EMDR Helps Grief and Trauma

I. Introduction

Grief and trauma can really throw a person’s mind and feelings off balance, often making it necessary to try treatments that actually help. EMDR—short for Eye Movement Desensitization and Reprocessing—has been getting a lot of attention as a way to work through those painful memories; its fresh method tends to break down distress and, over time, lessen the symptoms while helping everyday functioning. This approach, which many consider both novel and practical, reworks upsetting recollections in a way that leads, in most cases, to steady relief. Various studies point out that solid mental health support is urgently needed, especially in environments where vulnerable groups are hit hardest by trauma (Bangpan M et al., 2019). Plus, the ongoing weight of trauma-related issues—like in cases of posttraumatic stress disorder—only adds fuel to the demand for treatments that everyone can access; current research into options such as MDMA-assisted psychotherapy backs this need (Michael C Mithoefer et al., 2019). In this essay, I’ll take a closer look at how EMDR might be a key tool in easing grief and trauma, ultimately building up resilience and nudging recovery along.

EMDR can help alleviate past trauma through a series of eye movements and guided affirmations with affective and cognitive scales to help determine improvement
Please also review AIHCP’s Grief Counseling Certification.  Licensed therapists can utilize EMDR with grief counseling and find great benefits for the clients.  Please bear in mind, non licensed grief counselors are not able to utilize this type of therapy to treat trauma.  Please click here to learn more about AIHCP’s Grief Counseling program

A. Definition of EMDR (Eye Movement Desensitization and Reprocessing)

The concept of Eye Movement Desensitization and Reprocessing (EMDR) is a therapeutic approach specifically designed to alleviate distress linked to traumatic memories that often persist in the mind, leading to ongoing emotional turmoil. Rooted in the understanding of how trauma can fundamentally alter cognitive and emotional processing, EMDR employs bilateral stimulation—often through guided eye movements—as a means to facilitate the reprocessing of these distressing memories and emotions. By engaging in this process, individuals can access and integrate traumatic experiences, thereby reducing the symptoms associated with PTSD and other trauma-related disorders, which can severely impair one’s day-to-day functioning. Research indicates that EMDR is effective in enabling clients to reframe their emotional responses and the negative symbols linked to traumatic events, as highlighted by the integration of modalities like play therapy, which allows clients to express their emotional experiences non-verbally during treatment (Odden et al., 2019). Furthermore, somatic experience techniques, which resonate with EMDR principles, emphasize the connection between mind and body, fostering a holistic recovery from trauma by acknowledging how physical sensations can carry emotional significance (Schlief et al., 2023). This multifaceted approach underlines the versatility and efficacy of EMDR, revealing its capacity to promote deep healing and transformation in clients. By addressing the complex interplay between cognition, emotion, and the body, EMDR provides a comprehensive framework that empowers individuals to reclaim their lives after the devastating impact of trauma. Through this transformative process, individuals often experience an enhanced sense of agency and well-being.

One pivotal aspect of EMDR is how it understands the storage of memories.  EMDR relies on the Adaptive Information Processing as a way to understand trauma.  Similar to the concepts associated with PTSD and the inability of certain traumas to properly store in the brain, AIP also understands how trauma does not allow the brain to smoothly collect information and instead can cause a disrupt in storing memories.  Francine Shapiro who first coined the term, then looked to better understand how rapid eye movement could de-sensitize the brain to acute and traumatic movements.

B. Overview of grief and trauma as psychological issues

Grief and trauma often mix together and hit both people and communities hard. Losing someone close stirs up an emotional storm that can really throw everyday life off balance—even though, generally speaking, it’s something everyone faces. The messy side of grief, especially when it sticks around or gets even more complicated, tends to upset the usual ways we classify psychological issues; some recent meta-analyses on treatment effectiveness have hinted at these gaps (Morozow et al., 2014). A sudden or even violent loss usually ups the chances of running into long-term problems like persistent complex bereavement disorder (PCBD), depression, or posttraumatic stress disorder (PTSD) (Boelen et al., 2020). Given these challenges, there’s a clear need for treatments that are just right for the situation; for instance, eye movement desensitization and reprocessing (EMDR) is sometimes turned to as a way to help people start feeling a bit better and work through their grief and trauma.

C. Importance of addressing grief and trauma in mental health

Grief and trauma lie right at the heart of mental health issues; people dealing with these struggles can find their emotional and mental balance thrown off quite badly. Some studies suggest that methods like Eye Movement Desensitization and Reprocessing—EMDR, as it’s often called—can slowly loosen the grip of painful memories, easing symptoms of both PTSD and that lingering complicated grief. The way EMDR kinda works is by dulling the sting of those raw memories, helping folks get a firmer handle on their feelings and build up a bit more inner strength along the way. There’s also a growing trend of mixing in body-based therapies, like Dance/Movement Therapy, with EMDR – a combo that seems to nurture stronger bonds between client and therapist while creating a safe space to work through trauma ((Woods et al., 2024)). This well-rounded approach not only digs into the emotional wounds but also seems to tweak how the brain processes fear and manages emotions by engaging key neural pathways ((Boccia et al., 2015)). In the end, if we truly want mental health care that makes a difference, then giving grief and trauma the focused attention they deserve is absolutely essential.

