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Agate Institute: 1st Virtual Summit of EMDR Therapy with Medical & Somatic Conditions

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Credit Value: 14
Exam Questions: 96
Passing Grade: 72 correct
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Module 1: Health Issues as a Doorway for Healing Trauma: Changing Our Destiny - April 5
We are entering a new paradigm of awareness that mind, body, and consciousness are interconnected and contribute to the expression of physical and mental health. The science of epigenetics reveals that genetic expression relates to the subtle energetic environment surrounding the gene, rather than the DNA itself. Case presentations focus on the physical expression of dis-ease as a doorway, accessing and healing deep trauma with EMDR, contributing to moving the expression of disease from an active to inactive state, changing consciousness, and influencing evolution. Modern scientific breakthroughs are compared to the philosophies and healing practices of ancient wisdom traditions.

Presenter Bio:
Irene Siegel, Ph.D., LCSW is director of Center Point in Huntington N.Y. where she conducts her integrative EMDR psychotherapy practice and teaches meditation. She received her doctorate in Transpersonal Psychology in 2011 from the Institute of Transpersonal Psychology (now Sofia University), and her masters in Social Work in 1977 from Columbia University. She is an Approved EMDR Consultant and credit provider. She has presented at numerous prior EMDRIA conferences, introducing the innovative concept of integrating mindful awareness and resonance into the EMDR protocol. She studied the ancient healing arts of shamanism throughout North and South America, and teaches the integration of Western psychotherapy and science with healing arts as depicted in her newly published book The Sacred Path of the Therapist: Modern Healing, Ancient Wisdom, and Client Transformation.

Learning Objectives
Particpants will be able to:

  • Cite three theories or studies based in science, psychology, or spirituality that supports the impact of trauma on health issues. 
  • Describe two phases within the EMDR protocol where the consciousness of health issues can be integrated in the EMDR protocol, potentially transforming the energy around the cells and expression of dis-ease.
  • Identify three common points shared by modern science and ancient wisdom traditions in the understanding and healing of health issues that can be applied to EMDR.

Module 2: Working with Pain, Multiple Chemical Sensitivities and Graft vs. Host Disease with EMDR and Ego State - April 5
Bob Tinker and Sandra Wilson (2005) taught us that EMDR’s Standard Protocol, aimed at the initial injury and subsequent pain and emotional distress could eradicate the felt experience of “non-ecological” pain, that originates in dysfunctional neural networks of the brain signaling the body that it’s in pain. In 2003, shortly after I learned and used their Phantom Limb Pain Protocol, I adapted it for use with Multiple Chemical Sensitivity (Shapiro, 2009) and more recently for use with Graft Versus Host Disease (GVH), an often-fatal case of newly implanted immune cells attacking the body. My adaptations included the use of ego state work to assist clients to more quickly harness out-of-control pain or immune functions.

Presenter Bio:
Robin Shapiro, MSW, LICSW has used ego state therapy for more than 36 years. She is the editor/author of EMDR Solutions: Pathways to Healing; EMDR Solutions II; The Trauma Treatment Handbook; and Easy Ego State Interventions. She does psychotherapy in Seattle, gives consultation to clinicians in 4 countries, speaks often at conferences and workshops, and is working on her new book, How to Do Psychotherapy. Her trainings are accessible, transformational, and highly usable.

Learning Objetives
Participants will be able to:

  • Utilize hypnotic/ego state techniques for daily pain management and to assist clients to consciously bring adaptive function to dysfunctional neural pain networks.
  • Utilize EMDR to work with the bodily and emotional trauma of immune or chemically-caused distress.
  • Use ego-state interweaves, within the context of EMDR’s AIP, to identify and utilize immune control in the body/brain that work with Multiple-Chemical Sensitivity and Graft Versus Host Disease.

Module 3: The Treatment of Cancer Patients in an EMDR Mode - April 6 
This workshop will help EMDR therapists work effectively with cancer patients. It will include strategies that increase respite time and stress reduction, specific target development and problems that can impede treatment.

