One of the most common questions I receive from consultees is how to make EMDR therapy their main modality and transition into being an EMDR therapist. They see the ease and comfort I have in my own practice as an EMDR therapist as well as in the group practice I co-founded. They want to emulate this and are stuck, not knowing the steps to take. However, what they don’t see are the years of work, education, training, consultation, client sessions, blood, sweat, and tears that went into building my clinical practice into what it is today. Cultivating a culture of EMDR therapy in your individual work with clients as well as your clinical setting is possible by being mindful of the following considerations.
Jump right in. A challenge I hear from new EMDR therapists is how to get themselves on board with EMDR therapy. Especially after part 1 of the basic training, many clinicians are completely overwhelmed by all of the new information presented and have a difficult time shifting their clinical framework from the old way of doing things to this new, seemingly mystical clinical framework. My best advice is to not wait. Jump right into to it as soon as you leave the training. Come Monday morning, start phase 1 with your clients and look for targets you can process. Also, schedule consultation soon after part 1 to further discuss and consult on how to implement the 8 phase protocol with your current clients. Schedule part 2 within a few months of completing part 1 even if you haven’t completed many consultation hours or started really using EMDR therapy much within your practice. If you wait, you will lose momentum as well as get lost in the new information. Months may pass before you tiptoe into using any bilateral stimulation, even just for resourcing. It’s okay if you have to read from a script during the first 100 sessions or ask the steps out of order periodically. Your EMDR sessions will be messier than what was demonstrated in the trainings; just keep jumping into it over and over again. Practice makes perfect and your clients will forgive you or not even know the difference if you asked for the VOC before the SUDs.
Shift your focus from clinical tool to clinical modality. Since its conception, the view on EMDR therapy shifted from a tool to use within therapy to an all-encompassing treatment modality. By viewing it as such, the approach is altered from having specific EMDR sessions in which you wave your fingers in front of your clients to engaging in EMDR therapy from day one with a client even without bilateral stimulation. Working through the 8 phases of EMDR therapy and understanding the effects of traumas/adverse experiences, further integrates EMDR therapy as a clinical modality. There are many insights and breakthroughs that occur in identifying the origins of negative beliefs and their associated traumas/adverse experiences. Knowing the power of these insights takes the pressure off of rushing into phase 3-6 when a client is not fully prepared and resourced and further highlights the benefits that occur even outside of reprocessing sessions emphasizing a culture of EMDR therapy within your practice.
Have the motto “we can process that!” I constantly have my ears open to potential targets and am known to say, to a bit of chagrin of my clients, “we can process that!”. Not all traumas/adverse experiences are disclosed at the beginning of treatment. Sometimes they are slow to reveal themselves because a client isn’t ready or is just ignorant that these potential targets are affecting their current functioning. With all the advanced EMDR topic trainings targeting specific symptoms and issues, there is potential for an endless number of special protocols. However, you do not have to be specially trained if you have a strong understanding of the basic EMDR therapy protocol and are competent in working with the specific population. Though there may be special considerations with different populations, you can target and process anything that proves to be a trauma/adverse experience. Attend consultation sessions and EMDR networking groups to listen to other clinicians’ experiences in identifying shrouded targets. The more you practice your EMDR skills, the more you will hone your intuition about what constitutes a good target.
Identify yourself as an EMDR Therapist. It is a self-fulfilling prophecy; if you identify as one, you are one. Introduce yourself as an EMDR therapist, which will give you ample opportunity to discuss your treatment approach with potential clients and referral sources. As you become more established, clients will seek you out specifically for EMDR therapy further cultivating the culture of EMDR therapy within your practice. I regularly receive requests from potential clients looking specifically for EMDR therapy indicating a familiarity with this modality. Initially after being trained in EMDR therapy, however, I had to convince all my clients to try this new-fangled therapy. It was a shift from their conceptualization of traditional talk therapy to a culture of EMDR therapy in which we identified potential trauma targets and used bilateral stimulation to desensitize and reprocess these targets. Despite my immediate enthusiasm for EMDR therapy, not all of my clients were as convinced, and it took some time, effort, educating, and demonstrating to create a culture of EMDR therapy within my own practice.