II. Understanding EMDR

Through slow and fast bilateral movements of the eye, EMDR therapists help clients re-store trauma in a healthy way

Emerging as a prominent therapeutic approach, Eye Movement Desensitization and Reprocessing (EMDR) plays a critical role in addressing grief and trauma with remarkable effectiveness. This innovative technique not only aids individuals in processing distressing memories linked to painful experiences but also integrates emotional, cognitive, and physical responses in a harmonious manner. This comprehensive approach makes EMDR particularly effective for those grappling with complicated grief, a condition often marked by intense and prolonged emotional suffering. Research reveals that EMDR can significantly decrease symptoms associated with anxiety, depression, and grief, suggesting its efficacy in supporting emotional resilience in affected individuals, allowing them to navigate through their feelings more adeptly. Furthermore, the possibility of integrating EMDR with body-based therapies, such as Dance/movement therapy (DMT), enhances the therapeutic alliance, creating a safe and nurturing environment for individuals to explore their emotions. This integration not only fosters a greater sense of safety during treatment but also addresses the somatic aspects of emotional healing (Woods et al., 2024). Despite the complexities associated with diagnosing complicated grief, EMDR stands out as a viable intervention that can address these numerous challenges, particularly when traditional methods lack the necessary clarity and consistency (Morozow et al., 2014). Through understanding the principles and mechanisms of EMDR, practitioners can better equip themselves to assist clients confronting the multifaceted nature of grief and trauma. Thus, understanding EMDR is essential in the broader landscape of grief and trauma therapy, as it offers vital insights and strategies that can lead to profound healing experiences for those in need. Again, it is important to relate how the brain stores trauma and how EMDR helps the brain properly identify the trauma and store it properly.

EMDR itself has a series of phases each session.  The first phase is history taking of the patient and event and also assessment if the memory fits criteria for EMDR.  The second phase involves preparation for the client and any questions.  The third phase involves assessment where a series of affective and cognitive scales of thinking and feeling are rated based on the past trauma.  The fourth phase involves desensitization to the event, followed by the fifth phase of installation which presents a more positive feeling or re-interpretation of the event.  Following this, the therapist, helps the client conduct a body scan of all physical reactions to the event and memory. If somatic distress is identified, the therapist helps the client work through that distress and find closure.   Closure itself is the next step and involves discussing the memory and if the memory did is not resolved, safety steps are given until the next session.  Finally, phase eight reviews and re-evaluated the feelings at the start of the session and how one feels afterwards.

A. Historical background and development of EMDR

Eye Movement Desensitization and Reprocessing (EMDR) therapy has a pretty interesting backstory – one that many see as a game-changer in dealing with trauma. Back in the late 1980s, Francine Shapiro noticed something odd; she found that simple eye movements could ease the emotional weight of painful memories. This wasn’t your typical cognitive-behavioral approach—rather, it wedded basic thinking processes with balanced stimulation, resulting in outcomes that often surprised folks. You can spot this idea recurring in trauma treatment guides, which tend to point out that personal trauma is closely tied to how modern society shapes our sense of self (especially when experiences are filtered through systems like managed care and common cognitive views) (Lord et al., 2014). As research generally backdropped these early findings, the use of EMDR slowly morphed to tackle trauma’s many layers, emphasizing—if you will—the need for a more culturally aware and personal understanding of every individual’s experience (St. John et al., 2016).

B. Mechanism of action: How EMDR works

The mechanism of action underlying Eye Movement Desensitization and Reprocessing (EMDR) therapy is both complex and multifaceted, involving various neural pathways that contribute to its efficacy. At its core, EMDR appears to facilitate the processing of traumatic memories by employing a method known as bilateral stimulation, which is thought to stimulate the anterior cingulate cortex (ACC). This specific brain region plays a crucial role in fear conditioning and the regulation of emotions, making it an integral part of the therapeutic process. Research has consistently shown that individuals diagnosed with post-traumatic stress disorder (PTSD) exhibit notable alterations in the activity of the ACC, suggesting that EMDR not only helps to diminish the symptoms associated with these traumatic experiences but also fosters neuroplastic changes within this vital area of the brain (Boccia et al., 2015). Furthermore, this therapeutic approach has the potential to enhance the process of memory reconsolidation. By doing so, EMDR allows clients to reframe their traumatic experiences and seamlessly integrate them into a more adaptive and healthy narrative, which can lead to lasting emotional relief. Although additional studies are warranted to fully understand the underlying mechanisms, preliminary findings provide compelling evidence that EMDR can significantly improve treatment outcomes for individuals suffering from PTSD. This is particularly notable among vulnerable populations, such as female juvenile delinquents, who often experience disproportionately high rates of trauma and the associated psychological symptoms (Knapp et al., 2006). The combination of these effects underscores the potential of EMDR as a transformative treatment strategy.

