
At a Glance
212 Pages
22.86 x 15.24 x 1.14
Paperback
RRP $32.99
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orEMDR therapy is a remarkable evidence-based approach to psychotherapy. However, it is not easy to do with many clients with complex trauma. Clients with complex trauma often struggle to develop the essential resources, have difficulty tolerating distress, and may initially lack much of the adaptive information that is needed for EMDR therapy to be effective. This book explores each of the phases of EMDR therapy and explains why many clients with complex trauma struggle. It offers sensible accommodations. Clients with complex trauma often survive by using coping strategies that directly conflict with the core tasks of EMDR therapy. We need to make the tasks of EMDR therapy safer and more tolerable to the client's nervous system. That takes time and attention. Clients with complex trauma may be harmed if they are shoved through a mindfulness or EMDR machine. This book invites therapists to explore the unique and complex nervous system of each client and adjust interventions to match each client.
Topics covered in this book include: Doing a sensible and safer client history, options for when clients struggle with mindfulness activities, developing helpful attachment resources, ways to navigate blocking beliefs, assessing preparedness for reprocessing, selecting initial targets, understanding where EMDR therapy tends to break and how to intervene, and strategies to help memory content come into awareness in more tolerable ways.
Industry Reviews
"In EMDR for Complex Trauma, Tom acts as an encouraging and steady field guide to new (and experienced) EMDR therapists who encounter complicated, but common challenges in therapy.He brings a down-to-earth, approachable tone, generously sharing his accumulated wisdom from years of on-the-ground experience working with complex trauma as both a therapist, a consultant, and a trainer. As I read this I found myself imagining being in conversation with Tom through the mud of the common problems he described with my own clients. I have no doubt that this book will help thousands of newly trained EMDR therapists to find their way through discouragement, frustration, and confoundment to be able to appreciate not only the challenge, but the beauty and nuance of therapeutic work using EMDR with complex trauma." -April Griffin, MSW RSW RCC
"I wish this book existed when I was first trained as an EMDR therapist. However, I am grateful that it exists now as I embark on my journey as a consultant in training as I will utilize the invaluable information within to help support my consultees through the difficult work of treating C-PTSD using EMDR therapy." -Amy Larmon, LCSW-R, Certified EMDR Therapist and Consultant-in-Training
"I really can't begin to tell you how much I love this book. It is like a comforting warm coat on a cold frosty day, wrapped around you to stave off the chill. I just love every part, the exercises, scripts, examples, explanations--it is quite simply going to be my go-to book with EMDR work and, what's more, I know clients will find it a huge help too."
-Rebekah Jones, Consultant Psychotherapist, Certified EMDR Therapist
"EMDR with Complex Trauma by Thomas Zimmerman is an essential guide for clinicians, especially new EMDR therapists navigating the complexities of trauma work. Zimmerman offers practical strategies to address deep-seated emotional wounds while empowering therapists to trust their own therapeutic instincts. As a new clinician, I found this book invaluable in breaking the stigma around being an 'experiential' therapist-encouraging creative, adaptive approaches grounded in EMDR principles. From somatic interventions to the ethics of trauma treatment, Zimmerman demystifies the process and provides actionable insights, making this book both a manual and a thoughtful meditation on healing. A must-read for any therapist committed to transformative trauma care." -Naila Brown, MA, LPC-Associate, NCC
"An essential companion for the EMDR therapist. This book provides insights on needed considerations and adjustments in working with complex trauma. It serves as a guide map of sorts, offering direction when feeling stuck or questioning which direction to take with a client. It validates adaptations to the basic protocol, offers scripts for resourcing, and important cautious approaches for compassionate successful work in this area." -Rebecca Carr, NCC, LPC, PMH-C
"This manual is a true work of personal art. It is filled with lived experience and story, allowing readers to relate and understand the 'why and how' to approach complex trauma from an EMDR perspective. The metaphors and resources take complex clinical knowledge and translate it into simple and practical ways which promotes clinicians' confidence and creativity. I would recommend this skillfully crafted "manual" to any therapist." -Rhea Eady, RSW & MSW
Before We Start
1. How Have We Tried to Heal from Complex Trauma? 2
2. What if We've Been Overthinking It? 5
3. The Ethics of Not Treating Trauma 9
4. The Boat and the Whale Metaphor 11
5. EMDR Is Not a Magic Wand 14
6. No Part of This Is Easy 16
7. Therapist Anxiety 17
8. What Makes Complex Trauma So Complex for EMDR Therapy 18
9. All the Hats You Wear 20
10. How We Train You 21
Phase One
11. Doing a Sensible Phase One 24
12. How Exactly Should We Do Phase One? 30
Phase Two
13. Phase Two Isn't Just Mindfulness Resources 32
14. The Utility of Parts Work 41
15. "Mindfulness Doesn't Work for Me:" Teaching It Differently 45
16. Why Attachment Resources are Often Needed 53
17. The Attachment Figure Resource Script 56
18. Introducing Fire Extinguisher Resources Early 65
19. Dip Your Toe In Sensory Grounding 68
20. Dip Your Toe In For Flashbacks Script 70
21. Dip Your Toe In Body Scan Script 72
22. Dip Your Toe In Calm Scene Script 74
23. Dip Your Toe In Blue Smoke Breathing Script 76
24. Dip Your Toe In Hand Breathing Script 78
25. Dip Your Toe In Attachment Figure Resource 79
26. More About Consent From Parts 80
27. Where the Standard EMDR Resources Tend to Go Bad and How to Fix Them 81
28. The Utility of Containment 85
29. "And Then the Client Dissociated" 89
30. Blocking Beliefs Are Also Phase Two Problems 93
31. What Does Prepared Enough Mean? 100
Phases Three-Seven
32. The Utility of Informed Consent 105
33. Helping Clients Understand Their Role in this Dance 107
34. There is Nothing to Figure Out Today 111
35. Oh My, Where Do We Start? 113
36. The Canaries in the Coal Mine 122
37. Why Overactivation is a Problem in EMDR Therapy 125
38. The Videotape Approach 127
39. The Videotape Approach Script 131
40. When to Let Memories In, When to Container 135
41. Where Clients Get Stuck and How to Intervene 140
42. The Quicksand of Attachment Wound Targets 151
43. Understanding the Developmental Deficits of Attachment Wounds 153
44. Why Finishing Things Matters in EMDR Therapy 156
45. EMDR Therapy and Grief 158
46. Additional Strategies for Working with Absences in Memory 161
47. Trouble Finding an Individual Memory when Trauma was Daily 166
Phase Eight
48. The Elegance of the Future Prong 170
49. What Healing Doesn't Give You 172
Short Answers to Common Consult Questions
50. Initial Topics 174
51. Phase One Topics 180
52. Phase Two Topics 181
53. Phases Three-Seven Topics 182
54. Phase Eight Topics 191
ISBN: 9798991782401
Published: 28th October 2024
Format: Paperback
Language: English
Number of Pages: 212
Audience: Professional and Scholarly
Publisher: EMDR Training Collaborative
Dimensions (cm): 22.86 x 15.24 x 1.14
Weight (kg): 0.29
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