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.

Self-Care, Simplified

 
 

Self-care has become one of those buzz words, and because it has been tossed around everywhere, it has lost some of its value, its meaning, and its importance. Self-care really is all about pre-managing stress. Pre-managing our stress in this way is absolutely necessary to live a life of health and vitality. When you neglect yourself, your needs, your mental well-being and your health, you will most likely experience the negative impacts of stress.

The negative impacts of compounded, unmanaged stress could include low energy, poor sleep, low motivation, illness, and a whole lot less joy. These negative impacts of stress can all lead to poor mental health outcomes as well as poor physical health outcomes. Self-care is a requirement to help stave off these negative and detrimental impacts of stress.

Consistent acts of self-care do not have be complicated, time intensive or extravagant. In fact, I want to highlight through this blog simple self-care practices that are impactful, accessible, desirable, inexpensive/free, and of course, as I already stated—simple! Finding simplified self-care acts that offer the most return on their investment will bring about stress reduction and allow you to live a life with more overall contentment and joy.

When we take care of ourselves in an intentional and purposeful way through specific, regularly practiced and simplified self-care routines, we build up our internal sense of self-worth. When we feel worthy of taking care of ourselves, we are more likely to be consistent and to have that feeling of internal positivity flow over into other areas of our lives. When we refill our mental, physical and emotional energy tanks through regular, simple and consistent self-care, our ability to cope with life stressors, including being with and managing our emotions, becomes more available. The more we practice regular and consistent self-care, the more we just generally feel better and experience more joy on a day-to-day basis.

When we hear self-care being thrown around in places like social media, we definitely don’t receive messages of simplicity and ease. When you hear self-care, what comes to mind for you? Maybe you picture images from IG of beautiful bathtubs with a view of the mountains, or maybe an elegant spa destination with endless massages, or maybe relaxing in the most comfortable looking bed, or strolling down deserted, pristine beaches, or maybe you picture someone meditating in a beautiful field with the perfect sunset…? Don’t get me wrong, if you have that available to you, that’s absolutely amazing! However, I know for myself anyway, those “perfected” images that I see through these outlets as self-care are not accessible to me on the daily. This means that it’s completely up to me to live within my personal reality and to create the self-care practices that work within my own daily busy schedule. 

Now hopefully you can begin to shift your perspective of self-care from something fancy, perfect, or extravagant, to something more of a process of pre-managing stress (aka, stress management). This does not need to be fancy, or expensive, or take a long time to do. We need to practice self-care consistently to help refill our internal energy tanks for the inevitable stressors of daily life. That means it needs to fit into our over-scheduled, over-committed, over-packed lives! When you pre-manage your stress you will have more reserves for the unexpected stressors and minor irritations that will, at some point anyway, show up.

So let’s start by creating your own personal account of what makes you feel cared for, what makes you feel good—(not what you see out there in a perfectly curated image)—and what is realistic + simple for you to incorporate within your personal day to day life. This includes considering your work schedule, family commitments and so on. What time can you give back to yourself and what can you do within that time that truly is self-care, simply, simplified.

Take a moment and find your journal and write down your answers to the following questions:

-What helps me to feel good? 

-What do I love to do?

-What lights me up?

-What makes me smile?

-What would my perfect day be like- what would I do, how would I feel, who would I be with, where would I be…?

-How do I best decompress in a way that I feel truly relaxed? 

-When was the last time I felt relaxed, why did I feel that way? 

-When I overcome a difficulty, what did I do to cope?

-What are my primary needs?

-What do I love to do that is free and accessible to me everyday?

After going through this self-reflection process, begin to craft your own, personalized self-care list. Look at the themes, your needs, what fills you up, what lights you up, how you manage challenges and so on. Now choose 3-5 items from your list that sound the most doable and desirable to you right now. What will you resist doing the least and look forward to the most? Where can you begin to plug those specific practices into your current routine? Or, where can you create some subtle shifts in your routine to fit these practices in regularly that would cause the least amount of disruption to your current life?