EMDR focuses on activating past traumatic memories and calming the person about the event and reconstructing it.  Hence the eye movements associated with closely resemble REM sleep and help the person process unprocessed memories.  When trauma is not properly stored it can continue to haunt, but with EMDR, the story can find resolution and be properly stored.  The therapist utilizes short bilateral movements to help calm in some sessions, or faster bilateral movements to activate the memory in other sessions.  The use of a finger, timing device, or hand held clicker can help the person find a proper sequencing to replicate REM.  With eyes closed, the person will gradually go deeper and deeper into a more submissive mindset.  This is accomplished via calming techniques and imageries directed by the therapist.  After one feels safe and is able to reflect on the particular memory, the therapist asks a series of questions about the event, regarding how one felt about the event in the past, as well as how the event makes one feel  now.  If someone states they feel unworthy or unloved, that emotion associated with the event is rated on a numerical scale of intensity.  In addition, one’s feelings about the event tied to anxiety is documented prior to starting the session.  The first scale is the Validity of Cognition Scale or VOC.  This scale accesses the client’s feelings about the event,  The therapist will ask on a scale of 1 to 7  how one feels in relation to the event of the past, with 1 feeling completely false and 7 being completely true to the statement.  While this scale judges cognitive assessment of the past and current understanding, the next scale accesses the affective or emotional.  The subjective units of disruption scale or SUD looks at a scale of 0 to 10  how the person feels now regarding the event with 0 representing neutral and 10 highest anxiety.  As the session continues, one relates the incident as well as how one feels regarding it.  The therapist over a 15 minute period will direct the client to continue to relate the event and then again reassess how one feels.  Throughout the processing, the event is retold but also one’s perception of what occurred.  This should lead better emotional statements about the past event as well as less anxious thoughts about it.  The key is to help the brain process and properly file the traumatic event which was unable to be properly stored in the past.  By accessing the before and after cognitive and affective scales, the therapist can ascertain the client’s state of mind.

C. Evidence supporting the effectiveness of EMDR in treating trauma

Recent research seems to show that EMDR helps people deal with trauma, especially PTSD. A lot of study points to EMDR easing PTSD symptoms, letting folks work through their trauma more effectively. One meta-analysis, for example, noted that changes in the anterior cingulate cortex often pop up when someone endures traumatic events – suggesting that therapies like EMDR might give this brain area a little extra push in calming fears (Boccia et al., 2015). In many cases, blending EMDR with bodywork approaches, such as dance/movement therapy, appears to boost emotional and physical integration, which, in turn, can help with self-regulation and body awareness (Woods et al., 2024). All in all, these findings generally indicate that EMDR not only cuts down trauma symptoms but also lifts overall psychological well-being, making it a key element in handling both grief and trauma.

EMDR has high rates of success with patients.  It does involve recalling some uncomfortable moments in life, which can cause some stress and also lead it to being used only on certain days or once a week at most.  However, it can successfully help individuals with past trauma, anxiety, loss, and grief better deal, cope and heal.  Under the guidance of a trained therapist in EMDR, one can be prepped and face little danger in recounting events.  The therapist can help ground oneself if discomfort arises, or help one navigate various triggers.  With such proven results, it is a good option.  While it may not be for everyone, it is definitely something in the therapist’s tool box that can be utilized.

III. EMDR and Grief

EMDR can help individuals face past loss and grief. Please also review AIHCP’s Grief Counseling Program

Grief, an inherently complex emotional response, often intertwines with trauma, particularly for individuals who have experienced significant loss under distressing circumstances. This connection can make the grieving process particularly challenging, as the emotions tied to the loss may be compounded by memories of trauma. In this context, Eye Movement Desensitization and Reprocessing (EMDR) emerges as a viable therapeutic option for alleviating the burdens of grief and associated trauma. Research indicates that EMDR effectively targets the neural pathways involved in emotional processing, helping individuals refocus and reframe their grief experiences (Boccia et al., 2015). This therapeutic approach is particularly pertinent for those who might grapple with unresolved trauma that complicates their grieving process; unresolved trauma can obstruct the efficacy of conventional talking therapies, which may inadvertently exacerbate emotional pain and create feelings of helplessness (Clark et al., 2013). Unlike traditional methods that may solely rely on verbal expression, EMDR incorporates bilateral stimulation to facilitate the processing of distressing memories, thereby allowing individuals to process their grief in a nuanced and thorough manner. By providing a structured environment for processing painful memories, EMDR helps individuals navigate their grief in a healthier manner, facilitating a more adaptive integration of their experiences. This innovative approach ultimately aids in their journey toward healing, promoting resilience and a deeper understanding of their emotional landscape. As such, EMDR proves to be a transformative intervention that supports those dealing with profound grief, empowering them to reclaim their lives in the aftermath of loss.