Presenter Bio:
Carol Forgash, LCSW, obtained her Masters degree from Adelphi University in 1979. She specializes in the treatment of complex trauma and health problems of ACE survivors. She is in private practice in Smithtown, NY. She is a past president of EMDR Humanitarian Assistance Programs, and is on the faculty of the EMDR Institute. She co-authored and edited Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy with Margaret Copeley, which has been recently translated into French and Italian. She has co-authored many journal articles on complex trauma, and on the health needs of ACE (Adverse Childhood Experience) survivors and lectures internationally on these subjects. Her work also has been recorded for distance learning courses.

Learning Objectives
Particpants will be able to:

  • Participants will be able to understand the traumatic nature of Cancer and its impact on the patient
  • Participants will be able to develop a specific treatment plan to deal with multiple issues of cancer patients (physical, emotional, psychosocial)
  • Participants will be able to develop targets for reprocessing cancer specific problems

Module 4: Pain Control with EMDR - April 6
Somatic problems are a feature of PTSD and many other psychological disorders, as well as being a problem in their own right. Given its correlation with trauma it is not surprising that chronic pain is the second most researched applications of EMDR. Pain was one of the first non-trauma applications of EMDR to be reported following Shapiro’s initial paper in 1989. Since then there have been over 10 case study’s or case series designs, 1 randomized controlled studies and 2 uncontrolled clinical studies, to which Mark Grant has contributed two case series. EMDR has been found to either eliminate or significantly reduce pain in conditions such as Phantom limb pain, Fibromyalgia and Chronic low back pain. The psychological treatment of pain presents unique challenges ranging from the popular misconception that pain is simply a symptom of organic pathology to the overwhelming nature of its effects on mind and body. The evolution of EMDR as a treatment for chronic pain is well advanced with its own unique variations and refinements (eg; targeting present pain, use of continuous auditory bls, creation of antidote imagery etc). Mark Grant’s manual ‘Pain Control with EMDR’ is now in its 6th edition. In this webinar Mark Grant will demonstrate what happens in a typical EMDR pain session through the lens of two cases involving; trauma-related pain, and medical pain (CLBP).

Presenter Bio
Mark is a clinical psychologist with over 20 years experience in the treatment of stress, trauma, and pain. In addition to his work he has researched and developed the use of EMDR in the treatment of chronic pain leading to a publication in the Journal of Clinical and Consulting Psychology. His latest collaborative study documents the use of EMDR with 11 chronic pain sufferers with varying complexities. Author of Change Your Brain Change Your PAIN, Pain Control with EMDR, several CD’s based on EMDR, and an authored chapter in Marilyn Luber’s EMDR’s scripted protocols and has been sited in the New York Times on chronic pain.

Learning Objectives
Particpants will be able to:

  • Participants will be able to Learn case conceptualization basics of treating chronic pain including 7 main tasks
  • Participants will be able to learn 8 differences between EMDR trauma protocol and EMDR pain protocol and how they apply to the treatment of somatic problems
  • Participants will be able to learn a template for decision-making in EMDR treatment of somatic problems and learn how to work with different pain presentations (traumatic pain, functional pain and medical pain).

Module 5: Pain, Parts, Illness, and Identity: EMDR Therapy and Somatic Psychology for Chronic Pain and Illness - April 12

Therapists will be introduced to the integration of EMDR Therapy and somatic psychology to enhance client’s embodiment for the treatment of chronic pain and illness with a specific emphasis on somatic symptom disorders. Clients with somaticized symptoms often have a history of trauma. In some cases, symptoms arise from adverse childhood experiences or ongoing, repeated developmental trauma. 

Presenter Bio
Arielle Schwartz, PhD is a licensed clinical psychologist and EMDR Consultant with a private practice in Boulder, Colorado. She is the co-author of EMDR Therapy and Somatic Psychology: Interventions to Enhance Embodiment in Trauma Treatment (Schwartz & Maiberger, 2018, W. W. Norton) and the author of The Complex PTSD Workbook: A Mind-Body Approach to Regaining Emotional Control and Becoming Whole (Schwartz, 2016, Althea Press). She is a trainer with the Maiberger Institute offering advanced workshops in EMDR Therapy and Somatic psychology, Working with Attachment Injuries, Treating Chronic Pain and Illness. Dr. Schwartz is also the creator and presenter for the PESI training, Complex PTSD: A comprehensive approach to accurately assess and effectively treat clients with chronic, repeated, and/or developmental trauma. She is a certified yoga instructor offering therapeutic yoga for trauma recovery. Her integrative approach to therapy includes the synthesis of existential therapy, Gestalt, structural integration theory, somatic psychology, and EMDR Therapy—all with a strong relational foundation of care. In her free time, Dr. Schwartz enjoys hiking in the Colorado mountains and relaxing with her husband and two children. 