Start small, start curious, start somewhere—anywhere! When you take care of yourself in this way, daily, simply, and very importantly, consistently, you will gain big time returns when it comes to your stress levels. This in turn will increase your ability to manage bigger stressors while creating opportunities to feel more joy.

I know that “Netflix and Chill” is a thing, (and definitely not a bad thing!) and it may be a way for you to decompress. However, I recommend considering self-care practices that are simple and doable everyday that do not involve a screen. Finding self-care practices that are about being with ourselves more fully within the present moment, or connecting with others intentionally, offers a different energy that helps to prevent—or diffuse—daily stress from compounding on you. 

I wish you well in building your daily, simplified self-care routine that supports you and your unique self in mind, body and spirit.

**If you have gone through this exercise and still feel unsure of what simplified self-care could look like for you, here’s a list of examples of some simple, no or low-cost self-care options that don’t need to take up much time, just simple ways to refresh and revitalize your mind and body.

-Breathe deeply and completely

-Journal

-Keep a daily gratitude journal

-Do a 5 minute guided (or unguided) meditation and/or breath work practice

-Power walk around the block

-Go for a mindful, relaxing stroll

-Watch a sunset

-Watch a sunrise

-Take a power nap

-Stretch for 5 minutes

-Paint

-Draw

-Write (a story, a letter, a poem, a joke…)

-Sing

-Dance

-Play an instrument

-Create anything

-Do a puzzle

-Listen to music

-Play a game

-Play a sport

-Ride a bike

-Do yoga

-Do tai-Chi

-Go for a jog

-Cook your favorite meal

-Drink water

-Drink tea

-Create a skin care routine and practice it morning and night

-Do a face mask

-Take a bath

-Take a shower

-Play in the garden

-Plant a flower

-Read a good book

-Work through a self-help workbook

-Call someone 

-Light a candle

-Sleep in

-Play with or snuggle your pet

-Make your bed (or maybe don’t make your bed)

-Do anything that makes you smile, relax your shoulders and breathe more deeply

This list could keep going, and going— and please, feel free to add to it. The most important thing is that you find things that you will be glad that you did them, you will feel better for doing them, and you will feel the worthiness it creates within because you did it. Here’s to a healthy, content day through simplified and simplifying self-care!

How to Disrupt and Change the Patterns of Emotional Eating

 
 

In my last two blog posts I discussed the importance and necessity of self-awareness in understanding what emotional eating is and why it continues to happen. The most recent post I elaborated on how to dig deep into emotional awareness in order to become more comfortable with the emotional discomfort that we so readily avoid through eating, or really through any other preferred behavior of emotional avoidance. 

Numbing, distracting, avoiding, and denial have become pervasive as there are so many ways of distracting ourselves from our feelings at any given moment. Once we can learn how to engage with our emotions and truly allow ourselves to feel our feelings, we become more comfortable being with ourselves. We allow ourselves more room to be with our full self, uncomfortable emotions and all. This process creates more opportunity to lean consistently into our full authenticity. This can be quite hard as it requires vulnerability and discomfort.

Creating this deep emotional awareness and connection to ourselves is a process that takes time and effort, and yet it is so freeing and empowering. However, the more you engage with your emotional world and practice being the full expression of yourself, this emotional awareness and connection does not necessarily bring immediate change to the behavioral aspect of emotional eating. The sidebar here is, that in order for behavioral change to occur, it’s vital that we continue to progress and move forward from the self-awareness and emotional acceptance we’ve been building upon. Now, for true change in our habitual patterns to occur, we must dive into the work of true behavioral change.

Let’s face it, change is hard. We are hardwired to create habits and then go through our day to day living pretty much unconsciously. Think about it, the last time you were driving, how much of that drive were you truly present? How much of that drive were you lost in thoughts, engaged in a podcast, music, or audiobook? How about other daily habits, do you have to think about brushing your teeth? What about any other part of your usual daily routine? Most likely no, you do not have to think it through. This is because it has become a habit. The same exact thing is true with the behavioral element of emotional eating. 