A. The impact of grief on mental health

Grief can really shake up your mental state, often dragging along a mix of challenges that chip away at overall well-being. When someone experiences loss, the heavy feelings aren’t just fleeting sadness—they can twist into bouts of anxiety, depression, and disruptions to everyday life. Sometimes, these reactions get tangled up and stick around longer than expected, complicating things in a way that affects how people relate to others. Research generally suggests that a careful, targeted kind of help is needed to mend these mental hurts. While older, traditional methods might offer a bit of relief, there’s growing evidence that treatments like cognitive-behavioral therapy tend to work better when grief becomes really complicated. In most cases, newer approaches—like somatic techniques that mix physical work with emotional healing—have shown promise in softening the sharp edges of trauma symptoms. Bringing together a blend of these different therapies seems pretty essential for anyone wading through the messy, stormy course of grief and trauma (Morozow et al., 2014), (Schlief et al., 2023).

B. How EMDR can facilitate the grieving process

The grieving process can often feel overwhelming, as individuals navigate the complex emotions and memories associated with profound loss. Eye Movement Desensitization and Reprocessing (EMDR) can facilitate this process by helping individuals effectively reprocess traumatic memories that are intricately linked to their grief, thereby promoting much-needed emotional healing. Research indicates that EMDR allows for a safe exploration of distressing memories, activating common neural networks that support both cognitive and emotional integration, which is fundamental to the healing journey. This integration is critical, as it helps individuals develop healthy coping strategies while simultaneously reducing the symptoms of anxiety and depression that frequently accompany grief, creating a more manageable emotional landscape (Woods et al., 2024). Furthermore, incorporating body-based approaches, such as dance/movement therapy, can significantly enhance the EMDR process. By fostering a greater sense of safety and a stronger therapeutic alliance, these integrative methods can create a more holistic healing experience. Such integration not only enriches the EMDR experience but also provides a creative outlet for expression, making it an invaluable tool for those navigating the rocky terrain of grief. Through this multifaceted approach, individuals may find empowerment to engage with their pain in a constructive way, ultimately leading to the transformation of their grief experience into a pathway for growth and resilience (Greenberg et al., 2017). By addressing both emotional and physical dimensions of grief, EMDR offers a comprehensive strategy for healing.

C. Case studies demonstrating EMDR’s effectiveness in grief therapy

Grief counseling has recently seen a shift—one that brings in EMDR, or Eye Movement Desensitization and Reprocessing, which lately has caught many a therapist’s eye because of a bunch of promising case studies. Various reports suggest that EMDR not only helps ease the intense symptoms tied to traumatic loss, but it also seems to assist in processing grief in ways that feel more natural, more adaptive. In many cases, clients dealing with particularly complicated grief report noticeable gains in how they regulate their emotions and even show some improvement in their thinking flexibility after trying EMDR. There’s also been talk about mixing things up by pairing EMDR with techniques like Dance/Movement Therapy (DMT) – a blend that some say tweaks the therapeutic bond and creates an extra sense of safety, which is, after all, pretty key in healing. This kind of mashup seems to let people dive deeper into their sessions, tackling not just the emotional side of grief but the physical, too. And if you listen to research, you’ll hear that EMDR might even trigger certain neural changes that boost its effects against trauma linked to loss, thereby cementing its role in today’s grief therapy practices (Boccia et al., 2015), (Woods et al., 2024).

IV. EMDR and Trauma

In recent years, Eye Movement Desensitization and Reprocessing (EMDR) has emerged as a critical psychological intervention for individuals grappling with trauma and grief, particularly in contexts involving acute stress disorders that may arise from various distressing experiences. This therapeutic modality has demonstrated remarkable efficacy in addressing the often debilitating symptoms associated with post-traumatic stress disorder (PTSD), a condition that significantly affects both social and occupational functioning among trauma survivors, including those who have experienced motor vehicle accidents (MVAs) (Boccia et al., 2015). The neural underpinnings of PTSD reveal distinct alterations in brain structures, such as the anterior cingulate cortex, which are positively influenced by EMDR practices. These techniques engage the limbic system through targeted desensitization strategies aimed at processing traumatic memories in a safe environment (Boccia et al., 2015). Beyond these foundational techniques, research shows that integrating EMDR with body-based therapies, such as dance/movement therapy (DMT), not only enhances emotional processing but also fosters a profound sense of safety, thus enriching the overall therapeutic experience for individuals undergoing treatment. These holistic approaches and the combination of EMDR with somatic methods work together to create a more comprehensive healing journey. Collectively, these diverse strategies highlight EMDR’s significant role in facilitating profound healing from trauma and grief while also empowering individuals to reclaim their lives and enhance their emotional resilience in the aftermath of distressing events. As such, EMDR stands as a robust therapeutic option in the growing field of trauma recovery and mental health.

