Re:preparation for reprocessing

I can't respond to your request for a case consultation on your particulars, however, I'll repeat a few general comments:

- before a first EMDR, each EMDR therapist should know whether and how dissociative a client is.
- if a client has successfully had EMDR before, future EMDRs are not likely to create enormous problems -- it is the first session that often is very decompressing and/or triggering to emotional material when there is a lot of dissociated material, and therefore can be disorganizing.
- any client may benefit from having ego strengthening steps in place before undergoing painful work
- the relationship can go a long way to ensure successful containment
- any EMDR session for a person who does not finish a piece of emotional work in the session should include a closure procedure, whether light stream or another imagery procedure such as my "tucking in" and "Tupperware" strategies for dissociative and non-dissociative clients.
- any client with questions or concerns about managing the intensity of the affect should raise this concern with the therapist, and ask what strategies the therapist will use to "titrate" or "fractionate" the emotional work to make it manageable.

Replies:

Re:preparation for reprocessing, by , 03/03/02 Defining "case consultation", by Sandra Paulsen Inobe, PhD, 03/03/02 Re:Defining , by Never Someone, 03/04/02

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