I recently observed an EMDR session in which a client chose a low SUD target to work on, and to her immense surprise, within a few EMDR sets was catapulted back into a traumatic memory of a time she was kidnapped and held hostage. She had not chosen to do that piece of work, and had thought it was resolved. EMDR acted like the surgeon's incision, in opening up this dissociated/compartmentalized material. Other phenomena may trigger similar responses -- indeed Mesmer was tapping into dissociative phenomena, some say. So can anything else. What makes EMDR unique is that it provides a method for assessing and targetting issues, that have been held out of awareness, opening up the material that needs resolution, safely titrating affect and guiding the process to an adaptive resolution. I was trained in a University as a cognitive behavior therapist, and I did exposure therapy and exposure and response prevention with anxiety disorders. EMDR is different. It goes more smoothly, and it is evokes better and more rapid shifts and insights. It is less taxing for client and therapist. skepticism is welcome and important, but can be its own response bias when it ignores positive findings. skeptics who frighten away clients who could benefit greatly by EMDR have an ethical burden of their own to consider.
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