EMDR has 8 phases to help clients re visit past trauma. It helps one desensitize to past trauma and reaffirm positive thoughts and feelings to the trauma

A. Types of trauma that can be treated with EMDR

The versatility of Eye Movement Desensitization and Reprocessing (EMDR) therapy extends to a wide array of trauma types, offering significant relief for individuals grappling with various distressing experiences. Notably, EMDR has proven effective for those suffering from complicated grief, a state marked by prolonged and intense mourning that can significantly impair well-being. Research indicates that EMDR facilitates the processing of traumatic memories related to loss, thereby alleviating symptoms of complicated grief that may not respond to traditional therapies (Morozow et al., 2014). Additionally, EMDR addresses trauma stemming from events such as natural disasters, interpersonal violence, and childhood abuse, illustrating its comprehensive applicability across different domains of trauma. Furthermore, instances of emotional trauma related to accidents, sexual assault, and military combat have also shown significant improvements through EMDR, making it a valuable option for those affected by such distressing events. Moreover, integrating EMDR with Dance/movement therapy (DMT) can enhance its effects by fostering emotional and physical expression, thus further supporting individuals in their journey to process grief and trauma (Woods et al., 2024). This combined approach not only aids in alleviating the emotional burden but also encourages a deeper connection with one’s body, providing a holistic path to healing. By considering the many facets of psychological distress that individuals may face, we can appreciate the profound impact of EMDR in addressing a range of traumatic experiences. This multifaceted approach underscores the significance of EMDR in therapeutic contexts, confirming its role as a critical instrument in enhancing emotional resilience and overall mental health.

B. Comparison of EMDR with traditional trauma therapies

Comparing EMDR with more traditional trauma treatments shows that even small differences in how we approach healing can really matter for folks grappling with grief and trauma. Standard methods tend to stick with talking through the painful memories—basically, they rely on a cognitive-behavioral style of sorting things out verbally. EMDR, on the other hand, works by using a kind of back-and-forth stimulation that helps blend emotional, mental, and even physical pieces of a memory together ((Woods et al., 2024)). In most cases, while cognitive-behavioral techniques can help—especially in those trickier grief situations—they sometimes miss that flexible, almost body-focused touch that EMDR offers, which can lead to better emotional balance and a feeling of safety during treatment ((Morozow et al., 2014)). All in all, this different approach gives EMDR a neat edge in dealing with complex feelings, strengthening the bond between therapist and patient, and crafting a treatment path that fits each person a little more uniquely.

C. Long-term benefits of EMDR for trauma survivors

Eye Movement Desensitization and Reprocessing (EMDR) isn’t just a quick fix—it often brings lasting change for trauma survivors. It goes beyond immediate symptom relief, slowly reshaping how people cope with emotions and improving overall well-being. In many cases, by mixing different treatment approaches, EMDR helps ease anxiety, depression, and grief while giving individuals a chance to rethink their personal narratives and, gradually, rebuild their lives. This method, with its strong focus on boosting body awareness and fine-tuning self-regulation, plays a crucial role in keeping mental health on track over time (Woods et al., 2024). Research generally shows that EMDR can also strengthen the connection between therapists and clients, leaving survivors with a greater sense of safety and support during their recovery journey (Woods et al., 2024).

V. Conclusion

EMDR has a very successful rate for clients. Please also review AIHCP’s Grief Counseling Program

In conclusion, the evidence supporting the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) in addressing grief and trauma is not only compelling but also offers significant insight into its potential role as a transformative intervention for individuals grappling with complex emotions and psychological distress. EMDR goes beyond mere memory recall; it actively facilitates the processing of traumatic memories while simultaneously integrating a person’s emotional, cognitive, and physical experiences, showcasing its unique effectiveness particularly in relation to body-based therapies such as Dance/Movement Therapy (DMT) (Woods et al., 2024). Furthermore, the inherent challenges associated with diagnosing complicated grief highlight an urgent need for innovative therapeutic approaches tailored to individual needs. Studies increasingly indicate that targeted interventions are vital for those experiencing persistent and debilitating grief symptoms, thereby reinforcing the relevance and utility of EMDR as a structured method specifically designed to alleviate suffering and provide relief (Morozow et al., 2014). As mental health practitioners continue to seek enhanced treatment efficacy, the prospect of integrating EMDR with other therapeutic modalities presents an exciting opportunity. Such a combined approach could yield a more holistic framework for healing that addresses not only the nuanced dimensions of grief but also the pervasive impact of trauma on an individual’s overall well-being. In light of these considerations, leveraging EMDR within a comprehensive treatment strategy may not only foster resilience but also empower individuals on their journey toward recovery, emphasizing its importance in contemporary therapeutic practices.

