What is EMDR and how does it work?

What is EMDR and how does it work?

EMDR has received some notable attention recently thanks to its effectiveness in treating trauma. There is a lot of information available online and in academic literature of the therapy, so we put together this article as an overview of EMDR to help you understand what it is and how it works.


So what exactly is EMDR and how does it work? 

EMDR stands for Eye Movement Desensitization and Reprocessing, and it involves 8 phases including the use of eye movement, or bilateral stimulation, which appears to be similar to what occurs naturally during dreaming or REM (rapid eye movement) sleep. As we wrote about in past blogs, when a person experiences a traumatic event, their brain goes into defense mode and changes its function.

One of these functions includes the hippocampus, which usually works to store memories in a neat filing system that allows us to easily and accurately recall these memories. When faced with a threat, the hippocampus takes on the role of pumping cortisol throughout the body so that we don’t feel pain, and puts the memory storage on the back burner. So it’s no wonder it’s incredibly difficult to recall a traumatic event, or we recall it inaccurately by filling in the blanks later on.

EMDR allows us to go deep into the brain and file these memories with the appropriate meanings and emotions attached to them. According to the EMDR International Association, the goal of EMDR is to:

“Process completely the experiences that are causing problems, and to include new ones that are needed for full health… That means that what is useful to you from an experience will be learned, and stored with appropriate emotions in your brain, and be able to guide you in positive ways in the future. The inappropriate emotions, beliefs, and body sensations will be discarded… The goal of EMDR therapy is to leave you with the emotions, understanding, and perspectives that will lead to healthy and useful behaviors and interactions.”

One of the leading experts on developmental trauma and author of The Body Keeps the Score, Dr. Bessel van der Kolk recalls the experience he had using EMDR on a patient when he realized the power of the therapy. Watch below:


What are the 8 phases of EMDR?

Phase 1:  The first phase is a history-taking session(s). The therapist assesses the client’s readiness and develops a treatment plan.  Client and therapist identify possible targets for EMDR processing.

Phase 2:  During the second phase of treatment, the therapist ensures that the client has several different ways of handling emotional distress. The therapist may teach the client a variety of imagery and stress reduction techniques the client can use during and between sessions. A goal of EMDR therapy is to produce rapid and effective change while the client maintains equilibrium during and between sessions.

Phases 3-6:  In phases three to six, a target is identified and processed using EMDR therapy procedures.  These involve the client identifying three things:
1.  The vivid visual image related to the memory
2.  A negative belief about self
3.  Related emotions and body sensations.

In addition, the client identifies a positive belief.  The therapist helps the client rate the positive belief as well as the intensity of the negative emotions.  After this, the client is instructed to focus on the image, negative thought, and body sensations while simultaneously engaging in EMDR processing using sets of bilateral stimulation.  These sets may include eye movements, taps, or tones.

Phase 7:  In phase seven, closure, the therapist asks the client to keep a log during the week.  The log should document any related material that may arise.  It serves to remind the client of the self-calming activities that were mastered in phase two.

Phase 8:  The next session begins with phase eight.  Phase eight consists of examining the progress made thus far.  The EMDR treatment processes all related historical events, current incidents that elicit distress, and future events that will require different responses.

From EMDR.com


Does it actually work?

At least 20 positive controlled outcome studies have been done on EMDR therapy. According to the EMDR Institute, which hosts a comprehensive list of EMDR-related research, some of the studies show that 84%-90% of single-trauma victims no longer have post-traumatic stress disorder after only three 90-minute sessions. Another study, funded by the HMO Kaiser Permanente, found that 100% of the single-trauma victims and 77% of multiple trauma victims no longer were diagnosed with PTSD after only six, 50-minute sessions.

