EMDR is talked about in a transformative manner. There are conditions, which need to be present for EMDR to work, and connections exist between the EMDR method and therapist as agents of change. For practitioners, a pluralistic approach, incorporating the EMDR method could be used to carry out tasks in therapy to achieve therapeutic goals based on the client’s requirements. In research, the paucity of qualitative studies could be addressed by engaging counselling psychologists, as scientific enquirers and artistic therapists, to expand research into clients’ experiences of EMDR to improve therapeutic practice and treatment programmes. Areas suggested for further qualitative experiential research include adverse effects, tolerability and withdrawal from therapy; EMDR for specific populations, such as combat veterans where the quantitative evidence is equivocal; and EMDR therapy practised in inpatient settings.
In recent years, resource installation has turned into an important procedure in Eye Movement Desensitization and Reprocessing Therapy (EMDR). Research has provided preliminary evidence regarding the neurophysiological signature of EMDR therapy resource installation. Even if a variety of resource installation procedures have been described, there is a variety of clients with different needs. Especially clients with attachment deficits or attachment disorder and in general complex client could profit from innovation in resource installation. Additional strategies for the enhancement of resource memory networks could enrich the EMDR therapy procedural toolbox. Two novel resource installation procedures, Instant Resource Installation (IRI) and Extensive Resource Installation (xtRI) are introduced and discussed. Two case examples document the clinical use of these novel EMDR resource enhancement procedures.
Meta-analyses showed that the effects of online CBT for PTSD are promising.•
Worldwide only one trial examined the effects of online EMDR for PTSD.•
Wider usage and implementation of online EMDR seems premature in times of COVID-19.
Each hemisphere has four sections, called lobes: frontal, parietal, temporal and occipital. Each lobe controls specific functions. For example, the frontal lobe controls personality, decision–making and reasoning, while the temporal lobe controls, memory, speech, and sense of smell.
The frontal lobes are important for voluntary movement, expressive language and for managing higher level executive functions. Executive functions refer to a collection of cognitive skills including the capacity to plan, organise, initiate, self-monitor and control one’s responses in order to achieve a goal.
The frontal lobe is the largest lobe of the brain. The frontal lobe plays a role in regulating emotions in interpersonal relationships and social situations. These include positive (happiness, gratitude, satisfaction) as well as negative (anger, jealousy, pain, sadness) emotions.
You have two frontal lobes: one in the right hemisphere of your brain and one in the left hemisphere of your brain. They’re located in the area of the brain that’s directly behind your forehead.
Your frontal lobes are vital for many important functions. These can include, but aren’t limited to, voluntary movement, speech, and problem-solving. Damage to the frontal lobes can affect one or more of the functions of this area of your brain.
An injury, stroke, infection, or neurodegenerative disease most often causes damage to the frontal lobes. Treatment depends on the cause of the damage and typically involves several types of rehabilitative therapy.
Multiple independent and controlled studies have shown that EMDR therapy is an effective treatment for PTSD. It’s even one of the Department of Veterans Affairs’ strongly recommended options to treat PTSD.
A 2012 study of 22 people found that EMDR therapy helped 77 percent of the individuals with psychotic disorder and PTSD. It found that their hallucinations, delusions, anxiety, and depression symptoms were significantly improved after treatment. The study also found that symptoms were not exacerbated during treatment.
An older studyTrusted Source that compared EMDR therapy to typical prolonged exposure therapy, found that EMDR therapy was more effective in treating symptoms. The study also found that EMDR therapy had a lower dropout rate from participants. Both, however, offered a reduction in the symptoms of traumatic stress, including both anxiety and depression.
Several small studies have also found evidence that EMDR therapy is not only effective in the short term, but that its effects can be maintained long term. One 2004 study evaluated people several months after they were given either “standard care” (SC) treatment for PTSD or EMDR therapy.
EMDR – Eye Movement Desensitization And ReProcessing Therapy is based on the theory that painful memories remain unprocessed in our memory and that neurological changes done through eye movement can assist the patient in recovering . A number of studies have demonstrated that EMDR can alleviate symptoms more rapidly than talk therapy alone. The patient usually reflects on a memory while focusing on an external stimulus such as a finger, a light bar, taps or tones. Because discussing details of a trauma is not required in EMDR, the anxiety associated with revealing those details may be alleviated.
Dissociation and avoidance behaviors
Dissociation is the essence of trauma. The traumatic experience is split off and fragmented so that the emotions, sounds, images, thoughts, and physical sensations enter and are re-experienced in the present. These people react to even the smallest irritations as if they are being annihilated and cannot understand why. A common reaction is to reorganize their lives to try to avoid these memories. But the constant battle against invisible dangers is exhausting and makes them tired, depressed and exhausted.
While reliving trauma can be frightening and even self-destructive, a lack of presence can be even more damaging over time. The kids who act out at least get time and attention. But the ones who simply fade out don’t bother anyone and are left alone to lose their future piece by piece.
Difficulties in integrating traumatic memories
Under normal conditions, our emotional and rational memory systems work together to integrate new experiences into a continuous flow. But during traumatic events, many regions shut down: linguistic areas, areas responsible for creating our sense of time and space, and the thalamus, which integrates raw sensory data.
The result is a memory that is not coherent and organized in a logical narrative, but is stored as disordered “fragments” of images, sounds, and chaotic bodily sensations. In effect, a wall is erected between the two parts of a dual memory system. Traumatic memory is not integrated into the combined, ever-changing sense of what we know about ourselves.