EMDR Therapy: Phase 2 Demonstration

– [Dr. Jamie] Alright, Jamie, so as we move here into preparation work, let’s first start by having you show me your releasing breath that you have learned in other therapy. I know it came for us during
our history taking session as being something that’s helpful. So, I’m wondering if we can start by you, kinda, teaching it to me. – [Jamie] Sure. – [Dr. Jamie] And then,
we’ll do it together. – [Jamie] Well, and the
way I teach it to clients. Hand on the abdomen, hand on the chest. – [Dr. Jamie] ‘kay. – [Jamie] Going to
inhale through the nose, hold in the diaphragm for a count of four, exhale by just dropping, or just allowing, our jaw to just drop open naturally. And making a “hah” sound in the back of our throat to allow us to
exhale a little bit longer than the inhalation. – [Dr. Jamie] Nice, nice, so go ahead and show it and I’ll
drop in and do it along with ya as I can. And how many do you usually like to do? – [Jamie] It differs from
one to three, usually. – [Dr. Jamie] Okay, okay. You willing to do two more, – [Jamie] Sure.
– [Dr. Jamie] right now? Great. – [Jamie] So, and if we get more move in the diaphragm, it’s my understanding that it’s more effective and less if we’re breathing more
from our upper chest area. – [Dr. Jamie] And I noticed you were giving yourself a four count there. – [Jamie] Four count.
– [Dr. Jamie] Does that seem to help you nicely for the hold? – [Jamie] Sometimes
– [Dr. Jamie] Okay. Sometimes less, sometimes more? – [Jamie] Right, as far
as around four seconds and sometimes it’s helpful for me to do that to help remind me. – [Dr. Jamie] Got it, alright
– [Jamie] But I don’t always. – [Dr. Jamie] Alright, let’s do one more. So, what are you noticing
in your body right now? – [Jamie] I can feel
the relaxation, sort of, for me, a tingly feeling
that just washes over me. – [Dr. Jamie] Very
nice, I’m gonna go ahead and strengthen that with the machines. I know, in a previous conversation, we talked about your
willingness to do audio. So, what you just described, that kind of relaxation washing through you, I’m gonna invite you to notice that. Sync into that if it feels organic to try another breath or two with that. And just notice what you notice as you hear the slow tones back and forth. ‘Nother breath. And what are you noticing now, Jamie? – [Jamie] I feel much more relaxed. – [Dr. Jamie] Okay, alright, so, I know you’ve had work
with previous therapy, specifically some previous EMDR before. So, knowing yourself, how would using the breath like this help us as we go into targeting the
traumatic memory you want to work on. – [Jamie] I get pretty
activated, pretty upset. When it’s time to calm down, or if I need to calm down, I can use the
breath as one of the tools. – [Dr. Jamie] Sure, sure, and would you be comfortable with having me use it as a, Jamie, reminding you to breathe if it feels like maybe you need just a little grounding
break in the middle of the work even if you
are still activated? – [Jamie] That’d be great. – [Dr. Jamie] Yeah, ’cause it seems like it’s a really good strategy for ya. So thank you for showing that to me. – [Jamie] Oh, you’re welcome. – [Dr. Jamie] Great, so we have a couple other tools here at our disposal. Yeah, you can take the headphones off for now, but keep ’em handy. So, you mentioned that, for grounding, you prefer soft texture over hard texture. So, we go ahead and bring
the stuffed animal in. – [Jamie] Got my choice. – [Dr. Jamie] Yeah,
you’ve got your choice. So, actually have you put
the headphones back on. We’re gonna tone a
couple of these things in just as resources. So, I really like you to
be mindful of the texture. And just sync into that as
I begin the stimulation. And what are you noticing? – [Jamie] The fox is soft. – [Dr. Jamie] Yeah, so soft. Deep breath. Anything else you’re noticing? – [Jamie] I’m feeling pretty calm. – [Dr. Jamie] Good, cool,
so we’ll have the fox on hand as soft texture, if you need, for grounding, for
anchoring, or if we need to close our session early. I’m also fine if, when we’re
doing the trauma processing, if you even wanna be holding onto the fox, that would be more than okay with me. So, you could either keep him with you or put him to the side. So, just as a point of reminding you, we also have two of your
favorite oils nearby, lemon and peppermint, which we can access. And then, as you mentioned to me, some art materials can also be helpful. Have some pastels, colored pencils, markers, crayons, and paper. And, I think it’s interesting,
in our previous conversation, you mentioned that,
correct me if I’m wrong, that some of your different parts like the different implements. – [Jamie] Mmhmm.
