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.

How to Integrate Intuitive Eating Principle 10: Honor Your Health - Gentle Nutrition

The tenth principle of Intuitive Eating is: Honor Your Health—Gentle Nutrition. When working through, integrating and processing the other nine principles of Intuitive Eating, you will find there is nothing prescriptive about what to eat. When you are immersed in the process of intuitive eating, you are the expert on what your body wants and needs.

The more you tune into your body, develop awareness and pay attention to the cues and signals from your body, the more you know what foods serve your body and your mind and what foods do not. You know how you feel when you overeat, under eat and when you’ve eaten just what your body and mind needs. The truth is that there is no one right way for everyone to eat. Foods that might make one person feel great might make another feel terrible. When you are intuitively eating you are able to make these assessments and make choices based on what is best for your body.

One of the most challenging elements of intuitive eating is developing the ability to trust yourself with food. To not just know what your body wants and needs, but to feed your body what it wants and needs. If you have a long history of dieting, most likely you feel that certain trigger foods create an automatic response to eat them or overeat them and that pulls you away from the attunement you’ve worked to create with your body. This causes uncertainty and keeps your relationship with food in a challenging space. When you let yourself eat what your body wants and needs you will listen to the subtle and the obvious cues your body sends you about the foods you eat. The key is to remain mindful and tuned into your body in order to consistently make the choices that serve your body.

When you are fully in tune with your body’s wants and needs you know what makes you feel good in mind body and spirit. This is where the gentle nutrition element comes in within this process of intuitive eating. Our bodies are designed to assimilate the nutrients from whole foods. We need protein, vitamins, minerals, fats, fiber and carbohydrates to be well, feel well and live well. Your body is literally made up of the food that you eat. Your food becomes your cells, tissues and organs, the more nutrient dense your diet, the more these cells, tissues and organs will thrive. The more that your body thrives the more energy, vitality and mental wellbeing you will experience.

When you honor your health, you begin to focus on what to eat, not what not to eat. When you live in a mindset of nourishment and honoring your health, you focus on ensuring that you provide your body with the nutrients it needs on a daily basis—through the foods that you eat—so that you can truly feel vital and healthy in mind, body and spirit.

When you consider what you typically eat in a day, you might note where the nutrients that your body needs to thrive are coming from? How many servings of vegetables, fruits and plant-based foods are you taking in every single day? When you construct a way of eating that focuses on what to eat versus what not to eat, you can ensure that you satisfy your taste buds and your body. When you consider how you will nourish yourself and feel well daily and follow through with how you want to feel, you will create a sense of accomplishment and feel the difference in how your body functions and feels every day. 

When you are eating plenty of veggies, fruits, seeds, nuts, proteins and making them taste delicious with lively herbs and spices, you will feel satisfied and satiated. When you feel satisfied and satiated you experience fewer cravings and notice when cravings are emotionally driven more easily. When you focus on what to eat and not what not to eat, naturally you will fill your plate with more nutrient dense foods and there just won’t be the same space for less nutrient dense foods.

This is not about perfection or feeling guilty if some of the things you choose to eat are not super nutrient dense. You will not become nutritionally deficient from one meal or snack; the focus is more about the daily choices you make over time. This process is about focusing on nourishing your body. There may be room for snacks and treats that are not super nutrient dense, however, if you know that you are feeding your body what it needs to thrive, you will begin to create more balance and feel in tune and make choices based on what your body wants versus what you might be craving.

When you are eating well you will feel well. When you are eating mostly junky processed foods devoid of nutrients you most likely will feel junky. When you are eating in a balanced and nonrestrictive manner you will feel more balanced. When you focus on how you want to feel the choices become more and more evident when you are considering what to eat, how to construct a meal and how each choice you make when it comes to food can reflect and support how you want to feel in mind, body and spirit.

