Module 1: A Mindful Approach to Healing Addiction with EMDR Therapy - March 9, 2018
Working with addictive and compulsive behaviors with EMDR therapy is not as simple as mastering one specialty protocol or trendy technique. Rather, mastering a mindful, comprehensive understanding of the interplay between trauma and addiction and recognizing how EMDR therapy can be used for healing is paramount for addressing our current addiction landscape. This workshop begins with the foundations of mindfulness practice and how they can be translated into clinical settings in a way that is optimal for working with clients in recovery. Infusing mindfulness practices into EMDR therapy Phase 2 preparation is a particular component of emphasis, and participants are challenged to consider how grounding clients in mindful practices in Phase 2 will facilitate greater success in the later phases of the standard protocol with addicted clients. Participants are also challenged to consider how embracing traditional approaches to addiction recovery, like working with 12-step models, the stages of changes, and psychoeducation are also vital in Phase 2. Grounding strategies, body scanning, feeling tone, breathing, and movement meditations that can help to widen a client’s affective window of tolerance are all covered. Explanations are also given for how teaching these exercises as part of preparation can help orient clients to questions EMDR therapists frequently use in Phases 3-6 such as “What are you noticing now?,” and “Go with that,” which can be particularly challenging for clients new to recovery who are can struggle with body awareness. Strategies for case conceptualization and treatment planning are also reviewed in the context of information presented in this workshop.
Jamie Marich’s friends and colleagues describe her as a renaissance woman. A dancer, musician, performer, writer, recovery ambassador, clinical counselor, expressive arts therapist and Reiki Master Teacher, Marich unites these elements of her experience to achieve an ultimate mission: bringing the art and joy of healing to others. Marich began her career in human services working in humanitarian aid in Bosnia-Hercegovina from 2000-2003. She travels internationally speaking on topics related to EMDR therapy, trauma, addiction, and mindfulness while maintaining a private practice (Mindful Ohio) in her home base of Warren, OH. She is the developer of the Dancing Mindfulness practice and the co-creator of the Yoga Unchained approach to trauma-informed yoga. Jamie Marich is the author of EMDR Made Simple: 4 Approaches for Using EMDR with Every Client (2011), Trauma and the Twelve Steps: A Complete Guide for Recovery Enhancement (2012), and Trauma Made Simple: Competencies in Assessment, Treatment, and Working with Survivors, and Dancing Mindfulness: A Creative Path to Healing and Transformation (2015). Her newest book, EMDR Therapy & Mindfulness for Trauma-Focused Care written along with colleague Dr. Stephen Dansiger, released from Springer Publishing in November 2017. Marich’s writing and work on Dancing Mindfulness was featured in the New York Times in 2017. In 2015, she had the privilege of delivering a TEDx talk on trauma (available on YouTube). Additionally, NALGAP: The Association of Gay, Lesbian, Bisexual, Transgender Addiction Professionals and Their Allies awarded Jamie with their esteemed President’s Award in 2015 for her work as an LGBT advocate.
Participants will be able to:
- Discuss the interplay between unhealed trauma/PTSD and addiction and offer several solutions for addressing with respect to the AIP model.
- Define mindfulness in a classic sense and explain the meaning of mindfulness-informed interventions as a modern clinical term for addressing addiction.
- Apply no fewer than five embodied mindfulness interventions in clinical situations, particularly as a component of EMDR Therapy Phase 2, making appropriate adaptations in the spirit of trauma focused and addiction-focused care.
Module 2:Treating Addictions with EMDR Therapy and the Stages of Change
All clinicians are dealing with addiction issues whether they realize it or not. Many clients present with depression, anxiety, trauma, divorce and other problems but they are also dealing with underlying addiction. Research indicates that at least 50% of clients present to treatment either due to their own addiction or that of a loved one.
