I can't offer a consultation on your specific case here, as it isn't a clinical forum for that purpose. However, I'll offer some general comments that apply to many cases, and urge you to discuss the matter openly with your therapist. When individuals have complex histories, whether true trauma or the smaller traumas that comprise some learning histories and childhood experiences, the approach to EMDR needs to be carefully formulated. There needs to be a screening to rule out a dissociative condition (in ALL cases) in order to proceed with the appropriate protocol. If there are social phobic symptoms present, in my experience, some aspects of shame need to be targeted. If a particular EMDR session doesn't resolve, it means something is stuck or "looping", and a cognitive interweave is warranted, which may be about shame or something else that has been "disowned" by the self. Resource development is often helpful to strengthen access to positive internal resources. Careful closure and containment is needed. In some cases, the Kitchur approach is best, in which the relationship with the father and the mother (among other things) are targeted separately. There are no studies on point, only clinical case experiences. Finally, a therapist may wish to seek consultation with another colleague. Sandra Paulsen Inobe, PhD
Fair Oaks, California
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