Trauma & Attachment Therapy

Easy Ego State Intervention Workshops

Dear Readers,

Ego state work has been around since before Freud, and in latter years, has been the main stay of many practices. Interventions can range from "How old did you feel when you were yelling at your wife?" to "Let's identify those dissociative states that take over your body." I've been working with this stuff since I became a therapist, 38 years ago, and have read, been taught, taught, and written about it, extensively. It's one of the most versatile tools and lenses through which to see clients that I have.

In January, I expanded my 2-day Ego State training to 3 days and presented it in near London, England. there was time for practice, demonstrations, and some case consultations. Participants raved about the workshop, saying things like "I know MY parts now!" "I know exactly what to do with many of my clients!" "This is the most practical workshop I've taken!" There is special info for EMDR practitioners, but you don't have to know EMDR to take the workshop and get credit. EMDR practitioners get 12 hours for EMDRIA and 12 for their profession. Others get it for their profession.

I'm  giving it several times this year. 

• 4 days in Milan,Italy.  May 10 -13 https://www.international-isc.com/wp-content/uploads/2017/12/brochure-shapiro-ing.pdf
• 3 days in Seattle, WA, June 8 - 10 https://www.eventbrite.com/e/easy-ego-state-interventions-seattle-tickets-44375863402  
• 2 days in Des Moines, Iowa October 20 and 21st, link to follow
• 3 days in Boston November 9-11, link to follow

Here is what I cover:

• Distinguishing Healthy/Flexible and Dissociative Ego States (and map your own)
• Overview of Ego State Interventions
• Identify Vagal States
• Use Embodied Ego State Interventions (includes practice)
• Clearing Trauma (includes practice)
• Theory of Structural Dissociation
• For EMDR practitioners, distinguish when EMDR, when EMDR and when both are the treatments of choice
• Tools to work with sexual abuse, and then bring back healthy current sexuality
• Work with Attachment Issues, including April Steele’s Building a Secure Self (practice)
• Couples Therapy
• Calming Over-Active Immune Systems, Multiple-Chemical Sensitivity (possible demo, if someone has one)
• Pain Protocol
• Shame (practice)
• Suicidal clients
• Resourcing (including installing your own “team”)
• Healing Personality Disorders
• Working with Dissociative Identity Disorder

If you can't get to a workshop, you might read Easy Ego State Interventions or sign up for one of the many good trainings on this subject. It's good stuff to know!

Roy Kiessling's Belief Schema Perspective for EMDR

Roy Kiessling, a prolific EMDR trainer and innovator, has come up with a great idea for EMDR. Instead of coming up with a different negative and positive cognition on the fly, right before processing, find the general negative belief or beliefs that underlie the client's life during the first stages of therapy. During the history-taking phase and the preparation phase, when there's no hurry, and you can delve deeply into the clients' perspectives and overarching schemas, you can find a sentence that brings tears to their eyes and sense of being truly understood to their hearts. When it's time to do some processing, you can say, "does 'I'll never get it right" (that core belief) still fit this situation?" Then go to the already configured positive belief and your off and running.

This weekend, during the training, every participant experienced a profound shift when they cleared the core belief/schema during processing. For some of us, the knowledge of the belief was sufficient to make some changes.  

If you're an EMDR professional, you may want to contact Roy and sign up for this training. He's also giving Basic EMDR trainings, that include this focus. If you don't do EMDR, you may want to organize a training in your town. You can find out more about Roy at http://www.emdrconsulting.com/

EMDR for Veterans: Write a Letter

The EMDR International Association, (EMDRIA) is urging its members to write a letter supporting EMDR treatment for soldiers and veterans. The EMDR Humanitarian Assistance Program has been offering and doing volunteer-run, inexpensive Basic trainings to the military and the VA. EMDR has been accepted by the Department of Defense as one of two effective/allowed treatments.