Please also review AIHCP’s Grief Counseling Program and see if it matches your academic and professional goals.  Again, it is important to note that grief counselors who are also licensed social workers or counselors with EMDR are permitted to utilize this therapy with grief.  Pastoral or non licensed grief counselors can only reference it and recommend their clients find a professional who offers it.

A. Summary of key points discussed

Eye Movement Desensitization and Reprocessing (EMDR) pops up as a way to handle grief and trauma, and there’s a bunch to unpack about it. Somatic experience techniques, for instance, have been showing some promise by easing trauma symptoms through a kind of mind-body hookup, which kinda helps release those pent-up feelings—both the emotional and the physical ones (Schlief et al., 2023). Grief itself can get really messy, especially when it sticks around or gets complicated enough to need special attention. When folks looked over different treatment strategies, they noticed that not every protocol fits neatly, as mentioned in (Morozow et al., 2014), hinting that our guidelines for tough cases of grief might need a bit more clarity. In most cases, blending EMDR’s approach with these broader therapeutic tips seems to offer a well-rounded path toward recovery—one that doesn’t ignore the many twists and turns of grief and trauma. All in all, it feels like there’s a natural flow here that, even if it isn’t perfectly polished, speaks to the layered nature of our emotional struggles.

B. The significance of integrating EMDR into therapeutic practices

Using Eye Movement Desensitization and Reprocessing (EMDR) in therapy is crucial when helping people work through grief and trauma. In most cases, it tackles not only how we think about painful memories but also picks up on the physical reactions that often come along with them. Recent readings even suggest that body-focused methods—like using EMDR alongside Dance/movement therapy (DMT) (Woods et al., 2024)—can create an environment where individuals feel safer and are more open to expressing emotions. Mixing these approaches gives clients a sort of toolbox for getting in tune with their bodies and improving self-regulation, which, in turn, can make dealing with tough memories a bit easier. Somatic therapies, after all, remind us that both mental and physical wounds need attention, underlining that the mind and body are really connected (Schlief et al., 2023). By combining EMDR with body-based techniques, therapists generally craft a more well-rounded, effective healing plan that often leads to better outcomes for those facing grief and trauma.

C. Future directions for research and practice in EMDR therapy

EMDR therapy is getting a lot of attention these days, and that has folks wondering how we might get even better at using it for grief and trauma. Instead of sticking to a neat list, it seems obvious that we need to take a closer look at what goes on in the brain when trauma hits. For instance, some studies have noticed that PTSD comes along with clear changes in the anterior cingulate cortex (ACC); this detail suggests that hitting those specific pathways could be pretty key (Boccia et al., 2015). There’s also a push to see if EMDR can really help groups people sometimes overlook—think, for example, of mentally disordered offenders dealing with trauma tied to their offenses—which might mean rethinking treatment plans to address lingering wounds that hold back rehabilitation (Clark et al., 2013). Generally speaking, if researchers and clinicians start poking around these areas more systematically, EMDR could come into play in more flexible and evidence-based ways across a range of clinical settings.

Additional Resources

“EMDR Therapy”. Cleveland Clinic. Access here

“Eye Movement Desensitization and Reprocessing (EMDR) Therapy’. APA. Access here

“EMDR”. Psychology Today Staff. Psychology Today. Access here

“The History of EMDR Therapy”. EMDR Institute. Access here

Utilization of CBT in Grief and/or Depression

Grief and loss strike an imbalance in life.  During the adjustment process, numerous complications can occur that can veer a person off course in adjustment.  Sometimes Grief Counseling and simple talk can help but other times more powerful forms of counseling are required via licensed counselors with an expertise in grief counseling.  In some cases, therapy involves looking solely at the past and the emotional aspect via Psychodynamic Approach, sometimes professionals utilize a more rational approach through Cognitive Behavioral Therapy, and in some cases, professionals utilize a combination.

