Re: EMDR with PA and GAD

There are a number of case studies about the use of EMDR with panic disorder, usually as a part of a phobic condition. The work up is still basically cognitive behavioral, but the EMDR targets the specific triggers for the panic, the physiological sensations of panic, and/or the catastrophic thoughts the person has that they are panicking about. Additionally, many practitioners would use a resource installation approach (no controlled studies at this time) to strengthen the person's sense of ability to cope.

It is well worth an experiment to see if it will help you. My experience in offering EMDR to my panicky patients has been very successful.

With generalized anxiety disorder, as you know, there is often less clarity about the triggers, because it is by definition generalized anxiety. To the degree one can articulate some negative cognitions the more focus one can have for the EMDR. For example, thoughts about, "the world is a dangerous place" or "I have to be vigilant at all times" could be targeted to shift to such cognitions as "I'm as safe as anyone else' or "I can choose to relax", as two examples.

Some people with GAD might need to target early trauma or other maladaptive learning experiences. For example, if one learned that one wasn't safe or protected in the family of origin, then EMDRs that address early family relationships could be very valuable.

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