Friday, September 10, 2010

Using EMDR with Children

Eye Movement Desensitization and Reprocessing (EMDR) was originally developed to work with adults suffering from PTSD or a history of trauma. It has been used to great effect in this arena; many adults have reaped the benefits of reprocessing painful memories and gained a more balanced outlook on their lives. So what about using the same techniques with children? Most kids get stuck in their own development, even in very small ways. Children, even from happy healthy families, will experience frightening or humiliating events. Getting bullied at school. Seeing a scary movie and developing an intense fear. Being humiliated in the classroom or on the soccer field. Those experiences can then cause a child to develop negative beliefs about themselves: "I'm no good at math; I can't make friends; I freeze under pressure; I'm not safe." We, as adults, can often identify these obstacles...kids, on the other hand, don't yet have that foresight. But the great advantage for kids is that they are much less defended than adults; they haven't had years to set these patterns in stone; they are able to reprocess these beliefs much more quickly than most adults. Result: short-term therapy! Children who have experienced trauma, such as suffering or witnessing abuse, parental death, even divorce or separation, can make huge gains with EMDR. Instances like these may take longer to process than a case of low self-esteem; it may take longer for a child to establish a feeling of trust and safety with a therapist if he or she has experienced a major trauma. Still, children will usually respond to EMDR therapy much more rapidly than most adults. Check out this video about EMDR therapy with children: http://www.emdrinaction.com/video/does-emdr-work-children. For more information about EMDR therapy or specific child therapy issues, visit my website at www.kellymcnair.com.

Wednesday, June 9, 2010

Memory: How Trauma Affects Us

Memory is very malleable. In other words, we remember what we perceive. Think of an early childhood memory. Now try to remember specific details about the memory. Does that memory actually exist, or was it an event that perhaps your parents talked about often, or an event that you have a photograph of? Did your brain create a memory around that photograph or that family story? Have you ever recounted a memory to someone else, perhaps a family member, only to have them respond with, "that's not how I remember it at all"? Often our perception of a memory can change over time, as we recount the story to ourselves (or others). Our brains store memories at the developmental level at which we experience the event. For example, an event that occurs for a six-year-old gets stored at a six-year-old's level of perception....which is very different from an adult's level of perception! NORMAL memory is different from TRAUMATIC memory. Trauma is defined as any experience that has a lasting negative effect on the self or psyche. That leaves a lot of room for different levels of traumas. For instance, a "big T" trauma could be an experience of being sexually assaulted, witnessing a death, a serious car accident. A "little t" trauma could be any life event, such as being teased or bullied on the playground, failing a test, or perhaps going through a breakup. (absence of expectation) Traumatic memories get stored differently than normal memories do. When we experience a trauma, our brains get hyper-aroused. In other words, we go into "fight-or-flight" mode.... our adrenaline kicks in, our heart rates rise, our pupils dilate, we become poised for danger. By its very nature, the fight-or-flight response bypasses our rational mind, and moves us into primitive survival mode. In this state, we see everything through the filter of possible danger: our fear is exaggerated, our thinking is distorted, we may overreact to the slightest comment. At that moment, our brains are not capable of storing the experience as a normal memory. It gets processed differently than it would if we were using our rational mind; very often it can get stored dysfunctionally, as a survival-mode memory...which means that when we are reminded of it, our brains can easily get kicked back into fight-or-flight mode, causing us to "re-live" the experience with the same level of fear, physical sensations, and emotional reactions. That's why so many people who have suffered traumatic events (combat, sexual assault, car accident) have a tough time dealing with the memory. Their brains didn't get the chance to process and store that memory in a functional way. Even those of us with "little t" traumas, (those everyday life stresses that can add up over time) can get to the point where our brains aren't able to process these moments into normal memory; so they get processed as traumatic memory. When we're in this constantly hypervigilant state of mind, we can't relax; we can't calm down and simply be....we are always on guard for danger. Who wants to live like that? Luckily, memory is malleable. We can learn to reshape the way we perceive traumatic events, our brains can reprocess those memories so that we can have a healthier way of keeping them stored in our long-term memories. There are several ways of going about this process; therapy is one of them. Cognitive-behavioral therapies, Somatic Experiencing, and EMDR can all assist in retraining our brains to "unstick" those stuck memories of traumatic experiences. For more information on therapy and trauma, visit www.trauma-pages.com/support.php.

Wednesday, June 2, 2010

EMDR: What the heck is it?

EMDR is all over the news these days, proving to be effective with war veterans and trauma patients. But what is it, exactly? How does it work?

Eye Movement Desensitization and Reprocessing is a powerful and effective therapeutic technique that has proven very successful in helping people who suffer from trauma, anxiety, panic, post-traumatic stress disorder (PTSD), and many other emotional difficulties. Research shows that EMDR is the most effective and rapid method for healing PTSD.

EMDR therapy uses bilateral stimulation (such as right-left eye movements or auditory stimuli), which repeatedly activates both sides of the brain at the same time. This allows us to access both brain hemispheres to recall traumatic memories, and perhaps reprocess them in a healthier way.

When traumatic events occur, sometimes our brains cannot properly process and digest what is happening. The memory of the event gets "stuck" in one area of our brain. By stimulating both sides of the brain simultaneously, while recalling the traumatic moment (and the emotions associated with it) in a safe environment, the memory gets the chance to be redistributed properly in the brain, or reprocessed. This allows us to store a healthier, resolved memory of the event, which results in more positive emotions surrounding it. This neurophysiological healing process then frees us to focus on our current existence, rather than being "stuck" in the past.

Scientifically speaking, we don't know exactly how EMDR works. We also don't know exactly how antidepressants work, but they obviously do work for many people. There are several theories about how EMDR works: the idea that the eye movements imitate what happens in REM sleep, which is when our brains do much of our memory processing; the idea that simply using both sides of the brain at the same time allows our rational minds and our primitive minds to work in conjunction with each other; the idea that traumatic memories get stored in our short-term memory, and EMDR allows them to be redistributed into our long-term memory. There isn't yet enough research to prove any of these theories, but plenty of PTSD sufferers and trauma victims have reported positive, healing results.

One of the greatest things about EMDR therapy is that it can work for anyone, not simply for people suffering from PTSD or past trauma. EMDR is useful for daily life issues, current stress issues, relationship issues, career issues, even chronic pain issues. EMDR can work for what might seem unworkable to you.

Visit www.kellymcnair.com for more resources on EMDR and other therapy information.