
– Okay, go with that. – I’m just there.
– I’m just there. Breath. What are you getting?
– I can do this. – I can do this. I am powerful. How true would you rate it? One to seven.
– Seven. – Go with seven. Breath. All right.
– All right. – Is this feeling like a good place to wrap this up?
– Mm-hmm. – All right, so anything you
feel we need to do to close? Any breath strategies, the visualization? – I think I just wanna
shake out some things here. – Go for it, shake out some things. – Cobwebs.
– Cobwebs, love it. – I don’t think so, I think it’s good. – Okay. So just a couple notes here.
– I like where I am. – Sorry?
– I like where I am. – Like where you am, nice. So processing, it’s normal for processing to continue at least a little bit after a session like this is over. So if you continue to have
thoughts and feelings come up, I would advise you to
continue noticing them, use your breath to help you support them. Also possible the dream content tonight may feel similar to this because you spent so much work on this. And I would advise you,
like I would a client, to keep using your skills
in between session. Now, one thing I would do if this was more of a clinical
setting, this is the part we call reevaluation. Is I would really encourage you, and say, so when you
gonna go and do this thing you wanna do?
– This weekend. – This weekend, okay. So next week, would you be okay to check back in with me?
– Sure. – And let me know how
it went this weekend. Since this is demo, you can email me, you can call me.
– Okay. – ‘Cause I’d like to hear about it. And if anything new should have surfaced during that experience,
’cause that’s always possible to happen, like, wait, I never considered this part of it,
then in the next session we can go back into some of that. Or come up with a plan, since it’ll be distance at this point.
– Right, right. – For figuring it out. So I thank you for your hard work and let’s give her a hand.
– Thank you. (audience applauding)
– Okay, I wanted to thank you– – You’re welcome. – For your willingness to join us today. So what’s your initial kind of sense about being up here and how it’s feeling? – It’s feeling fine.