Attachment-Focused EMDR Therapy
LOS ANGELES, CALIFORNIA & ONLINE
Attachment and EMDR: A Perfect Pairing
Attachment-Focused Eye Movement Desensitization and Reprocessing (AF-EMDR) is a rapid and effective alternative to talk therapy.
EMDR was Founded by Dr. Francine Shapiro in 1987 and is one of the most empirically-supported treatments for trauma and psychological distress. EMDR has been shown to be an effective treatment for anxiety, depression, phobias, chronic pain, grief, and other stress-related conditions.
Attachment-Focused EMDR was developed by Dr. Laurel Parnell, who worked alongside Dr. Shapiro for several decades gradually distinguishing her approach to focus on the uniqueness of each client relationship and on resourcing, or the filling in of developmental deficits. This version of EMDR can feel extremely affirming, nurturing, nourishing, and safe.
Both EMDR and AF-EMDR are carefully structured protocols that combine facets of somatic psychology, cognitive-behavioral therapy, and interpersonal therapy to address the root cause of emotional distress.
The distinguishing feature of EMDR is that it uses bilateral stimulation to reprocess traumatic memories. Bilateral stimulation can take the form of physical stimulation on either side of the body, through hand tapping or electronic tappers, or lateral eye movements.
Stages of EMDR
The full EMDR process involves a structured approach that typically takes place over 5 to 15 sessions.
History-taking and Treatment Planning: Comprehensive assessment to tailor treatment.
Preparation: Establishing a safe therapeutic alliance.
Assessment: Identification of traumatic memories, negative beliefs, and emotional and somatic symptoms.
Desensitization: Reprocessing of traumatic memories through sets of bilateral stimulation.
Installation: Replacing negative cognitions with positive beliefs that surface from the unconscious.
Body Scan: Identifying and addressing any residual emotional and somatic tensions.
Closure: Restoring equilibrium within the session and containing unresolved issues for further work.
Reevaluation: Ongoing assessment of therapeutic outcomes and testing of the work performed.
Prince Harry Opens Up about EMDR
A Glimpse Into an EMDR Session
After the initial phases of history-taking and preparation, the client and therapist work together to target specific traumatic memories.
The therapist helps the client to identify the worst part of the incident, including any current emotional and body-based responses, and any negative self-beliefs that associate to the incident.
Once the target is set up, the therapist employs sets of bilateral stimulation, or physical stimulation on either side of the body, while the client allows a stream of experiences or free associations to take place. After each set, the client reports back their experience and the therapist may instruct them to continue on in this direction. Alternatively, if the client appears to stuck or looping, the therapist may provide an interweave, which is a socratic question designed to bring in information that is known to the client, but not accessible in the current state.
Nowadays, bilateral stimulation is most commonly effected by either electronic tappers, which are small handheld devices that produce alternating pulses of tactile stimulus, or tapping performed by the therapist or client.
In the early days, EMDR was mostly performed with lateral eye movements with the client following the therapists outstretched finger from side to side. However, this was found to be tiring for both client and clinician and required the client’s eyes to be open. The current preferred method of tapping allows for the client’s eyes to be closed which enables powerful and spontaneous visualizations to occur that support the healing process.
When an EMDR session goes well, the client discharges bound survival energy and the traumatic memory loses its charge. The client often achieves a state of flow, creativity and embodied imagination, where new possibilities can unfold. As this takes place, it is common for clients to experience states of joy, euphoria and optimism that have long been absent.
Example EMDR Session
New York Times on EMDR
“Our brains do not have the capacity to completely focus on both the bilateral stimulation and the traumatic memory, Dr. Houben said. The theory behind E.M.D.R. is that memories become less vivid and emotional when a patient can’t focus on them completely.
“At the end of a therapy session, you put it back in storage,” Dr. McNally said. “It’s in a degraded form. It’s not quite as emotionally evocative.”