This workshop will focus on the uses of EMDR with addiction issues. We have created a system, originally called the Roadmap Model, that will help clinicians formulate case plans and develop treatment interventions for using EMDR with clients who have these issues.
The workshop will begin with an overview of Prochaska and DiClemente’s Stages of Change Model. Our way of thinking is organized around assessing a client’s motivation utilizing the Stages of Change. Participants will also learn about EMDR/non-EMDR interventions as used for each stage of change. Discussion will include how and when to make the clinical decisions about the use of the EMDR trauma protocol. Case examples will be presented.
Nancy J. Abel, LCSW, LADC
Nancy is a licensed clinical social worker and licensed substance abuse counselor with more than 40 years of experience. She is in private practice in South Portland, Maine, specializing in working with addictions, dual diagnosis, trauma and EMDR. Nancy is an EMDRIA-approved consultant. She has adjunct faculty at two local universities, an administrator at two agencies and has extensive experience as a speaker and trainer. She presents workshops on addictions and EMDR.
John M. O’Brien, Ph.D.
John has been a licensed psychologist in private practice in Portland since 1998. He specializes in the treatment of substance abuse, grief, trauma and gay/lesbian issues. He is an adjunct faculty member at the University of Maine at Augusta, teaching courses in psychology and addictions since 2000. John is an EMDRIA-approved consultant who provides consultation on EMDR, CBT, DBT and addictions treatment.
Nancy Abel and John O’Brien are authors of “Treating Addictions with EMDR Therapy and the Stages of Change,” published by Springer Publishing Company in 2014.
Participants will be able to:
- identify elements of Prochaska and DiClemente’s Stages of Change.
- describe treatment approaches, including EMDR, can be utilized in each part of the Stages of Change Model.
- identify factors that must be considered in making the decision to use the trauma protocol with addiction.
Module 3: DeTURTM :An Urge Reduction Protocol in Dealing with Addictions and Dysfunctional Behaviors
Presenter: Arnold J. Popky, Ph.D.
DeTURTM (Desensitization of Triggers and Urge Reprocessing) is an urge reduction protocol used as the nucleus of an overall methodology in the treatment of a wide range of chemical addictions and dysfunctional behaviors. This method was developed and refined by the author through actual client interaction and feedback from other EMDR trained therapists using the same protocol. It was initially introduced as a “stop smoking” protocol at the 1st EMDR conference in 1992. This eclectic addiction treatment method is trauma based, combining client internal resources with external support including the 12 step model and other known and proven treatment methods as cognitive behavioral therapy, solution focused, Erickson, thought field therapy, Satire, neuro linguistic programming, etc. The basis or foundation is the accelerated information processing using bi-lateral processing as outlined in EMDR to uncover and process the base trauma(s) or core issues as the underlying cause behind the addiction. Though somewhat similar to the phases of EMDR, using history, assessment, diagnosis and preparation of the client. DeTURTM targets the triggers that bring up the uncomfortable feelings leading to the urges. DeTURTM phases also include client empowerment through resource accessing, installation of positive treatment goals, identification and desensitization of triggers, and techniques of relapse prevention. The purpose of the protocol is to uncover the core traumas and reprocess them through to completion. In achieving reprocessing the triggers no longer stimulate the need to use or act out and the new response becomes the positive treatment goal of coping and functioning successfully in life as determined by the client.
Participants will be able to:
- Utilize rapid techniques to aid clients in accessing their own inner resources.
- Utilize methods to elicit client’s positive goal and anchor the positive state into client’s philosophy.
- Utilize the DeTURTM protocol and differentiate if from the standard EMDR model.
