Naomi Fisher’s brilliant guidelines for working with EMDR online

Naomi Fisher is based in Paris, and has been working with EMDDR online for a good two years now – finding it, as I (Mark Brayne) and many of my colleagues do often at least as good as face-to-face (which of course it also is) and sometimes even better.

Naomi is an EMDR consultant and facilitator, and an independent clinical psychologist.  She offers clinical supervision and therapy exclusively online, and can be contacted here.

And now, her guidelines, also downloadable here as a PDF: Using EMDR Online – Naomi Fisher.

Ten Tips for Using EMDR Online

Practice Based Article

I never thought it was possible to do EMDR online.  As a clinical psychologist and EMDR Consultant who has been using EMDR since 2005, I occasionally did other sorts of therapy online if I had to, but EMDR? No.   It seemed safer to keep that for my clinic room.

Then I moved to France.   Suddenly I was not able to set up a practice or get a job, because here I had no core profession; my title did not automatically transfer.  As I looked around for alternatives, working online – with people outside France – was an obvious choice.  But I was still wary about using EMDR online.

As I started to build up my online practice, I couldn’t help trying out some EMDR preparation techniques.  EMDR is the basis of my therapeutic practice, it forms the majority of what I do.  I use CBT and ACT as well, but without EMDR I felt like there was a huge hole in my approach.   So I started with some resource installation, installing a safe space, and tried out preparation techniques such as Flash, CIPOS and Loving Eyes.  In order to do this, of course I had to work out how to best use BLS online.  As I did this, I become more confident and started offering full EMDR processing to people who I felt confident could manage this.

It worked.  Just like it does in the room.  In fact, in some ways it felt even more attuned.  I felt deeply in touch with my clients, thousands of miles away.  We created a little therapeutic bubble, in virtual space.  Now I’ve been using EMDR online for nearly two years, and this is what I’ve learnt.

Talking with children about Corona – and thoughts about AF-EMDR at this time…

First, a note from Miriam Chachamu about her excellent family-focused videos, including now on how to talk with children about Corona.

I am a family therapist, a relatively new and a bit silent member of this forum…

During the last year I have been developing a YouTube channel for parents, helping them understand their children and communicate better with them, to hopefully reduce attachment wounds for the future.

If you  have time, please have a look! My last two videos are about talking to children about the virus and dealing with school closures, and my video about couples in self-isolation is scheduled for tomorrow.

https://youtu.be/IocaIXXaDKA

https://youtu.be/AQdb_hmmhMo

If you like what you hear please subscribe and press the bell so you will hear from YouTube about new videos- usually every week or two

And to continue, my (Mark Brayne’s) response!

Excellent support ideas from Alexandra Dent for EMDR Online

Our EMDR Consultant colleague Alexandra Dent has put together a particularly excellent draft client contract for using EMDR online, which we’re happy to re-post here, with amendments, both as a downloadable PDF (11BW Online Sessions Explainer for Clients – minus MB details) and inline as follows.

ONLINE CLINICAL PSYCHOLOGY SESSIONS – v. March 2020

I would like to provide you with some practical information to help you understand what to expect with online sessions and also provide some tips to make sure the process runs smoothly.

It might feel scary or uncertain to have some sessions online but they can be as effective as meeting face to face, so long as you follow the sensible tips below.  My goal is to create a safe and contained space to work with you.

If there are some material/documents that we need to use for the sessions (e.g. when I am going through psychoeducation and mindfulness), I will make sure that I have emailed this through to you before the session.

Simple Summary of AF-EMDR Bridging/Target Identification

Heather asked a really useful question the other day on the Attachment-Focused Google Group, and I thought it might be useful to post my response here for more general perusal.

I would appreciate your thoughts. My question is….in working with a 30 year old woman whose cause of her low self esteem and overwhelm and anxiety is her mother. Life time of criticism, emeshment, invalidation etc.

