What Exactly Is an EMDR Intensive?

 
 

Do you ever feel as though you are reliving the same patterns, or having the same recurring negative thoughts or experiences? Many of us are operating out of subconscious negative beliefs that are creating distressing patterns of thoughts, behaviors, and limiting our ability to feel worthy and deserving of the life we desire.

EMDR is a powerful therapeutic modality that helps to release these beliefs from our subconscious and unconscious minds, and allows us to live in a less uncomfortable, anxious, and fearful state of being. Through EMDR therapy we can release these limiting beliefs so that we can feel more empowered, confident, and safe in our daily lives.

One way to confront these limiting beliefs and negative cognitions is to do intensive EMDR therapy. This is where session times are extended so we can do a deep dive into releasing these beliefs about ourselves. Since I began offering EMDR intensives, I have had a lot of inquiries about why choose an EMDR intensive model over more traditional, weekly, 50 minute sessions. So I thought I’d write a little about what an EMDR intensive even is, and how to know if it might be right for you. (If you are not familiar with EMDR as a therapeutic modality, you can read a previous blog I wrote on the topic HERE or learn more about it from the EMDRIA homepage HERE.) 

An EMDR intensive is indeed, just as the name implies, intense. They are longer EMDR sessions (usually 2.5-hours, 4-hours, or even longer) where you focus for an extended period of time on your desired area of inner work. EMDR is considered a maximum exposure therapy, where you are reprocessing a specific trauma, memory, feeling state, or experience in a way that you are fully present with any lingering and unprocessed distress of that particular experience.

The discomfort that remains is based on a subjective level of distress you still experience when thinking about the memory. This is based on somatic, mental, and emotional discomfort. Through the bilateral stimulation of the brain, (and through the lens of the adaptive information processing model) repeated exposure and reprocessing of the memory allows the brain and body to release the physical, mental and emotional pain associated with the memory, so the distress level inevitably comes down. The goal is to have the distress become a 0 (subjectively on a 0-10 scale) where it feels that no distress remains present. The memory is then successfully reprocessed and released into your long term memory, rather than looping and causing triggering responses to your present life circumstances.

Once the distress is a 0, a positive cognition is created and reinforced through bilateral stimulation as well, and once it feels absolutely true (this is gauged subjectively on a number scale as well) as an inner felt sense, it is practiced with future templates. Imagining yourself accessing this new positive cognition in potentially distressing or triggering circumstances within the future helps to create new patterns and possibilities. Through this work you can now begin to respond and react within those future challenging moments in a more grounded and steady manner.

All that I’ve described so far is a very rough and quick overview, there are certainly many more elements incorporated into EMDR therapy, however this intended as just a basic gist. Our goal is to rewrite negative cognitions, or beliefs about the self, that have been created or reinforced through these distressing memories, experiences, and traumas. These experiences created beliefs about the self that perpetuated patterns of behaviors, thoughts, and feelings that can create negative internal experiences as well as difficulty feeling truly confident, hopeful, grounded, and worthy just as you are.

Through the inner work, you can release the trauma still stored mentally, physically, and emotionally, and therefore release the negative beliefs that have arisen out of those experiences. This creates a new way of existing within your life that is freeing and empowering.

With a traditional 50 minute session there is some preparation, potentially reprocessing and desensitization, verbal processing, grounding and re-stabilization in a relatively short time. With an EMDR intensive you are in that potentially reprocessing and desensitization phase for a much more extended period of time. I have found that a 2.5-hour EMDR intensive is similar to approximately 4 sessions when using the traditional, basic protocol. A 4-hour intensive is similar to approximately 6-7 sessions when using the traditional, basic protocol. There are always potentially other elements incorporated into sessions depending on each person’s individual needs along the way.

If you are someone who has done some personal work already and feels that EMDR could be helpful to resolve some traumatic memories, this could feel really nice, to get in a lot of therapy in a shorter, more intensive period of time. These intensives are useful if you find that you have some patterns that you seem to repeat in relationships, with money, with food, with negative self-talk, and with specific anxieties. Initially, we identify the primary negative cognition, and then use the protocol to work through these memories or experiences that seem to repeat themselves in a way that makes sense for you. 

For example, if you are someone who finds that you seek out relationships with people who are emotionally unavailable over and over, there may be a limiting believe or negative cognition that is stuck in your subconscious that can be worked through in a short series of EMDR intensives. We first identify the negative belief about yourself, and then work with the memories that have created or reinforced that belief. Or, if you are someone who seems to fall into the same patterns with food, or money and spending that you have repeatedly tried to change, this too could be reinforced subconsciously by a negative internalized belief that can be worked through with EMDR intensives. I have found intensives to be helpful for those struggling with perfectionism, creative blocks, resistance to or fear of change, specific anxieties (such as flying, driving over bridges…) and much more.

If you are interested in an EMDR intensive, it is best to reach out to a few certified EMDR therapists who offer them, who are also licensed in your state. Many therapists are willing to offer a 15-minute consultation where you can describe your current needs/goals and they will be able to determine if you may be a good candidate for intensive EMDR therapy. I am licensed in New York and Virginia, and therefore only can offer them to those currently living in either of those states. For people with chronic or complex post traumatic stress disorder who are just beginning treatment, those with a low distress tolerance, and for those with certain chronic conditions, I have found that traditional weekly sessions tend to work best, however, everything is truly determined on a case-by-case basis. 