-New York Times, 9/20/2022
FAQs
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EMDR sessions are very focused on a presenting issue. Sessions feel like a guided meditation that explores both the resourced, or positive aspects of your experience and the challenging or darker aspects of your experience. We trace these latter back to traumatic events that have not been resolved yet and we work to complete and integrate these into daylight consciousness.
The distinguishing feature of EMDR is that it uses bilateral stimulation to reprocess traumatic memories. Bilateral stimulation can take the form of physical stimulation on either side of the body, through hand tapping or electronic tappers, or lateral eye movements.
We usually provide a mix of both talk therapy and EMDR and find that they complement and support each other. Often the talk therapy contextualizes and maps out your situation and allows you to feel deeply understood. Then at the right point, somatic work helps to shift and transform your nervous system to reach a new more vital, secure, and resilient equilibrium. This transformation in turn feeds back into talk therapy, where new insights and new meanings emerge.
Book a free consult, and we can discuss your situation.
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Yes! See the section below titled “Scientific Support for EMDR.”
And here is a metastudy of the research on EMDR.
"Twenty-four randomized controlled trials support the positive effects of EMDR therapy in the treatment of emotional trauma and other adverse life experiences relevant to clinical practice. Seven of 10 studies reported EMDR therapy to be more rapid and/or more effective than trauma-focused cognitive behavioral therapy. Twelve randomized studies of the eye movement component noted rapid decreases in negative emotions and/or vividness of disturbing images, with an additional 8 reporting a variety of other memory effects. Numerous other evaluations document that EMDR therapy provides relief from a variety of somatic complaints."
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Sometimes we just need a little nudge to get onto a better track and we're not that far off coping a lot better and flowing with life. In that case, 6 - 12 sessions may be enough to gain a new piece of insight, have a different experience, and apply this to living in a different way and shifting things onto a better track. Often in these cases, clients find therapy so helpful and enjoyable that they continue even after they've resolved what they came for.
Other times, due to life adversity, we have become very set in our ways and our personality structure now blocks what we desire most (love, success, happiness, etc). In these cases we may need to work from 6 months to several years to make a fundamental shift in order to turn things around. In these cases, the work usually takes longer than we would like, but the change is more significant than we anticipate. The benefits from long term work reach into every area of life and compound over the years that follow.
Book a free consult, and we can discuss your situation
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EMDR in-person is a very rich experience, given the greater amount of information available and the increased potential for somatic resonance and micro-attunements.
That said, a surprising amount is conveyed through the screen. Bilateral Stimulation can be provided by self-tapping or purchasing electronic tappers to use at home (around $120).
We have seen many telehealth somatic sessions get to a deeply transformational space. Virtual sessions are also more convenient and it's easier to maintain a weekly rhythm, which counts for a lot. We do like it when virtual clients are able to come in occasionally for an in-person session. The connection seems to carry over to on-screen work. We would say try whatever works best for your schedule and see how you find it.
You're welcome to call and do a free consultation to discuss your situation.
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Some part of you must disagree or you wouldn't be here reading about therapy! That part just needs more support. We become the champion of that part of you that wants things to be a lot better. We've seen many times how getting into the rhythm of therapy and putting an action-reflection loop into place is absolutely transformational. Perhaps the conditions have not been conducive until now. Perhaps the voices of doubt and judgment have just been a little too strong. Perhaps everything you've done up to this point can become the foundation and launchpad for finally breaking through. There's only one way to find out.
Book a free consult, and we can discuss your situation. There is no ongoing commitment and we'll be honest about what we think could be possible for you.
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We offer a range of fees based on clinician and modality. You can see our fee ranges here. Our fees are competitive against many private practices in California, particularly for somatic offerings. Many of our clinicians have a few sliding scale spots that can lower the fee somewhat in cases of financial need.