What's the problem? There is hostility on some of the lower levels of bureaucracy towards EMDR. It's new. It's not what they've always done. And some think that anyone professing PTSD is a weenie slacker. Also, some of the people who have lucrative contracts teaching cognitive behavioral techniques to military and VA clinicians are threatened financially and ideologically by EMDR. HAP trainings are much cheaper then what they're doing for profit. And, according to them, EMDR is either woo-woo bullshit (despite all research) or just another form of exposure therapy.

What can you do? Write a letter to your national senators and congressperson. It's easy, because here's a link to a sample letter and the addresses and how you can do your own if you want to personalize the sample letter: http://www.emdria.org/associations/5581/files/Writing%20Letters%20To%20Congress%202009.pdf

And here's a link to an article germaine to the letter: “Providing EMDR Mental Health Services for the Military” . You can print it and send it with your letter, if you'd like.

This is a worthwhile endeavor. EMDR works with trauma and works with soldiers. I know. I've done sessions with Korean, Vietnam, and both Iraqi war vets.

EMDR Humanitarian Assistance Program

I'm on the board of the Humanitarian Assistance Program of EMDR. We are a non-profit organization whose goal is to "expand access to effective mental health treatment for traumatized and underserved communities through direct service and training of local caregivers, anywhere in the world."

HAP's current projects include training therapists in Lebanon, the West Bank,India, Indonesia, and the Philippines. Domestically, it has a big project on the Gulf Coast (post-Katrina), and many projects training staff of community mental health centers, rape crisis centers, child treatment agencies, VA's, military counseling staff, and where ever a non-profit group, serving underserved populations asks them to go (given specific criteria, of course). It is often described as "Doctors Without Borders" for mental health. All trainers and facilitators are volunteers. Trainees are encouraged to become facilitators, and then trainers, so as to create a training infrastructure in each area. (This has happened in Israel, and is well on its way in both the West Bank, and India.)

HAP sends volunteer therapists to some disaster scenes. Many HAP volunteers assisted New Yorkers, post-911, and people in the Gulf Coast, post-hurricanes. In my town, Seattle, we've worked with people in the aftermath of a shooting incident, and with some Katrina transplants. HAP in the midst of formalizing our Trauma Recovery Network (TRN) to be able to connect volunteers to people who need them. Volunteers give 5 free stabilization and EMDR sessions to clients, and are not allowed to see the people, for fee, at anytime. If you are a certified EMDR-therapist, you can volunteer for the TRN here. If you'd like to know more about HAP or make a donation, click here. It's a great organization, well-managed, with most of the money going to direct service. For having a tiny staff, it does alot. HAP's goal for next year is to train 1200 people, who would not otherwise have its traumatology or EMDR trainings. I'm proud to be part of it.

EMDR Trainees

I facilitated at an EMDR training last weekend. Molly Gierasch, the trainer, and Barb Maiberger, the other facilitator, flew in from Boulder to do the training in my house. After a day and a half, the class started to do the EMDR trauma protocol with each other. As I wandered around, coaching my three practice teams, I was priveleged to witness the "Oh my God! It really works!" moment, over and over again. I believe that this moment is why so many EMDR therapists become true believers. The trauma that they carried in their bodies/brains/minds fades away. Things are different now. We had the usual number of sceptics. They too had their experience as therapists and clients.

Much of the training and the coaching pertains to affect tolerance. People often experience emotion during their trauma processing. They may cry, or shake, or twitch. (That's not the transformational part--I've watched people who've done the same release 100 times in Re-evaluation Counseling or Movement Therapy finally clear the trauma with EMDR or Somatic Experiencing.) With EMDR, their brains finally get that it's over. Many people who are learning this technique have never witnessed clients releasing shock or any big emotion. We coached our students to "hold onto themselves" and allow the process to unfold. Many of the "clients" had never experienced the eye blinks, or releases and again were coached to let it move through. Each student "got it". It was way cool.