The habit of emotional eating, let’s say for example at night, may have first begun because you were lonely, deprived, bored, agitated, anxious, or experiencing any other uncomfortable emotion. Through the process you have been working through of self-awareness, you started to notice this pattern. With the practice of emotional awareness you most likely began to attempt to understand, accept and offer compassion to these uncomfortable emotions. However, you may now feel much more emotionally aware and accepting, yet you still struggle with the craving, the habit of nighttime eating. This is normal, and this habitual element is always the last piece of the puzzle to make this work all come together. This is the last place that the work needs to be integrated consistently in order to create the true and lasting change that you desire.

Change can be even more challenging than emotional acceptance because it requires disrupting a pattern that has become fixed, and potentially therefore expected. The process of change requires interrupting this behavioral pattern with a new behavior, and then practicing, with intention, this new behavior consistently. So now consider what behavior would you like to replace with your emotional eating habit? We’ll continue with the example of nighttime eating as it is incredibly common. However, feel free to insert your specific circumstances and challenges with your emotional eating patterns.

The first step is to determine, what else could I do in the evening (or other situation) to provide myself with a sense of comfort? What else brings in the desired feelings created by food? Such as relaxation, a feeling of sweetness or a sense of ease in mind and body? It may be helpful to review your emotional awareness journals from the questions offered in the previous blog post. As you review it, consider, what helps create these desired feeling states for you? Make a list. Now practice trying out something from your list in the evenings when you previously had been eating. 

Let’s say you have a few options, such as calling someone you enjoy talking with, journaling, watching a show, doing something creative (making music, painting, doing a craft), yoga, meditation, and/or reading. Now comes the preparation. You have to start with creating a brand new mindset, you need to feel prepared and ready for the moment that you will practice this new behavior.

Start by visualizing yourself having the urge to fall back into old emotional eating patterns, remind yourself that you are now ready for change. Picture yourself engaging in the new desired behavior while breathing fully and deeply, holding that image in your mind for at least a minute or longer. Say to yourself in your mind, or even out loud, “I am capable of change, I am strong, I am dedicated.” Feel your inner strength and let yourself imagine this moment with a sense of empowerment. Notice how that feels. You might even journal about how this visualization exercise feels once you’ve completed it.

Now plan for the inevitable urge eat. Notice the “deal maker” part of ourselves that doesn’t want to change. This part of ourselves that we all have seems to want to stay stuck and wedged into a very uncomfortable comfort zone. This deal maker part of ourselves will say things like, “I’ll start tomorrow.” “This isn’t emotional eating anymore so it’s no big deal.” “Why bother with change?” “I don’t really feel like doing that other thing (insert the behavior you were going to practice doing instead) right now.” You can insert your own personal deal makers language into these examples. We all have one. The best way to combat this part of ourselves is to be prepared with a comeback.

When your deal maker says, “I’ll start tomorrow,” you might say back to it, “today is the best day to start,” or “I’m going to start today and see how it goes,” or “today I am choosing this other behavior for my future self,” or “I deserve to make this change I have been working so hard towards and that I truly desire.” Imagine how you will feel tomorrow if you succumb to this deal maker part of yourself and give in to it’s deals, such as I’ll start tomorrow. Imagine how you will feel tomorrow if you don’t give in to the deal maker part of yourself. This creates empowerment, when you choose for your future self you are creating the opportunity to feel strong, capable and ready for true and lasting change.

Now it’s time to go for it. Try the new behavior, practice it, visualize it and be prepared to stop the negotiations with YOURSELF and be the change that you desire. If you find this process is helpful, I’d love to hear how it goes, how you are feeling diving into this challenging and yet necessary and powerful layer of the work. Please know that this is hard, hard work. There will absolutely be backsliding, bad days, disappointments and challenges. Remember that every day is a new day to practice, to create the change you desire and to learn from any and all backslides or challenges.

I believe in you. Today is the best day to start, to practice, and to invite in the change you desire. Do you believe in you? In life we don’t become what we want, we become what we believe. So here’s to tapping into your inner belief, your inner strength, and putting in the effort you deserve to creating the change that you desire.