If you need a substantially reduced fee, we can recommend low-fee training clinics such as Maple Counseling Center, Antioch University Counseling Center, Southern California Counseling Center, Valley Community Counseling Clinic, Airport Marina Counseling Center, or Counseling West. These can be great options to get started. The main issue tends to be therapist turnover, as therapists complete their training and move into private practice. There is also a high variance between therapists, so you may need to go through several before you find a good fit and then you may lose them after several months. There can also be long waitlists depending on the time of year.
If you would like to discuss your situation and what you can afford at this time, please schedule a free consultation.
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Yes, we accept insurance as an out-of-network provider for all PPO plans, including: Anthem Blue Cross, Blue Shield, Blue Card, HealthNet, United Healthcare, Cigna, Optum, Magellan, Value Plus and many others, depending on your coverage. We are not in-network or included within HMO plans for any providers.
With PPO, you pay the full fee upfront and your insurance company reimburses you directly.
Beyond can call your insurance on your behalf in order to find out what your coverage would be.
If you schedule a free consult, we can discuss how this would work and any other questions you have about insurance.
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We have a matching process where you first do a free consultation with an intake coordinator. The coordinator listens to your story, provides some information, and helps to select the best therapist for you. You then get another free consultation with the therapist you select.
Match is based on personality, location, in person or virtual and the approach best suited to your issue. All of our therapists have a foundation in somatic and depth psychologies. Likely you will connect with one more than the others.
We look forward to hearing from you. Book a free consultation now!
Hear What Clients Are Saying
The Beyond Approach
Many Beyond practitioners are trained in EMDR and use it frequently as a preferred protocol. We can provide in-person services throughout Los Angeles or online services worldwide.
Several practitioners are trained in Attachment-Focused EMDR which is a version of EMDR that focuses on building safety and tailoring treatment to each client’s needs.
We will guide you safely through the process of EMDR and help you to integrate the work into your daily life.
Embark On Your Healing Journey
Contact us today. We can answer your questions and support you as you take your first steps toward a more balanced and vibrant life.
Scientific Support for EMDR
EMDR is well-known as one of the most scientifically-validated psychotherapies, with hundreds of published studies. The American Psychological Association (APA) and the Department of Veterans Affairs (VA) have both recognized EMDR as an effective treatment for PTSD. The World Health Organization (WHO) currently recommends EMDR as one of only two trauma therapies with strong empirical support, alongside Trauma-Focused CBT.
A meta-analysis published in Psychological Medicine in 2020 concluded that EMDR shows high effectiveness for PTSD, anxiety, and depression symptoms (Cuijpers et al., 2020). Another meta-analysis published in the Journal of Consulting and Clinical Psychology in 2013 found that EMDR was as effective as cognitive-behavioral therapy (Bisson et al., 2013).
In multiple randomized controlled trials, EMDR has demonstrated rapid symptom reduction and a long-lasting therapeutic effect. One such study published in the Journal of Clinical Psychology indicated that even brief EMDR interventions could lead to significant reductions in specific phobias (De Jongh et al., 2002).
Studies have employed neuroimaging techniques like fMRI to show that EMDR can lead to noticeable changes in neural activation patterns, particularly in areas involved with memory and emotional regulation (Pagani et al., 2012).
References
Bisson, J. I., Roberts, N. P., Andrew, M., Cooper, R., & Lewis, C. (2013). Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults. Cochrane Database of Systematic Reviews, (12), CD003388.
Cuijpers, P., Veen, S. C. V., Sijbrandij, M., Yoder, W., & Cristea, I. A. (2020). Eye movement desensitization and reprocessing for mental health problems: a systematic review and meta-analysis. Psychological Medicine, 1-12.
De Jongh, A., Holmshaw, M., Carswell, W., & Van Wijk, A. J. (2002). Usefulness of a trauma-focused treatment approach for travel phobia. Journal of Clinical Psychology, 58(12), 1413–1424.
World Health Organization. (2013). Guidelines for the management of conditions specifically related to stress. Geneva: WHO.