CBT helps identify distorted thinking of an event and help the person reframe those thoughts and maladaptive behaviors

Cognitive Behavioral Therapy or CBT has a high success rate in helping complicated and dysfunctional grievers find understanding and meaning in life through examination of the loss and recognition of unhealthy feelings, irrational thoughts and imbalanced behaviors.  It involves intense reflection, grief work and homework, and application to help the person reframe distorted views due to complicated grief or even cases of depression.  Originally utilized by Aaron Beck (1967), it looked to challenge distorted feelings and help the person find healing through rational re-direction.  In essence, CBT recognizes the Cognitive Triangle of thought, behavior and emotion.   Each aspect of human existence affects the other.  Thoughts can positively or negatively affect behavior, behavior can affect emotion and emotion can affect thought.  If any of these are imbalanced, it can create a distortion itself.

Albert Ellis, (1957) was a core contributor to Beck’s thought.  Ellis was discouraged by the limitations of psychoanalysis and limitations of only becoming aware of an emotion but wanted tools to cognitively help the person move forward.   Ellis drafted the ABC Model which identified a triggering or Activating event with a belief that in turn caused a consequence.  An activating event could be labeled as any traumatic event or loss that in turn was interpreted by the person.  In complications of grieving, the interpretation or belief regarding the event many times caused negative consequences, instead of the event itself.  The purpose of the therapy was to revisit the event, understand it and correlate proper consequences from the objective nature of the event instead of subjective beliefs or faulty conclusions.  Hence irrational, unhealthy, and counter productive thinking and new distorted behaviors from an event are key elements within complications of grieving.  CBT looks to challenge those ways of thinking and behaviors with an indepth cognitive, intellectual and rational discussion to help correct the emotions and behaviors via better thinking or reframing.

Cognitive Distortions 

Individuals who suffer from depression or complications in grieving generally have a faulty cognitive view of reality.  Due to the event, loss, or trauma, there is a type of worldview that haunts them and adversely affects their emotional and behavioral response to life.  For those suffering from depression or complicated loss, many have a variety of distorted views which include:

  • All-or-nothing thinking: Viewing situations in binary terms, without considering nuance.
  • Catastrophizing: Anticipating the most adverse outcomes without empirical justification.
  • Mind Reading: Presuming to understand others’ thoughts without direct evidence.
  • Emotional reasoning: Basing conclusions on emotions rather than objective data.
  • Labeling: Characterizing oneself or others based on a singular trait or event.
  • Personalization: Attributing external events to oneself without a clear causal line

 

McCleod. S. (2023). Cognitive Behavioral Therapy (CBT): Types, Techniques, Uses. Simple Psychology.  Access here

As McCleod points out, many of these distortions are assumptions that usually are tied to lower self image or negative self schemas.  These negative self schemas play a key role in the illogical thinking and ideals of a depressed person

Cognitive Triad and Cognitive Distortions 

Beck used the example of the Cognitive Triad that illustrated three ideals of self, the world, and the future.  In all cases of depressed individuals, the self image of the person was negative, the ideal that the world hated them was present and that the future possessed no future blessings.  Beck theorized that this triad stemmed from a negative schema in life that originated from a negative life event that was never processed properly.  This in turn led to a complication in grieving or adjusting.  From these events, a series of even more cognitive distortions emerged within the depressed person in how they viewed life itself.

Among the many included magnification of bad events or minimization of good events, over personalization of others emotions as if they are correlated with oneself, and  improper correlation of negative causal events with oneself (select abstraction).  As one can imagine, a depressed person is trapped not only with emotional imbalance but is also haunted daily with these negative cognitive sequences

CBT Process

CBT challenges these thoughts.  It looks for one to reframe them and see things in different lights.  It looks to gain a better understanding of these thoughts and behaviors and incorporate better problem solving ways to deal with them.  This reframing involves first a serious discussion and revisiting of the activating event and understanding it more objectively.  Sometimes the therapist will utilize exposure therapy with the patient, asking them to discuss and think about the past incident.  For more traumatic or painful memories, this takes time and over sessions, longer exposure occurs.  Sometimes, this is through direct memory or pretending to be a bystander watching the past.  This challenges the person to face one’s past, fears and trauma and move forward.

Following analysis, one is asked to discuss thoughts and emotions associated with the event.  This is where illogical and damaging thoughts and behaviors can identified and weeded out.  The patient is given alternative ways of thinking and reframing thoughts about the event, as well as ways to better cope with daily issues.  This is key in helping the individual.  The therapist not only unroots the cognitive distortion but also gives the patient the psychological and mental tools necessary to alter negative thoughts and behaviors in association with the event.  Sometimes, the therapist and patient can role play a future event to help the patient better prepare for interaction.  Other tools include meditation and ways to calm oneself when a potential social trigger presents itself that can challenge the new reframing.

CBT gives the patient the opportunity to also be their own therapist.  To work through issues, apply skills and complete homework assignments.

It is essential in CBT to identify and recognize the distorted thought or maladaptive coping in response to the event and give the person the tools necessary to properly understand the issue and reframe it for healing purposes.  CBT usually takes 20 sessions or so to finally uproot the issue and help reframe and correct distorted thinking.

