Post on 23-Mar-2018
transcript
Neurodynamics
What is EMDR therapy?
EMDR therapy - Eye Movement Desensitization and
Reprocessing therapy
Developed by Dr Francine Shapiro PhD USA 1987
An innovative clinical treatment that has successfully
helped over a million individuals.
It has been used to treat trauma, including sexual
abuse, domestic violence, combat, crime, & those
suffering from a number of other complaints including
depressions, addictions, phobias, a variety of self-
esteem issues & psychosis
Dr Paul W Miller
KEY FRAMEWORK FOR ALL 8
PHASES IS THE AIP MODEL
AIP is the soil in which we sow the story of our clients
AIP model views negative behaviours and personality characteristics as the result of dysfunctionally held information
A negative self-belief is not seen as the cause of present dysfunction; it is understood to be a symptom of the unprocessed earlier life experiences that contain that affect and perspective
Attitudes, emotions and sensations are not considered simple reactions to a past event; they are seen as manifestations of the physiologically stored perceptions stored in memory and the reactions to them
EMDR therapy’s 8-Phases1. Client readiness / Client safety factors /
Treatment planning
2. Preparation
3. Assessment
4. Desensitization
5. Installation
6. Body Scan
7. Closure
8. Re-evaluation
Dr Paul W Miller
Individuality
Dr Paul W Miller
Key Elements of Effective
Psychotherapy (Frank, 1961)
an emotionally charged relationship
a therapeutic environment
a ‘rationale or myth’ that provides a
plausible explanations for their symptoms
a procedure to resolve the symptoms
Dr Paul W Miller
The Shaman’s
Gift
Phil Borges
Therapeutic
Alliance
Dr Paul W Miller MD
CAEL
&
ICoNN
Failure of Processing
Lanius, R. A., et al. (2003). "Individual differences in a husband and wife who developed PTSD
after a motor vehicle accident: a functional MRI case study." Am J Psychiatry 160(4): 667-669.
θεράπω
ν
Turn the
ship around
…my old
failures. Antonio
Machado
Phase 5 - Installation
Dr Paul W Miller
The Body Keeps the Score
Check the body for discomfort…
Dr Paul W Miller
Dr Paul W Miller MD
The deathly
hallows
ICoNN Categories
ICoNN 1 – DMN identifiable as usual
ICoNN 2 – DMN via affect bridge
ICoNN 3 – engaging voices
ICoNN 4 – gestalt
Dr Paul W Miller
Dr Paul W Miller MD
ICoNN Categories
ICoNN 1 – DMN identifiable as usual
Case of Paul; Cotard’s Delusion –
Chapter 9
Dr Paul W Miller
ILLUSTRATION (1st YEAR) PROF. STEVEN DANA YEUNGNAM UNIVERSITY
Cotard’s Syndrome (severe depression with psychosis: ICD 10 F32.3) & PTSD
17-year-old male (at time of presentation)
EAP referral 3/12 post-HCD
4 counseling sessions. Then…
S/B PWM ∆ Cotard’s Syndrome / PTSD
Rx Psychoeducation - AIP; Rx Plan; trauma
Medication (cipralex 10mg mane: seroquel 25mgs noctelow dose)
EMDR reprocessing - 3 sessions
Relapses
At 4+ years - euthymic; no psychosis
Dr Paul W Miller MD
ICoNN 1 – Take Home
Dr Paul W Miller
ILLUSTRATION (1st YEAR) PROF. STEVEN DANA YEUNGNAM UNIVERSITY
ICoNN 2– DMN via affect bridge
22 y.o. male, referred for psychotherapy
Psychiatrist ∆ Body Dysmorphophobia
GP Rx fluoxetine 20mgs daily
5 Appointments
“there isn’t a psychological problem… it is
completely about gynaecomastia”
‘Jude’ – see Chapter 10; (Miller, 2015)
Dr Paul W Miller
Trauma and
Psychosis
Session I: New patient assessment & AIP case formulation
Session II: Psychoeducation & EMDR safe place
Session III: EMDR targeting ‘ANGER’
Session IV: Targeting ‘Car - backseat’
Session V: Targeting ‘father’
Dr Paul W Miller
Dr Paul W Miller
ICoNN 2 – Take Home
Dr Paul W Miller
ICoNN 3 – engaging voices
Dr Paul W Miller
The peopled
wound
ICoNN 3 – Take Home
Dr Paul W Miller
Dorahy quotes also Keiser Permanante info
ICoNN 3 – Take Home
continued…
Dr Paul W Miller
The Wizard of Oz fallacy
Dr Paul W Miller
ICoNN 4 – gestalt
Dr Paul W Miller
Nosology
Dr Paul W Miller
Schizophrenia in Ireland
Dr Paul W Miller
April 2006
Medication started
December 2006
EMDR therapy
April 2007
Decrease in medication
May 2007 3Dr Paul W Miller
Maternal
Attachment
Once upon a time…
Capgras / Changeling
ICoNN 4 – Take Home
Dr Paul W Miller
ICoNN Categories
ICoNN 1 – DMN identifiable as usual
ICoNN 2 – DMN via affect bridge
ICoNN 3 – engaging voices
ICoNN 4 – gestalt
Dr Paul W Miller
Dr Paul W. Miller MD
10 Million People
Dr Paul W Miller MD
Posttraumatic
Growth