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.
I chant to a monkey.
No really, I do. I chant to a monkey.
There was a time in my life where I never would have put this out there in public, especially as a young professional afraid of being labeled as too fringe or hippy-dippy. The time is now to out myself: Every night for the last year I’ve chanted a 16th century hymn from the Hindu tradition called The Hanuman Chalisa. As a monkey, Hanuman is seen as a bridge between the wisdom of the animal world and the human world. As a symbol for breath, he is the bridge that unifies feminine energy and masculine consciousness. Many devotees of Lord Hanuman engage in this chant as a daily practice; it would be similar to those with great devotions to St. Francis singing any version of a Prayer of St. Francis hymn daily. And I’ve been known to sing to him too. Plus, I pray an Our Father and Hail Mary every morning—in Croatian (my family’s ancestral language)—do Japa meditation (prayer beads), practice yoga in various ways, read from my 12-step meditation books and pray some of those prayers. Those are just my daily practices! On any given week I may also consult with my Ayurvedic clinician, see my expressive arts therapist and spiritual director over Skype, or saunter up to Buffalo for some of my own EMDR therapy. And then there’s the penchant I have for receiving bodywork and energy work…shall I go on?
There is a very important reason why I am going here, letting the weirdness of my daily and other regular practices shine out so directly. These practices help me to stay mentally healthy, especially in being able to navigate the judgment and cruelty of the world at large. In the last several years, and with increasing frequency lately, many friends, students, and folks I mentor have shared with me their concerns about being perceived as too weird. Whether it’s a feeling of self-consciousness about their cleaning regimens, their spiritual practices, or having ways of seeing the world that may clash with the mainstream, people can viciously judge themselves based on the fear of how others will respond. In a recent conversation about weirdness and perception, I blurted out the “I chant to a monkey” response. I’ve found this phrase to be such an empowering anthem that I now use it when clients, students and folks I train come to me with a hesitancy to share, fearing how I will perceive them.
“I chant to a monkey… try me.”
For many of us who have survived the trenches of academia or currently hold a professional license as a clinician, the fear of being persecuted for our weirdness or differentness has merit. I and many others in the Dancing Mindfulness community could fill a whole book of horror stories documenting how professors and other colleagues have treated us for taking an interest in Eastern meditation, embodied practices, and anything that is outside of the talk therapy, medical model norm. In essence, we are the weird ones for going back and reclaiming the merits of ancient healing systems and endeavoring to make them work for modern clients, students, and practitioners. Not creative, not integrative…weird.
The professional standards committee of my state’s licensure board has challenged me as an educator three times for offering programs in the area of dance, mindfulness, expressive arts therapy, and yoga. Of course, I’ve been able to support their merit, with literature, of offering such programs for clinicians who will pass the valuable learning on to clients who are desperately needing more than what the field has been giving them. Yet every time I presented before the committees, I have had to address the issues coming up for me about them labeling me as too weird or flaky. Like many of us, my wounding around weird goes back to family of origin baggage and getting bullied by peers in elementary school for being the oddball. Of course, the board challenges made me angry and even sad at first.
Then I learned to embrace the challenge to calmly show them that there is another way to exist as a professional in our field. This involved a great deal of time and effort cleaning out and healing my old stuff and drawing inspiration from the monkey I chant to, Hanuman—be a bridge. Don’t be afraid to be yourself, especially with others who get your weirdness. If someone you work with or interact with in life needs to see an example of weird as healthy and functional, show it. Yet when working with the mainstream of any given field, a good deal of translation may be required. This is always possible when you are not ashamed of who you really are and know how your weirdness (and all the oddities and rituals that may come with it) helps you live and hopefully even thrive in this world.
In working with my latest expressive arts student to have the weirdness conversation with me, some wisdom from the Croatian language struck me like a bolt of lightning. The Croatian word for weird or strange (čudan) and the Croatian word for miracle (čudo) come from the same root. Both imply something supernatural or out of the ordinary. Yet we can think of a miracle as being a gift and weirdness as being a curse. What if we started to view them as one in the same? Would more of us feel comfortable coming out as weird, or more widely acknowledge that we all do some pretty weird things? Can I learn to embrace my weirdness for what it is—a miraculous gift that helps me to see the world in a way that we need in order to smash existing paradigms and bring about some deep healing?
Whenever someone I mentor professionally expresses fear about being perceived as too weird, I take pride in telling them that they are not alone and that there are others of us who feel similarly. One time I referred to the Dancing Mindfulness community as the island of misfit therapists, and that’s a descriptor I use proudly to this day. Connect with the other weirdos out there and before long you may even learn to see yourself as a trailblazer who is in an amazing position to liberate others from the confines of judgment and condemnation in which they find themselves. If you can be proud of your weirdness as a professional of any kind, imagine how inspirational you can be to the people you serve. If more of us learned to embrace the weirdness that we are in our daily lives, regardless of what we do or where we live, that would truly be miraculous, and it will take such a miracle to heal the world.
I chant to a monkey… what of it?
