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7 Neurodynamics

8 What is EMDR therapy? EMDR therapy - Eye Movement Desensitization and Reprocessing therapy Developed by Dr Francine Shapiro PhD USA 1987 An innovative clinical treatment that has successfully helped over a million individuals. It has been used to treat trauma, including sexual abuse, domestic violence, combat, crime, & those suffering from a number of other complaints including depressions, addictions, phobias, a variety of selfesteem issues & psychosis Dr Paul W Miller

9 KEY FRAMEWORK FOR ALL 8 PHASES IS THE AIP MODEL AIP is the soil in which we sow the story of our clients AIP model views negative behaviours and personality characteristics as the result of dysfunctionally held information A negative self-belief is not seen as the cause of present dysfunction; it is understood to be a symptom of the unprocessed earlier life experiences that contain that affect and perspective Attitudes, emotions and sensations are not considered simple reactions to a past event; they are seen as manifestations of the physiologically stored perceptions stored in memory and the reactions to them

10 EMDR therapy s 8-Phases 1. Client readiness / Client safety factors / Treatment planning 2. Preparation 3. Assessment 4. Desensitization 5. Installation 6. Body Scan 7. Closure 8. Re-evaluation Dr Paul W Miller

11 Dr Paul W Miller Individuality

12 Key Elements of Effective Psychotherapy (Frank, 1961) an emotionally charged relationship a therapeutic environment a rationale or myth that provides a plausible explanations for their symptoms a procedure to resolve the symptoms Dr Paul W Miller

13 The Shaman s Gift Phil Borges

14 Therapeutic Alliance

15 CAEL & ICoNN Dr Paul W Miller MD

16 Failure of Processing Lanius, R. A., et al. (2003). "Individual differences in a husband and wife who developed PTSD after a motor vehicle accident: a functional MRI case study." Am J Psychiatry 160(4):

17 Turn the ship around θεράπω ν

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19 my old failures. Antonio Machado

20 Dr Paul W Miller Phase 5 - Installation

21 The Body Keeps the Score Check the body for discomfort Dr Paul W Miller

22 The deathly hallows Dr Paul W Miller MD

23 ICoNN Categories ICoNN 1 DMN identifiable as usual ICoNN 2 DMN via affect bridge ICoNN 3 engaging voices ICoNN 4 gestalt Dr Paul W Miller

24 Dr Paul W Miller MD

25 ICoNN Categories ICoNN 1 DMN identifiable as usual Case of Paul; Cotard s Delusion Chapter 9 Dr Paul W Miller ILLUSTRATION (1st YEAR) PROF. STEVEN DANA YEUNGNAM UNIVERSITY

26 Cotard s Syndrome (severe depression with psychosis: ICD 10 F32.3) & PTSD 17-year-old male (at time of presentation) EAP referral 3/12 post-hcd 4 counseling sessions. Then S/B PWM Cotard s Syndrome / PTSD Rx Psychoeducation - AIP; Rx Plan; trauma Medication (cipralex 10mg mane: seroquel 25mgs nocte low dose) EMDR reprocessing - 3 sessions Relapses At 4+ years - euthymic; no psychosis Dr Paul W Miller MD

27 ICoNN 1 Take Home Dr Paul W Miller ILLUSTRATION (1st YEAR) PROF. STEVEN DANA YEUNGNAM UNIVERSITY

28 ICoNN 2 DMN via affect bridge 22 y.o. male, referred for psychotherapy Psychiatrist Body Dysmorphophobia GP Rx fluoxetine 20mgs daily 5 Appointments there isn t a psychological problem it is completely about gynaecomastia Jude see Chapter 10; (Miller, 2015) Dr Paul W Miller

29 Trauma and Psychosis

30 Session I: New patient assessment & AIP case formulation Session II: Psychoeducation & EMDR safe place Session III: EMDR targeting ANGER Session IV: Targeting Car - backseat Session V: Targeting father Dr Paul W Miller

31 Dr Paul W Miller

32 Dr Paul W Miller ICoNN 2 Take Home

33 Dr Paul W Miller ICoNN 3 engaging voices

34 The peopled wound

35 ICoNN 3 Take Home Dorahy quotes also Keiser Permanante info Dr Paul W Miller

36 ICoNN 3 Take Home continued Dr Paul W Miller

37 Dr Paul W Miller The Wizard of Oz fallacy

38 Dr Paul W Miller ICoNN 4 gestalt

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40 Dr Paul W Miller Nosology

41 Dr Paul W Miller Schizophrenia in Ireland

42 April 2006 Medication started December 2006 EMDR therapy April 2007 Decrease in medication May Dr Paul W Miller

43 Maternal Attachment

44 Once upon a time

45 Capgras / Changeling

46 Dr Paul W Miller ICoNN 4 Take Home

47 ICoNN Categories ICoNN 1 DMN identifiable as usual ICoNN 2 DMN via affect bridge ICoNN 3 engaging voices ICoNN 4 gestalt Dr Paul W Miller

48 Dr Paul W. Miller MD 10 Million People

49 Posttraumatic Growth Dr Paul W Miller MD