How to Integrate Intuitive Eating Principle 1: Reject the Diet Mentality

The first principle of intuitive eating as created by Evelyn Tribole and Elyse Resch is Reject the Diet Mentality. Did you know that the diet industry has about a 95% failure rate and yet it is one of the most profitable industries out there? That’s pretty frightening, and yet anytime someone feels frustrated by the previous diet that didn’t work, they can get sucked into the false hope of another one that may just be the golden ticket to lose weight (which most likely it won’t…). Even worse, chronic dieting can create a very unhealthy relationship with food and lead to disordered eating patterns.

The trouble with any diet is that when you begin, you know full well that there will be an end point. This end point might be a desired weight goal, size goal, event or season. What happens at that diets end point is the need to eat, to feel satisfied and to make up for lost time of deriving yourself from receiving pleasure from food. While it might begin with the intention of just this once I’ll eat this or that, or there’s a special occasion, and eventually the old patterns of eating find their way back into your life and the weight gain increases rapidly—way more rapidly than it took as you suffered to lose it. What may have taken months to achieve can be overridden in a couple of weeks.

It is clear that dieting and deprivation do not work for the long term. Diets feel restrictive, punitive and at times joyless and frustrating. In our current culture we have now shifted diets into new shiny wording of wellness and lifestyle to take the edge off. However, if a lifestyle or wellness plan requires complete restriction of certain foods it’s still a diet. If you are attempting to create an actual path to wellness with a desire to heal your relationship with food, any diet or lifestyle will most likely keep your feelings and thoughts about food and your body at the top of your mind. When this occurs it often creates stress and anxiety over food which only more negatively impacts the cycle of emotional and stress eating patterns.

Intuitive eating invites you to become the expert on what your body wants and needs—not a dietary theory. When you reject the diet mentality you can release the rules about food, the judgments you project on food and in turn inevitably internalize towards yourself. Then, you are able to step into being in tune with your food, your body and your internal experiences more fluidly and decisively.

Intuitive eating is a pathway to connecting with yourself and your body where you create a new and powerful way of being with your food that encourages health and wellbeing in mind and body. When you reject the diet mentality you might feel lost or worried that you might overdo it with food, and in the beginning you just might. However, the truth is that when you tune into your body you can recognize what foods satisfy your body, what foods make you feel good, vital and satiated.

When you integrate mindful eating into this first principle you can build a way of being with your food that is both informative and pleasurable. As you begin to let go of the diet mentality, commit to a daily practice of eating one meal or snack in a mindful way. When you eat mindfully, you notice the impact of what you are eating on your mind and your body.

Mindfulness is all about being fully engaged with the present moment without judgment. When you release judgments of your food (salad: good, pizza: bad) you are just eating what you are choosing to eat in this moment. When you tune in, eat slowly, pay attention to how your food makes you feel, you begin to create your own record of what foods make you feel good, of what foods allow your body to feel vital and the foods that you truly derive pleasure from and enjoy during and after eating them.

When you find that you are eating and you are not hungry, that is information that you are most likely in a pattern of emotional or stress eating. You can disrupt this with the pause, reflect, release practices to ensure that you give space for your emotions and stress in a way that does not involve food. That way when you are eating what you enjoy, you can focus on and be engaged with the process of eating, not the squashing of emotional discomfort.

Over the next week try these practices to begin rejecting the dieting mentality, integrate mindful eating practices and tune in to the wisdom and intuitive of your mind and body:

-       Keep a log of any dieting thoughts, fears, shoulds, hopes, shame…

-       Practice mindful eating each day with one meal or snack

-       Prior to eating allow yourself to tune inward and relax your body and mind and ensure that you have minimal distractions

-       Eat slowly, chew thoroughly and engage all of your senses

-       Practice nonjudgment of your food—stay away of thoughts of good/bad, superior/inferior

-       Make notes on how your food makes you feel and how satisfied and satiated you feel

-       Notice any tendency to restrict, count calories, any behaviors that feels like a diet

After practicing this process for the next week or so, go back and reflect on your log and journals and make any notes about insights you gain into what it means to let go of the diet mentality and step into mindful eating. Let me know how it goes!