Learning Objectives
Particpants will be able to:

  • Participants will be able to recognize how identifying client’s “parts” related to early developmental trauma is central to our understanding of somatic symptom disorders
  • Participants will be able to discuss how somatic symptoms including illnesses and chronic pain can be used as potential targets in EMDR Therapy.
  • Participants will be able to identify at least three somatic interweaves for stuck processing during Desensitization Phase of EMDR Therapy.

Module 6: EMDR Therapy in End of Life Care - April 12 
Psychological interventions for dying or seriously ill patients are often neglected and thought to be impractical. The growing interest in trauma-informed-care in hospice and palliative care settings reflects an awareness of the role of pre-illness adversity and trauma and the impact of the here-and-know struggles on the psychological wellbeing of the dying patient. We assert that there are many struggles and symptoms faced by patients in end of life that can be addressed with EMDR Therapy interventions. EMDR Therapy is a flexible approach that can focus on a range of issues including, for example: the impact of early trauma and adversity; a multitude of practical and relational issues; the vicissitudes of prolonged medical care; symptom relief; and the profound existential issues that arise in the face of imminent death. EMDR Therapy can offer resolution of the impact of the past, enhance self-regulation resources, focus on symptoms such as pain and anxiety, and help the patient to process present triggers and develop positive future templates. EMDR Therapy in standard and modified protocols can be successful with patients who have a wide range off cognitive functioning and time available before death.
The presenters will discuss and advocate a model of trauma-informed-care, describe a range of potential EMDR Therapy interventions, and present clinical cases illustrating EMDR Therapy effectiveness in end of life care. 

Presenter Bio
Michael Keller is a Licensed Clinical Social Worker with 40 years of practice experience working in a variety of settings. He has worked as an EMDR Trainer with the Trauma Recovery Humanitarian Assistance Programs since 2006. He maintains a private practice in Winfield, Kansas. He has conducted several EMDR trainings for the Hospice of the North Coast in Carlsbad, California and regularly consults with their staff. He is involved in a long-term project collaborating with the Ithaca College Gerontology Institute to develop viable and evidenced-based EMDR Therapy practice in palliative care and hospice at selected sites in upstate New York. He is a member of the National Hospice and Palliative Care Organization Trauma-Informed-Care task force.
Learning Objectives 
Participants will be able to:

  • Participants will be able to describe and implement the elements of a trauma-informed-care approach in end of life care. 
  • Participants will be able to develop an EMDR Therapy treatment plan based on the needs and capabilities of seriously ill or dying patients. 
  • Participants will be able to flexibly apply the EMDR Therapy approach to ease the psychological and physical suffering of patients in the dying process.

Module 7:  Heal Your Brain, Heal Your Body, Creative clinical EMDR strategies applied to physical healing - April 13
This presentation details creative clinical strategies used in the application of EMDR therapy to physical pain, surgeries, and medical interventions. It includes suggestions for “antidotes” as resource measures to help deal with disease, its consequences, treatment and prevention.
A short presentation of the ACE study will help make the connection between adverse childhood experiences and adult illnesses, underlining the importance of healing trauma, especially in childhood, when possible a prevention strategy, and in adulthood as a remedial solution.
The Adult Drawing Protocol (Carvalho, 2009) will show how pictures can be drawn in order to create the pain image/target for desensitization and reprocessing.
The Symptom Role-Reversal Protocol (Carvalho, 2015) borrows techniques from Psychodrama, more specifically, from J. L. Moreno’s Role Theory. Cognitive Interweaves are used as clinical strategies to elicit further information from the Information Neuro-Networks in role-reversal. Symptoms are “interviewed” by the therapist while the client is in role-reversal as the symptom, a traditional Psychodrama technique, while the traditional phases of EMDR therapy are used to heal the maladaptive information stored in the brain so that healthy responses can emerge for that role. Physical pain is often released and resolved using EMDR applied to symptoms in role-reversal. Role-reversal also allows for the touchstone event to be identified and healed with EMDR therapy.
Finally, the importance of the development of “antidotes” and “medicine” will be presented, as a means of healing as well as preventing the worsening of symptoms.