Arnold (AJ) Popky., was instrumental in the founding of the EMDR Institute, is Certified in Ericksonian Hypnosis and a Master Practitioner of NLP. Dr. Popky specializes in PTSD and Addiction.He Developed the DeTUR Protocol which he has presented in workshops internationally. His work can be found in “EMDR Solutions” by Robin Shapiro, PhD and in “Scripted Protocols” by Marilyn Luber, PhD..He also works at horse camps with our wounded warriors. He presently has a private practice in Sherman Oaks, CA and trains and consults to DoD therapists at Military Bases around the Globe along with several drug rehabilitation centers. Dr. Popky is a charter member of DIV. 1277 of the Marine Corps League. Previously he spent 30 years in High Technology Silicon Valley electronics, and computer companies.
Module 4: Addressing the Roots of Addiction with EMDR Therapy, a Case Conceptualization Workshop
Presenter: Hope Payson LCSW, LADC with Guest Speaker, Daryl McGraw MS, CAC, CCJP
Addictions and compulsions are often deeply rooted symptoms of complex trauma. While these behaviors are used to cope with immense pain, they can result in self-hatred, stigma, exile from family and community, and incarceration. All resulting in more isolation; more trauma. The ultimate goal of EMDR therapy is to work through past traumatic events, build healthier coping skills and help our clients return to their bodies and communities, so they can continue to heal through connection.
Creating a solid EMDR therapy treatment plan with Clients with complex trauma and addiction histories can be challenging. Carefully exploring the unique issues that increases vulnerability to addiction for each individual informs the case conceptualization process.
This workshop provides an overview of addiction protocol choices. No specific addiction protocols will be taught, instead participants will be given an overview on how and when to use a specific protocol, with the ultimate goal of returning to the standard EMDR approach for comprehensive treatment. Special attention will be given to the issue of oppression and discrimination as a major instigator of trauma and addiction, along with the negative experiences and related core beliefs that can develop after years of active addiction. Through the use of a scripted handout, diagrams that address critical decision points, client examples, and videos this workshop will help you feel more confident about creating collaborative treatment plans that address the roots of addiction and plant seeds of change.
Participants will be able to:
- Report increased knowledge on how to gather information specific to compulsions and addictions to facilitate the treatment planning process.
- Identify at least two protocols that address addiction related memories, cravings, urges or maladaptive positive feeling states.
- Report a deeper understanding of treatment planning options when working with Clients with addiction and trauma histories.
About the Presenters:
Hope Payson, LCSW, LADC is a licensed clinical social worker, addiction counselor and an EMDRIA Approved Consultant who specializes in the treatment of addiction and trauma. She has over 20 years of experience working in community mental health and addiction treatment settings providing services to individuals with histories of chronic addiction and complex PTSD. She was the Clinical Director for EMDR Humanitairian Assistance Programs and remains an active HAP volunteer. She and Kate Becker, LCSW offer advanced workshops on the use of EMDR Therapy to address addiction. Ms. Payson currently coordinates a group private practice in Winsted, CT., provides EMDR consultation to clinicians working in private and community settings, and is Co-Producer of the documentary “Recovering Community”—a film that explores the personal, political and cultural roots of addiction.
Daryl M. McGraw MS, CAC, CCJP is a Program Director for the Yale University Department of Psychiatry. In this role, he is contracted to serve as the Director of the Office of Recovery Community Affairs for the State of Connecticut Department of Mental Health and Addiction Services. Mr. McGraw works in the areas of policy development, contract management and project coordination, as well as collaborates with grassroots peer-advocacy agencies and the CT Department of Corrections. He holds state certifications as an Addictions Counselor, Recovery Support Specialist, and a Criminal Justice Professional. Additionally, he has a Bachelor’s Degree in Human Services and a Master’s Degree in Organizational Management and Leadership.
Mr. McGraw works on behalf of persons with histories of trauma that are battling addiction and assists them in overcoming the obstacles facing ex-offenders upon their release from prison. He regularly presents a conferences and trainings in a variety of settings including university campuses, correctional facilities, behavioral health organizations and national events. He provides insight from a different cultural perspective and set of lived experiences. Mr. McGraw inspires cultural competency and challenges organizations to move away from the status quo.