– [Dr. Jamie] Okay. So, that goes into our next
area we’re gonna talk about which is the role of some
of these little ones. The role of some of these
parts that you’ve been able to unearth in previous work. So, just give me a
little bit of back story on what you think I
need to know about them, specifically what it may
be like inviting them into your Magical Safe Place here. – [Jamie] Some are more
cooperative than others. – [Dr. Jamie] Okay. – [Jamie] Knowing what I know now, they were a tool, at the time. Certain entity, I don’t
know what terminology necessarily to use, but – [Dr. Jamie] Whatever works for you. – [Jamie] Certain ones
serve certain functions, depending what was going on, and at times, it was something along the line of, when that little one became too full, again for lack of
specific enough vocabulary or difficulty putting things into words, some other little one came along to help. It was a joint, at times,
more of a joint effort to survive. – [Dr. Jamie] Yeah. So, as we discussed when
we did our screening, I’d like to try doing
your Magical Safe Place and, really, inviting
in all of your parts. And we’ll see what happens in terms of who is maybe saying
or communicating what in terms of being on board in terms of cooperation, and we’ll
see where we go with it. – [Jamie] Okay. – [Dr. Jamie] Do you wanna
still hang onto the fox – [Jamie] That’d be great.
– [Dr. Jamie] and the owl? Okay, sounds good. I’m gonna have you keep the headphones on just ’cause, at various
times, I’ll be inserting the stimulation. A lot of times it’ll just be us, kinda talking and sensing in. So, does it help you to close your eyes, or leave them open? – [Jamie] It depends. – [Dr. Jamie] It depends, okay. So we’ll, you know I like that phrase. So, let’s roll with that as we go. So, describe for me some
of the qualities, Jamie, of your Magical Safe Place. – [Jamie] Qualities? – [Dr. Jamie] What is it
like and describe it for me. – [Jamie] Oh, okay. Just describe it.
– [Dr. Jamie] Describe it. – [Jamie] Okay, my guardian
angels are completely around the safe place, and, so it is safe because they’re protecting me. – [Dr. Jamie] Okay. – [Jamie] I’m up on a hill,
and it’s not really a forest because there’s not enough
trees to make a forest, but there’s quite a growth,
maybe would be a better term. Long needle pines and it’s very comforting to hear the wind blow through those. To me, there’s a difference
between the wind coming through pine trees,
especially long needle pines, versus desiduous trees. And, there’s a brook
that goes through there. I can hear the water. I can feel the sun, very
comfortable temperature. I can feel the grass
on the ground below me. And, I’m shielded by shrubs. I’m up where I can see around me, but nobody can see me. – [Dr. Jamie] ‘Kay, can
you let yourself go there? Okay, take a couple breaths,
just natural breaths. Let your place that you’ve
just, so beautifully, described for me come into focus noticing those beautiful details. – [Jamie] And the smell is of the pines, water.
– [Dr. Jamie] Yeah. Notice those. So, I’m gonna start a set of tones to strengthen noticing
the pines and the water. What are you noticing now, Jamie? – [Jamie] Magical Safe Place is more real. – [Dr. Jamie] Okay. – [Jamie] More accessible. – [Dr. Jamie] Okay, ‘kay, are you okay to notice that real and accessible? Okay, keep going. Breath. And what are you getting or noticing now? – [Jamie] Magical Safe Place is real. It’s accessible, easily accessible. – [Dr. Jamie] Is there
a name you use for it, other than Magical Safe Place, or does that work really well as a cue? So, let’s just do one set to strengthen that Magical Safe Place, so
that you can say the phrase, I can say the phrase,
whenever we may need it. What are you noticing now? – [Jamie] Feel real relaxed. – [Dr. Jamie] Great. Okay, Jamie, so now I’m
going to invite you, if it feels organic, to check in with those little ones, with those parts. So, the direct invitation
I’m gonna make is can you invite those little ones into this Magical Safe Place with you? Okay, so, we take a breath. We’re not gonna do the machine just yet. Maybe take a breath, invite them in, and notice what you’re noticing about any of them here in this
Magical Safe Place with you. – [Jamie] They’re in different places doing different things. Some are sitting, some
are standing a ways away, some are kinda playing around. – [Dr. Jamie] Okay, are
you willing to notice that? Okay, we’re gonna do a set, and just notice some are
sitting, some are standing, some are playing. Not judging or censoring, simply being present to
what you’re noticing. What are you noticing now? – [Jamie] They’re there.