Presenter Bio
Esly Regina Carvalho, Ph. D. is a Brazilian-American Trainer of Trainers for the EMDR Institute and EMDR Ibero-America (EMDR IBA). She has helped bring EMDR to Ecuador, Bolivia, Brazil, Panama, Venezuela, Cuba, Bolivia, and trained professionals in Portugal and Spain. A published author and speaker (in Spanish, Portuguese and English) as well as a Psychodrama Trainer, Esly has integrated her Psychodrama background into EMDR training and clinical practice. Presently residing in Brasilia, Brazil, she directs the TraumaClinic as well as an EMDR training center where trainings are held in over 15 cities of Brazil. In 2014, she established a publishing house specifically dedicated to publishing books on EMDR, trauma and related issues. As one of its co-founders, Esly was President of EMDR Ibero-America (2007-2010; 2010-2013). Esly is married and loves those grandchildren! 

Learning Objectives 
Participants will be able to:

  • Participants will be able to implement into their practice creative clinical strategies using EMDR therapy applied to physical pain, medical interventions, surgeries, illnesses, etc.
  • Participant will be able to use the drawing protocol for adults (Carvalho in Luber, 2013) applied to physical pain.
  • Participant will be able to explain and implement the role-reversal/interview strategy using EMDR therapy for healing the client’s inner role.

Module 8:  Acute, Chronic and Complex PTSD: Exploring Their Neuroendocrinology and Relationship to Hyperimmune Disorders - April 13

What exactly happens on a neurobiological level in acute, chronic and complex PTSD? Is there a relationship between this unusual neuroendocrine profile and a number of medical illnesses which manifest as hyperimmune inflammatory disorders?
This seminar will review and examine the results of extensive neuroendocrine research relative to these trauma-induced disorders. A major focus will be on those symptomatic disorders of Type I Post-Traumatic Stress Disorder (PTSD) and Complex PTSD. The data from these research bases will be integrated with neuroendocrine research findings regarding autoimmune compromises associated with chronic trauma. Conditions, such as Fibromyalgia, Chronic Fatigue Syndrome, Reflex Sympathetic Dystrophy (RSD), Systemic Lupus Erythematosis, Hashimoto’s Thyroiditis, Sjogren’s Syndrome, Rheumatoid Arthritis, and others will be examined.
This presentation will clearly illustrate the neuroendocrine and causal relationship between the various forms of PTSD and these medical disorders which have mystified and challenged the fields of psychology, psychiatry and internal medicine. Accordingly, the implications for EMDR treatment will be examined, as well as referrals for medical immuno-suppressive treatment.

Presenter Bio
Uri Bergmann, Ph.D. is an EMDR Institute Senior Facilitator and Presenter as well as an EMDRIA Approved Consultant.  He is a past-president of the EMDR International Association (EMDRIA).  Dr. Bergmann has lectured and consulted throughout the United States, Europe and South America on EMDR, the neurobiology of EMDR, and the integration of EMDR with psychodynamic and ego state treatment.  He has authored and published journal articles and book chapters on the neurobiology of EMDR and the treatment of dissociation, and is the author of Neurobiological Foundations for EMDR Practice.  Dr. Bergmann is currently serving on various journal editorial boards and is in full-time private practice in Commack and Bellmore, New York

Learning Objectives
Participants will be able to:

  • Participants will be able to describe the processes of cortisol’s mediation of the anti-inflammatory and inflammatory balance of the autoimmune system.
  • Participants will be able to identify and describe the mechanisms of cytokines and antibodies in autoimmune function.
  • Participants will be able to define and describe the connection between the neuroendocrinology of PTSD and these medical disorders as well as to discuss and explore the implications of these findings on treatment. 

To register for this Webinar please visit:  www.anagomez.org

Test Takers:  It is always suggested to print out your exam and record your answers on paper prior to entering the answers in on the website.  This can save a lot of time if an error occurs or if you need to retake the exam.

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