Originally published on the Dancing Mindfulness Expressive Arts Therapy Blog, 5/4/2017
If you’ve followed Dancing Mindfulness and other projects connected to my Institute for Creative Mindfulness work, you’ve likely encountered the hashtag #redefinetherapy. What started as a book chapter and a hashtag is quickly turning into a movement that you may feel the call to embrace. I owe credit to Emily Wichland, the editor of my 2015 book Dancing Mindfulness: A Creative Path to Healing & Transformation for articulating the challenge to redefine therapy. In my first draft of Dancing Mindfulness, I structured the closing chapter around my experience of feeling more excited by practices that are happening outside of the bounds of conventional psychotherapy. To excerpt:
Formal psychotherapy has played a great role in my healing process and I respect the practice of counseling and therapy. Additionally, I am proud of what I’ve been able to achieve as a counselor in helping others. However, the overall direction of where my field is going does not excite me as much as the healing wonders I witness when people organically connect with their own creativity. I see many gifted professionals in psychotherapy stifled in their creativity and intuition by the rigid institutions that they work for or the insurance companies they fear, imposing unrealistic medical standards of care on their work. In sum, there is only so much that traditional therapy can do for people in the modern era because of the flaws in our healthcare system. What really excites me is what’s happening in healing communities across the globe. When I see people realize that healing and wellness are not synonymous with the broken systems that so many turn to in order to heal, my heart and soul smile.
When Emily returned the chapter edits to me, she suggested that I title the chapter Redefining Therapy. When I read this, my heart leaped into my stomach and then back again. I was excited—my immediate response was “Yes!” This notion of redefining therapy is what I see so many of our clinicians drawn to the Dancing Mindfulness community practicing in their lives. However, part of that visceral response also included a sense of terror. I asked myself, “Can I really be so bold, especially when many people in my field already resent those like me, challenging the value and the relevance of traditional psychotherapy taught in halls of academia?” By mindfully embracing these remnants of fear, I eventually arrived at the conclusion that naming the final chapter Redefining Therapy was an act of brilliance. The phrase represents everything that my work is about; it represents the sense of excitement I see percolate from the beautiful individuals I train when they are given permission to practice their healing arts outside of a rigid box.
As part of promoting the book’s release, Holly Speenburgh, a member of our Dancing Mindfulness community who was helping me with marketing at the time, began using the hashtag #redefinetherapy. For people in our community, it came to represent a way of doing things that might make your university counseling professors’ heads spin with frustration. Yet for us, it signifies the call for therapists to be inspired by what is happening outside of the literal boxes of our clinical offices and to bring some of this inspiration into how we teach our clients to heal. Redefine therapy also challenges potential consumers of mental health services to consider that conventional psychotherapy or psychiatry may not signal the only hope for treatment and recovery. Perhaps yoga or dance or raising your animals have cultivated a greater sense of safety in your own body than engaging in therapy ever has. Maybe martial arts or fly-fishing or backpacking through Europe or becoming an advocate in your community for change have helped you to experience a greater sense of empowerment than you have ever known. Like with many people I know both personally and professionally, it’s very likely that a combination of factors—which may or may not include psychotherapy—have led to your recovery and renewal.
While it may seem like common sense to embrace this all of the above approach to healing, please understand that I still encounter a great deal of resistance from other therapists and academics about embracing the wide range of human experience as potential outlets for transformation. Maybe these colleagues are afraid that highlighting the importance of other healing practices and communities of connection will delegitimize what we do as therapists and make our work seem less relevant. Perhaps the resistance is born of a good old fashioned fear of what we do not understand. Another possibility is a fear of deeply engaging the body and its power as a vehicle for change, deferring instead to the familiarity of the talking cure in therapy. While I am not opposed to talking or verbal methods in the overall healing process, I’ve seen too many people use words only to avoid and to deflect. In many of these situations, deeper healing must take place in our emotional and somatic brains that words cannot directly reach. The journey into our emotional and bodily selves is difficult in our culture where we are constantly bombarded with messages that feelings cannot be trusted and feeling them makes us weak. The media and many of the tastemakers in our society shame us for having bodies that do not meet some perfect standard of what bodies should be. Additionally, the impact of religious messaging and shame-based interpretations of religious teachings leave many to doubt the wisdom inherent in their bodies.
The time is now to speak up about what has helped you to reach your desires in healing and recovery. It’s 2017 and I am still fighting licensing boards and continuing education standards committees in certain states about the relevance of yoga, mindfulness, and expressive arts in the practice of professional therapy. A limitation for what works in healing and recovery still permeates many of the institutions that shape research, policy, and clinical practice guidelines. Moreover, the age-old axiom this is the way we’ve always done it, often invoked to honor tradition in many clinical and academic settings, seems to be hampering progress in an era where we need fresh solutions. Addiction is killing us in epic proportions, old trauma scripts are being triggered by current events and the state of the world, and people are feeling a greater sense of despair as we begin to wake up from our comas of oppression and realize that who we are matters. Showing up for life is hard work. As therapists, are we using all possible strategies for helping clients to embrace the challenge? As potential consumers of mental health and recovery services, what problems might we have with conventional psychotherapy and what have we discovered that may work better instead?
My challenge is that we begin having these conversations with greater vigor. What does redefining therapy mean to you? What has really helped you to embrace healing and recovery, either inside or outside of traditional structures of psychotherapy and treatment? Maybe it’s been one primary practice, maybe it’s been an all-of-the-above approach. My vision long term is to use this blog to hold space for people to share about what redefining therapy means to them and how they have put a wide array of healing practices into their lives. If it’s psychotherapy, I want to hear about what worked in it for you. If it’s Muay Thai kickboxing or aerial yoga or climbing mountains or volunteering at the soup kitchen or becoming a minister in the Church of the Dude, I want to hear about that, too. Feel free to submit your reflections and stories to me and I will be happy to publish them with your permission. Long term, my goal is to be able to publish an entire book called Redefining Therapy where we are not afraid to speak about what has truly worked for us and to continue to shatter the paradigm for what brings about change, healing, and recovery.
Photography by Natalie Mancino Grilli, June 2015, as part of the Body Diversity Aerial Yoga Project
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.