Woman is intelligent and has a successful career. Has a partner whose moved in and she’s worried he’s taking advantage and she’s being treated badly. On the other hand she doubts herself and feels she always in the wrong. My gut feeling based on his negotiations and behaviour is that he is manipulative but can be kind etc. His mother is also dismissive of my client and treats her like her waitress.

A brief thought about online work

What with Coronavirus and all, a lot of us EMDR therapists, I suspect, are going to be finding ourselves working online with clients in the coming weeks, so here’s copying in an email I sent just now (Sunday March 8) to a colleague contemplating doing this for the first time.

I don’t doubt that the ACTO training is very useful, but I have to admit to not having done it myself, and to be coping pretty well with the specific challenges of online work. Which aren’t really very different – technology and some of the basics permitting which are outlined in the discussions you’ve read – from working face to face.

So I’d just suggest giving it a go and seeing how you and your clients get on.

Attachment-Focused EMDR for Addiction, a two-day practical workshop with Dr Laurel Parnell

London Mon-Tue Sept 16-17 2019 – Healing Relational Trauma and Rewiring the Addicted Brain with EMDR. £295 – CPD points applied for.

Very last minute (see below…), we’re delighted to welcome Dr Parnell for her first workshop in Europe focusing on the ideas in her her new book for EMDR with addictions Rewiring the Addicted Brain.

We’re not yet settled on a venue, but it will be in central London, and this will be of interest not just to colleagues already trained in Laurel’s Attachment-Focused approach to EMDR, but newbies too.

Through lecture, slides, and videos of live client sessions, and LOTS of discussion and As, you’ll learn how to integrate an attachment-focused, brain-wise approach into treating clients with addictions and dysfunctional behaviours, as well as practical tools you will be able to use immediately with your clients.

Trauma, Psychotherapy, EMDR – and being a Mum

Forget books on parenting, I get the best mummying advice in the world from my patients.

Because almost all of them are healing wounds from their mothers.

I had my first child before I worked on myself and before I trained in this line of work. I suffered from post natal depression, felt like my world had imploded – I remember driving home from the hospital – terrified of going home with this little baby, and wanting to scream out of the window at people walking in the street “how can you be getting on with your lives like nothing has happened, can’t you see the world has changed???!”

Such a difficult time. My husband at the time was working and hardly ever home, my family lived miles away, and I felt so ashamed of the fact that I found this new baby stuff so hard, I simply felt I couldn’t reach out to any friends. I felt isolated, alone, and very, very, low.

Tartan Patterns and Porcelain Ducks: Intuitive EMDR in action

Thanks to Rachael Ward for sharing the following touching client story, inspired by training in September with Laurel Parnell in London in the Attachment-Focused approach to EMDR. (Names and identifying details have been changed.)

I loved the AF approach and one of the reasons is that it has validated some of the things I was instinctively doing, but feeling ‘bad’ for doing them as it was against standard protocol.

One such case was a young woman I saw seven years ago as a client of a Mental Health Service.

She had a diagnosis of NEAD (non epileptic attack disorder) and was suicidal due to the impact it was having in her life.

The Neurologist had done all he could for her and she had received CBT, Psychodynamic therapy and a raft of other interventions that had been unsuccessful at helping reduce the 20+ seizures a day.

Attachment-Focused EMDR – Research presented at London conference

It’s been some time in the making, but it was a great pleasure to present to last weekend’s (March 24, 2018) EMDR UK & Ireland annual national conference on Laurel Parnell’s approach to Attachment-Focused EMDR.

Here’s a link to the full presentation, in PDF form and slightly amended for wider public consumption, recognising that some of the slides, especially the pictures, won’t make overly much sense without the attendant explanation in person.

After some controversy over recent years within the EMDR community about the standing of Dr Parnell’s approach to our work, it was particularly rewarding to be able to bring these very positive research results to the conference in the same week that Laurel heard from the EMDR International Association (EMDRIA) in the US that her EMDR training, with its Part III focus on working creatively with attachment, has been unanimously approved by the relevant accreditation committee.