EMDR International Association reports on the same topic, “Clients often report improvement in other associated symptoms such as anxiety. The current treatment guidelines of the American Psychiatric Association and the International Society for Traumatic Stress Studies designate EMDR as an effective treatment for post traumatic stress. EMDR was also found effective by the U.S. Department of Veterans Affairs and Department of Defense, the United Kingdom Department of Health, the Israeli National Council for Mental Health, and many other international health and governmental agencies. Research has also shown that EMDR can be an efficient and rapid treatment” (www.emdria.org).


Who does EMDR? 

Only Masters-level or Doctoral-level professionals–therapists, nurses and doctors–who have gone through approved EMDR training can provide EMDR to people. Roots Through Recovery is proud to have two clinicians on our team that are trained and certified to provide EMDR. Clients who have undergone EMDR therapy for trauma have seen great improvement in their management of traumatic experiences, and how that plays a role in their addictions and mental health.

For a free assessment or to find out more, call us today at (562) 473-0827 or email us at info@roots-recovery.com


Related Articles from Roots:

The Direct Link Between Trauma and Addiction

How Childhood Trauma affects health across a lifetime

Resources & Further Reading:

EMDR International Association

EMDR Institute, Inc.

Dr. Bessel van der Kolk

Roots Through Recovery Announces the Start of its Evening IOP Program

Roots Through Recovery Announces the Start of its Evening IOP Program

Roots Through Recovery opened its doors in January 2017 and in the last four months, the program has grown to include daytime partial hospitalization and morning intensive outpatient to meet the various needs of our clients. There has been a lot of interest in recent weeks for an evening intensive outpatient program for the working professionals in Long Beach and the South Bay.

In response to this growing need, Roots Through Recovery is excited to announce the start of its evening IOP program beginning the week of May 15th!


CALL NOW (562) 473-0827


Much like our daytime programs, the evening IOP program will focus on addressing underlying trauma and mental health needs of community members who are coping with alcohol or drug addiction. Our compassionate and highly trained therapists provide trauma-informed care in small groups and individual therapy.

Group Room 2

Contact us today to find out about our promotional cash pay rate! Call Josh at 562-473-0827, chat with us or verify your insurance right now.

Doing these three things will make you a happier person… seriously

Doing these three things will make you a happier person… seriously

What if I told you that there were three (very simple) things you could start doing today that would make you a happier person?

Ex-Google engineer turned mindfulness expert, thought leader, author and philanthropist, Chade-Meng Tan, discovered there really are a couple of things every one of us can start doing each day that will bring joy into our lives, and as a result, make us happier. Meng, as he likes to be called, meditates for hours each day, which the majority of us cannot do… but thankfully, he offers the world the practical application of his education, practice and teaching.

I heard Meng speak on a few podcasts, which I highly recommend if you have the time to check them out: 10% Happier and Note to Self.

I began doing these things as soon as he suggested, because, well, who wouldn’t want to bring more joy, compassion and loving kindness into their daily lives? It works. Meng offers that in order to achieve the depth of cultivation of one’s mind, one must practice like anything else; however, if you have 15 seconds to spare right now, you can improve your outlook, your state of being, and your life.

 

So here they are, your keys to joy:

1. Bring attention to your breath. 

Sounds simple, right? For some people it is, and for others who find it difficult to sit and be present, this can be massive undertaking. Meng says, give yourself 15 seconds for this exercise, 5 seconds per breath.

  • First breath – Just bring attention to it, be aware of the breath in, and the breath out.
  • Second breath – Do the same, but this time relax your body, whatever that means for you.
  • Third breath – Now smile, while you breathe in and out with your body relaxed.

Now, try it. That smile should have brought a subtle sense of joy.

 

2. Wish happiness to others.

This is the practice of raising the thought to your conscious mind when you see someone of wishing them to be happy. You can do this for people who walk by you on the street, or you can bring the thought of someone in your life and just think to yourself as you picture them, “I wish them happiness”.

You’ll notice that as you do this, being the giver of compassionate loving kindness to others makes you feel this loving kindness yourself.