– [Dr. Jamie] They’re there. Anything specifically coming up? – [Jamie] Everybody feels relaxed. – [Dr. Jamie] Let’s strengthen that. Everybody feels relaxed. Breath. What are you noticing
or what’s happening now? – [Jamie] Just hangin’ out. – [Dr. Jamie] Okay, just hangin’ out. So, this calm, peaceful, or not calm, Magical Safe Place feels
like it’s a good anchor to come back to, if we should need, during the reprocessing,
or if the session has to wrap up early. And I’m also hearing that
it sounds like a good place for all of the different
parts that may be at play which is why I really
like this as a resource. The last little component I wanna cover, in terms of resourcing and preparation, is you’ve mentioned to me
that, in previous therapy and previous work, some
of the parts have not been so cooperative or not been so onboard. Can you give me any
more insight into that, or what you’ve observed
in previous therapy? – [Jamie] What’s coming up is
that the counselor was okay, but they didn’t get it. – [Dr. Jamie] Okay, okay. – [Jamie] And, that’s
the feeling I’m getting, is that’s where the resistance came in. – [Dr. Jamie] Okay. – [Jamie] It’s like,
we’re not gonna help out because it’s not worth it, almost, or is that we’re not gonna
get anything out of it. – [Dr. Jamie] So, is there
anything we can bring in to assist those little
ones who have felt that in the past? Is there anything they need to ask me? – [Jamie] Hmm, okay, ’cause
what was coming up first was just that we’re all
aware that you get it more than previous counselors
who, for the most part I went to the talk therapy, but
especially two of them, felt safe enough that we
would share some things. Does that make sense? – [Dr. Jamie] Yep, yeah, are you willing to just notice that experience
of feeling safe enough? Because, one of my beliefs as a therapist, and I’m communicating
this to all of your parts, is I never expect
anybody to feel 100% safe in a therapy venue because
this is risky work. And, a lot of us have
come from daunting places. But, I think it’s important
to be able to sense into what it means to feel safe enough, or to believe one is safe enough. – [Jamie] Safe enough to do some work. Safe enough for the time-being knowing that it can change. – [Dr. Jamie] Yeah, so
even as we’re talking about it now, Jamie, what’s
happening in your body? What are you noticing in your body? – [Jamie] There’s a brightening. – [Dr. Jamie] Okay, let’s
strengthen that brightening. Breath. What are you noticing? – [Jamie] We don’t feel like
we have to take care of you. – [Dr. Jamie] Okay. – [Jamie] Some parts of the times, there was more concern that we didn’t want to scare the counselor, for lack of, maybe, better terminology. – [Dr. Jamie] Yeah. – [Jamie] And other times,
what would they think of us? They didn’t understand. – [Dr. Jamie] Yeah, yeah, so, what I’m hearing is
they’re experiencing more a sense of not having to protect me. And, some assurance that I
understand just a little better. Okay, and again, what
does the body notice? – [Jamie] More relaxed. – [Dr. Jamie] Okay, so, let’s, this’ll be kind of our
final preparation set. Just take a couple breaths into that noticing that sensation of more relaxed. Very nice, so anything
you feel we need to do to transition from this exercise. Do you wanna make
contact with the texture? Do you need to look around the room? Do you need to do your release breaths? – [Jamie] We’re doin’ well, thank you. – [Dr. Jamie] You’re welcome, alright.

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