Get the word out. The more publicity and discussions about EMDR therapy, the more mainstream it becomes as a treatment modality. We can cultivate a culture of EMDR therapy in our clinical settings by addressing the effects of traumas/adverse experiences on the brain and explaining the Adaptive Information Processing model. Share the EMDR love with your friends and family. Post information and articles about the effects of trauma/adverse experiences and EMDR therapy on your social media. Host informational sessions at your practice or place of employment and work EMDR therapy into any presentations you are giving as a mental health provider. Network with other EMDR therapists by joining EMDRIA and regional network groups. If you are at an agency, hosting an informational session as a brown bag lunch can help education your colleagues in EMDR therapy. Also, ask your clients to provide testimonials about their experiences with EMDR therapy to their other healthcare providers..
Cultivating a culture of EMDR therapy can be an arduous process. You will constantly have to explain, reinforce, and reframe people’s beliefs about EMDR as a whole therapy framework. By jumping right into the 8 phases and identifying yourself as an EMDR therapist though, you will quickly begin to shift your practice to an EMDR therapy framework. Looking for potential targets within the therapeutic setting and getting the word out about EMDR therapy whether it is within your personal circle or at your practice or agency further cultivates a culture of EMDR therapy within your individual clinical practice as well as within your practice or agency. It will be well worth the effort as you process your clients’ traumas/adverse experiences helping them to achieve a higher level of healing.
Expressive Arts is a beautiful process of coming home to oneself. We often spend a lifetime detached from our bodies and others-replacing connections with fallacies of social media and text message. It’s easy to scroll for hours, send a quick text, developing a habit of nonchalant routine. But is that really connection? Some say yes. They are able to check in with family all over the world or they need to check out after a long day, but that is not connection with self or with others. We’ve developed a nasty habit of leaving ourselves without coming back to self. It is anything that allows someone express who they are, their experience, giving a voice to the voiceless (i.e. believed to be unheard or experiences stuck in the emotional part of the brain that does not have access to language in the thinking portion of the brain).
Coming home to self and providing a voice to our emotions and experiences that get shoved aside with disconnection, allows the individual to settle into their own skin. They’re able to figure out what it’s like to build a home with self and the meaning of connecting to life around them. For me, Expressive Arts as provided a way for me to communicate what my home, my body, needed to spring clean to feel safe.
For me, the best part of Expressive Art Therapy is the aftermath, when the supplies are strewed about the space and smudges of paint, pastel, and glitter are left behind. There is always a different light that shines brightly in my clients’ eyes. A sense of fresh air that I’m able to sit with. The aftermath is a complete flip from when I start working with clients, because what is this going to accomplish? I can’t tell you how many times I get eye rolls or eyebrow raise when I begin pulling out crafting supplies in session.
The aftermath of Expressive Arts processing is different from the excitement in the middle of the process and the middle of their treatment continuum. Once the world of Expressive Arts is introduced, the craving to express, the desire to be heard, seen, healed, takes a front seat. It’s the lit match blossoming to life, of insight settling in for the ride. It’s the self-permission to express leaking out onto the page.
I promise you when someone is in process, it is mesmerizing. It is awe-inspiring to watch someone learn to trust themselves enough, and you enough, to express themselves. It is awe-inspiring to sit back after a session with paint smudges, charcoals, cut paper littered about, and seeing that person, that client running with ideas (regardless if it’s merely an upturn of one corner of their mouth, staring at their piece, or rushing to share what they noticed in excitement). It is wonderful when you’re able to experience this yourself. Sitting back from my pieces and taking in the message conveyed in writing or imagery. There’s nothing quite like it.
When I’m cleaning up after a client and groups, I can’t help but smile at the charcoal coating a chair or paper debris on the floor. They made a mess. They made a mess, even thought they were previously asking permission to move, worried about staying in the lines, asking to use paint. They made a mess. They let themselves make a mess, to put their hands in paint, fold and tear paper, to express everything they’ve kept inside. They let themselves try something new and permission to sit with self and explore. In a world where we’re told what to do and stay in the lines, to disconnect and move on, the best thing we can do for ourselves and those we work with is to step outside our comfort zones and greet the unfamiliarity of imperfections, emotions, and to provide a space for expression in all its formats.
Institute for creative mindfulness
Our work and our mission is to redefine therapy and our conversations are about the art and practice of healing. Blog launched in May 2018 by Dr. Jamie Marich, affiliates, and friends.