 

3. Raise your awareness of the tiny slices of joy already present in your life.

How often do we go our entire day, caught up in our routines and responsibilities, that we forget to appreciate the little things? Too often, is the answer I was looking for.

Our world is filled with what Meng calls “tiny slices of joy”–from taking the first sip of coffee in the morning, the feeling of the hot water from the shower hitting you, laying down in bed and feeling your head sink into the pillow–these wonderful, fleeting moments that we don’t take the time to acknowledge. His belief is that if we allowed ourselves to be present in these moments, we could experience this joy all day long.

 

 

Practicing these three simple things each day, experiencing joy and allowing yourself to be present in the moment will inevitably improve your well-being. On why the practice of mindfulness works, Meng says:

To worry you need to be in the future, to regret you need to be in the past. So if you take one breath of being in the present, then for that one breath you are free – you are free from worrying and regret.

And we agree.

***

Chade-Meng Tan (Meng) is a Google pioneer, award-winning engineer, international bestselling author, thought leader and philanthropist. He is Chairman of the Search Inside Yourself Leadership Institute, and Co-chair of One Billion Acts of Peace, which has been nominated eight times for the Nobel Peace Prize.

How Childhood Trauma affects health across a lifetime

How Childhood Trauma affects health across a lifetime

In 2014, Dr. Nadine Burke Harris gave a brilliant talk at TED Med describing what she discovered about childhood trauma as she began digging into a trend of high incidence of ADHD in children in her Bayview-Hunters Point clinic in San Francisco.

The featured image in this post is from photographer Alex Welsh, who spent two years documenting images of the violence, gang involvement, grief and loss, and other trauma the children and adolescents of Hunters Point are regularly exposed to. To see more, visit his site.

Watch the 16-minute TED Talk here:

[arve url=”https://embed.ted.com/c0c486b3-3dcd-4ef7-8810-4674353001b4″/]

Nadine Burke Harris’ healthcare practice focuses on a little-understood, yet very common factor in childhood that can profoundly impact adult-onset disease: trauma.

Why you should listen

Pediatrician Nadine Burke Harris noticed a disturbing trend as she treated children in an underserved neighborhood in San Francisco: that many of the kids who came to see her had experienced childhood trauma. She began studying how childhood exposure to adverse events affects brain development, as well as a person’s health as an adult.

Understanding this powerful correlation, Burke Harris became the founder and CEO of the Center for Youth Wellness, an initiative at the California Pacific Medical Center Bayview Child Health Center that seeks to create a clinical model that recognizes and effectively treats toxic stress in children. Her work pushes the health establishment to reexamine its relationship to social risk factors, and advocates for medical interventions to counteract the damaging impact of stress. Her goal: to change the standard of pediatric practice, across demographics.

From TED.com

Portugal: A Case Study in Compassion

Portugal: A Case Study in Compassion

 

I think all along we should have been singing love songs to them, because the opposite of addiction is not sobriety. The opposite of addiction is connection. –Johann Hari

In Johann Hari’s landmark TED Talk in June 2015, titled “Everything you think you know about addiction is wrong”, he explains the psychology behind addiction and how the criminalization of and stigma of the addicted person actually produce the opposite of the intended outcome. Saying “drugs are bad” and that they are addictive does nothing to address the issue of why people begin using drugs in the first place, such as to self-medicate or numb the unpleasant feelings brought on by past trauma, as we wrote about in an earlier blog. Hari says, essentially and quite simply, everything we’ve been doing to get people to stop using drugs has been wrong! And by the way, he didn’t arrive at this conclusion by chance or do it on his own; in fact, he had quite a bit of help from friends, scientists and the country of Portugal.