I hope I’ve piqued your interest and maybe you will think about considering EMDR intensives as part of your personal growth, mental wellness, and emotional health process. Here’s to confronting our negative internalized beliefs head-on and creating a more empowered, confident self and living a life fully immersed in a feeling of worthiness. You deserve to feel your best and live your best life.

To Weigh or Not to Weigh?

 
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It seems that weight talk is constantly a topic of conversation. So many people obsess about the latest fad diet, their weight, how to lose weight, how to keep the weight off, other peoples weight and so on and so on… Body image and self-esteem have become intensely intertwined with weight.

So many people have the belief that weight loss will bring happiness and confidence. They believe that being thinner is best and that thin equals health. This simply is not true. This is a myth often perpetuated by the media and even the medical community. People often feel judged no matter what their weight is and believe that others are judging their bodies no matter what size and shape they may be. Many others are comparing themselves to everyone all around them and feeling inadequate and unworthy as a result of this comparison. This is not good!

For so many their relationship with the scale is frustrating and complicated. It feels as though stepping onto the scale will reveal whether they have been “good” or “bad”, which in turn leads to feeling either good or bad emotionally and about themselves. This action of letting the scale deliver how you will feel gives the number on the scale a tremendous amount of power over you and your mood state and self-worth.

When you step on a scale, will you feel happy because the number is lower or closer to what you think you want it to be? When you step on a scale will you feel angry, disappointed or shameful because the number is higher or climbing away from what you believe is an acceptable number to see? If the scale creates anxiety, tension, anger, stress, fear or shame it may be time to change your relationship with the scale—it may be time to break up with your scale.

Many of those I work with have a very complicated relationship with the scale and nearly all say that weighing themselves is a dreaded experience that provokes anxiety. Giving the scale this power over you robs you of your joy and can have a lasting impact all throughout the day on how you feel about yourself. The scale can also create a false sense of happiness and when you place your worth into a number on the scale, either way, you’re giving your power away to the scale.

So many feel confused about whether or not to use a scale as a tool in their journey of healing their relationship with food. I try to encourage everyone to make the choice that is best for them and serves their goals and allows them to feel empowered. There is no one right answer to the question of whether to weigh or not to weigh?

If you do choose to weigh yourself, these are some questions to consider before stepping a foot onto the scale:

-Will I be disappointed if the number is higher than the last time I stepped onto the scale?

-Can I view the number in a nonjudgmental way, not as a good number or a bad number, just information?

-Can I tell myself that I am worthy no matter what the number is on the scale?

-Can I feel deserving of eating and nourishing my body if the number is higher than I anticipated or hoped for?

-Can I use a self-affirming statement to remind myself that my worth is far greater than any number on the scale?

If you choose to step on the scale, it will be helpful if you can use the concept of nonjudgment within the process. When you engage with the number on the scale nonjudgmentally, the number is not good or bad, it’s just a number. The number does not represent if you are good or bad, it’s just a number. The number does not reflect your worth, it’s just a number. If you can approach the process with this nonjudgmental awareness and feel that the number is just information that can simply inform your process, then by all means, step on the scale. If you can’t, don’t.

If you feel you cannot answer the above questions affirmatively and that you will indeed judge yourself or feel less worthy based on the number, or if you will choose not to feed yourself, or binge because of the frustration, then it will not serve in your healing process to step on the scale.

The scale often represents emotional residue from diet culture where the only goal you have is to lose weight. This becomes so deeply entrenched with self-worth that if the number does not change or goes up it means that you have been “bad” or “cheating” on your diet. If the number goes down you have been being “good” and are celebrated. If you can untangle your relationship with your past dieting and empower yourself to eat in a way that serves your body and satisfies your mind and body, the number will begin to have less control over you. The more you ease away from dieting and more into intuitive and mindful eating, the less you will allow or rely on the scale to determine your worth and happiness.

I’d recommend that you do break up with your scale, committing to do so for just one month. During this month you can see what mental and emotional impact that it may have on you to not weigh yourself AT ALL.

Be curious about how it feels to leave the scale behind for a bit and notice if it frees up space in your mind. Be curious to see if it allows you to feel more empowered and in control, or if it leaves you feeling helpless and out of control. Just notice, be aware and allow this time away from obsessing about a number inform the way you interact with and use a scale going forward.

Once some people try this exercise of breaking up with the scale for a month, they choose to get rid of the scale for good (woo hoo!) Others find that they can begin to shift their relationship with it over time and experience their weight nonjudgmentally when they do step on the scale. Some find they are indeed able to use their weight as information in a nonemotional way. For some who choose to break up with their scale for good, they will ask their doctors and nurses to keep the number to themselves at the doctor’s office, they’d prefer not to know.

Wherever you are with your relationship with the scale is ok, and if you’d like that relationship to change, know that it can. You can feel empowered to make the choice you’d like to make when it comes to the question, to weigh or not to weigh?

No matter what you choose, know that you are worthy of feeling good and nourishing and caring for your body no matter what. You are worthy and deserve to speak to yourself, treat yourself and be treated by others with respect, kindness and compassion.

Your weight does not reflect or determine your worth. When you step into your worth and empower yourself to choose how to relate to a scale, even if that means breaking up with it for good, you will feel your worth expanding in a healthy, empowering and meaningful way.