Hari first began to delve into this topic the way many of us have: because our lives have been touched by addiction, either we have experienced an addiction ourselves or someone close to us has. The fascinating thing about addiction is that the common societal attitude toward addiction is largely based on decades old research that has since been debunked, and yet, we continue to think that these two things are the key: 1. Drugs are addictive, and 2. People will stop using drugs if we punish them. The research, including that of Dr. Alexander referenced by Hari, shows that these two points are inherently wrong. Dr. Alexander’s famous “Rat Park” study tells us something different about addiction. Here is an excerpt from Hari’s TED Talk:

You get a rat and you put it in a cage, and you give it two water bottles: One is just water, and the other is water laced with either heroin or cocaine. If you do that, the rat will almost always prefer the drug water and almost always kill itself quite quickly. So there you go, right? That’s how we think it works.

In the ’70s, Professor Alexander comes along and he looks at this experiment and he noticed something. He said ah, we’re putting the rat in an empty cage. It’s got nothing to do except use these drugs. Let’s try something different. So Professor Alexander built a cage that he called “Rat Park,” which is basically heaven for rats. They’ve got loads of cheese, they’ve got loads of colored balls, they’ve got loads of tunnels. Crucially, they’ve got loads of friends. They can have loads of sex.

And they’ve got both the water bottles, the normal water and the drugged water. But here’s the fascinating thing: In Rat Park, they don’t like the drug water. They almost never use it. None of them ever use it compulsively. None of them ever overdose. You go from almost 100 percent overdose when they’re isolated to zero percent overdose when they have happy and connected lives.

Hari isn’t saying that the environment is necessarily to blame, either, but rather that connecting with a drug addicted person is far more effective than punishing them, and maybe it is the cage. Hari questioned the relationship between these rats and their park, and thought, maybe it’s only with rats. But then he considers what happened with human beings, young American service men in the Vietnam War, over forty years ago.

“In Vietnam, 20 percent of all American troops were using loads of heroin, and if you look at the news reports from the time, they were really worried, because they thought, my God, we’re going to have hundreds of thousands of junkies on the streets of the United States when the war ends; it made total sense”. The Archive of General Psychiatry followed these soldiers home and conducted a detailed study, and what actually happened to these soldiers shocked scientists and doctors who studied addiction. Hari goes on, “It turns out they didn’t go to rehab. They didn’t go into withdrawal. Ninety-five percent of them just stopped. Now, if you believe the story about chemical hooks, that makes absolutely no sense, but Professor Alexander began to think there might be a different story about addiction. He said, what if addiction isn’t about your chemical hooks? What if addiction is about your cage? What if addiction is an adaptation to your environment?”

We’ve seen time and time again in countries with harsh drug policy and limited views of addiction, including the United States, shaming and criminalizing drug use—throwing addicts into the criminal justice system—does nothing positive for the addicted individual. When a heroin addict is arrested for possession and spends time in jail, she comes out with a record, thereby making it even more difficult for her to get a job and secure housing, further limiting her connections, isolating and traumatizing her, and creating a void that can seemingly only be filled with substance use. So what if, instead of beating people down, we built them up? What if we loved them unconditionally, and take all the money we spend on cutting addicts off, on disconnecting them, and spend it on reconnecting them with society? That’s what Portugal’s national drug coordinator, Dr. João Goulão, asked himself.

In the year 2000, Portugal had one of the worst drug problems in the world, with one percent of its population addicted to heroin—an incredibly mind-blowing statistic. They had tried the American way of waging war on drugs, which is essentially a war on drug addicts, and found that what we know to be true here was true for them: it does not work, and it was getting worse every year. Fifteen years ago, Dr. João Goulão and a panel of experts sat together to address the problem, and considered all the research, and the country of Portugal did something monumental, something daring and seemingly crazy: they decriminalized ALL drugs. With their drug problem reaching unmatched heights at that point, Portugal’s decision had the whole world watching.

We know what happened, or didn’t happen rather: More people did not start using drugs. More people didn’t die from drug overdoses. What everyone thought was going to happen, didn’t happen. Drug use went down. WAY DOWN. Portugal went from having one of the worst heroin epidemics in the world in 2000 to being among the countries with the lowest prevalence of use for most substances in 2012. These were the results:

Fewer people arrested and incarcerated for drugs.
The number of people arrested and sent to criminal courts for drug offenses declined by more than 60 percent since decriminalization.
The percentage of people in Portugal’s prison system for drug law violations also decreased dramatically, from 44 percent in 1999 to 24 percent in 2013.

More people receiving drug treatment.
Between 1998 and 2011, the number of people in drug treatment increased by more than 60 percent (from approximately 23,600 to roughly 38,000). Treatment is voluntary – making Portugal’s high rates of uptake even more impressive.
Over 70 percent of those who seek treatment receive opioid-substitution therapy, the most effective treatment for opioid dependence

Reduced drug-induced deaths.
The number of deaths caused by drug overdose decreased from about 80 in 2001 to just 16 in 2012.

Reduced social costs of drug misuse.
A 2015 study found that, since the adoption of the new Portuguese national drugs strategy, which paved the way for decriminalization, the per capita social cost of drug misuse decreased by 18 percent

From DrugPolicy.org’s fact sheet.

In 2013, Nuno Capaz of the Lisbon Dissuasion Commission said, “We came to the conclusion that the criminal system was not best suited to deal with this situation… The best option should be referring them to treatment… We do not force or coerce anyone. If they are willing to go by themselves, it’s because they actually want to, so the success rate is really high… We can surely say that decriminalization does not increase drug usage, and that decriminalization does not mean legalizing… It’s still illegal to use drugs in Portugal — it’s just not considered a crime. It’s possible to deal with drug users outside the criminal system.”

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So why is it so hard for people to accept the outcomes of these studies? For one, government campaigns have ingrained anti-drug slogans in our brains since elementary school, so these findings are contrary to our belief system, characterized by Nancy Reagan’s “Just Say No” campaign. Since the war on drugs began with President Nixon in the 70s, immortalized by the first lady in 80s, and continued by the first President Bush, we have been engaged in a war against people affected by drug addiction. Four decades of throwing people struggling with addiction into prison, stripping people of their coping mechanisms, and offering them nothing in return except a criminal history. Secondly, if the drugs and the individual aren’t to blame, then who is? It is our responsibility as a society to help those suffering from addiction; to create a paradise for them, lend our unconditional support and sing them songs of love.

With no end to the war on drugs in sight, there are still things we can do to shift the tide and create a culture of love and support for the drug addicted person:

  1. Stop treating the addicted person as a criminal. More than half of us have been touched in some way by addiction, and many of us know someone who is struggling with addiction today. Shifting the way we look at and treat people with addiction is the first step. They are not criminals or deviants. They are not even addicts. They are human beings—our sons and daughters, brothers and sisters, fathers and mothers, neighbors, peers, colleagues and co-workers—who are coping with an illness.
  2. Support people in their addiction. Whether you’re a treatment provider, family member, employer or advocate, we all have a role in ensuring people who need treatment get the care they need and deserve. As we learn from Portugal, forcing people into treatment often results in high cost and poor outcomes. When someone is ready for treatment, is willing and engaged in their recovery, we see the greatest outcomes and people can begin their life free of substances.
  3. Connect with people. Showing someone struggling with addiction that you aren’t going to turn your back on them and that you care about their recovery is the most important thing you can do. Instinctively, we want to let our loved ones “hit rock bottom” or show them how their addiction has affected us by shutting them out, but we know this does not help. Just like the rats in “Rat Park”, your love might be the thing that makes this person say maybe I don’t want the drug-laced water.

The opposite of addiction is connection.

https://www.facebook.com/upliftconnect/videos/846444885492494/

If you or someone you know is struggling with addiction or a mental health issue, please call us today at 562.473.0827 or email us info@roots-recovery.com.