Limits of CBT

While CBT is successfully, it can have limitations.  It is based primarily upon the cognitive thought process and looks to correct maladaptive coping and distorted thoughts to help the person find balance, but other therapies, such as the Psychodynamic Approach Looks at the emotional response stemming from the past event and how that event negatively affects present day emotions.  The Freudian Psychodynamic Approach finds the repressed feelings and how to cope with those feelings.  If utilized in combination with cognitive, I feel both approaches integrated can help the person have a more holistic and complete person healing process.  The other limitation of CBT is if solely utilized as talk, it does not address the chemical imbalance within the brain and neurotransmitters.  Sometimes, serotonin balance is necessary and depression medications are necessary to help a person find new balance and alter thought process.

Hence, a multi faceted approach is sometimes necessary in treating a person, not merely an intellectual approach.  This does not mean CBT is not highly effective. It is extremely useful tool in helping individuals reframe negative thoughts and behaviors due to an incident and helping them correct those issues.

Conclusion

Please also review AIHCP’s Grief Counseling Certification and see if it meets your academic and professional goals

CBT and other therapies combined are excellent ways to help correct complications in grieving stemming from distorted thinking and helping the individual from an intellectual standpoint reframe and understand the loss in a logical way void of false images.  It is a heavy talk based therapy that asks one to revisit the past, rethink and reframe it, and correct distorted thoughts and behaviors.  It sometimes requires additional therapies with it to help others overcome depression or complications in the grieving process but overall is very successful.  This type of therapy or any grief therapy is reserved for licensed therapists.  Pastoral grief counselors who are not licensed need to refer more serious cases of grief and loss to these types of licensed counselors.

Please also review AIHCP’s Grief Counseling Certification.  The program is open to both licensed and unlicensed Human Service professionals and offers an online and independent program that leads to a four year certification.

Additional Resources

“Cognitive Behavioral Therapy (CBT)”. Cleveland Clinic.  Access here

“What is Cognitive Behavioral Therapy?”. (2017).  Post Traumatic Stress Disorder. APA. Access here

Raypole, C. & Marcin, A. (2023). “Cognitive Behavioral Therapy: What Is It and How Does It Work?”. Healthline.  Access here

“Cognitive Behavioral Therapy” Psychology Today.  Access here

 

Grief Counseling Certification Video on Sport’s Grief

In sports there are expectations by players and fans alike.  When those expectations are not met there is a sense of loss.  Grief is common in sports.  Noone likes to lose a game and while it builds character there can be some sadness.  Too much sadness or extreme emotional distress are signs of deeper issues

Please also review AIHCP’s Grief Counseling Certification and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a four year certification in Grief Counseling

Grief Counseling Program Blog on Problems within a Bereavement Support Group

Problems occur within any plans.  It is part of life.  Support groups are not immune.  Despite the best plan, the best curriculum,  and best training, one still will encounter various issues within a support group.  If flexible and organized, most issues will not be objectively with the set up or the schedule, but will instead come from within.   With so many personalities and the issue of grief itself, there will be bumps in the road.  Individuals will have certain needs or react different ways. Please also review AIHCP’s Grief Counseling Program

Pre-screening the group can help.  Discovering individuals who do not want to be there or who are not ready to be there is important, but they still can slip through and issues can arise.  Within even the perfect set up, various red flags can emerge.  There may be an unwillingness for most to speak, or long winded individuals.  Some members may be more focused on themselves, or others may feel the group is not helping.  As the leader of the group, it is important to know when to stop and discuss to others privately and how to deal with conflict during the meeting itself.  Please review AIHCP’s Grief Counseling Support Group Program

Numerous red flags can emerge within a support group. Please also review AIHCP’s Grief Counseling Program and see if it meets your goals

 

If preparation for meetings is present, there is still the chance expectations may not meet the desires of group members.  If this is not rectified, then the group is doomed to failure.  It is important for everyone to be on the same page and have a clear understanding of objectives.  This is why is it so important to lay out the schedule and plan, identify the grieving process and help others along the process.

Alan Wolfert describes a variety of problem personalities that can cause issues in a group if it is not met with strong leadership.

One type of personality is an absent one.  This individual misses the majority of meetings or does not do homework.  Some are just to numb from the loss to share. One way to to prevent this is to make the effort to include everyone in the meeting and their importance.  Creating safe ways to introduce this individual to the meeting is key.  Sometimes helping this individual privately is also important.  As long as they are present, sometimes, their passive nature can be permitted as long as the leader understand the member is understanding the process.

An individual who was forced to join the group can be a big problem.  This type of individual will not be receptive and remain standoffish.  Many times, they are only entering the group to please others.  It is important to pre-screen this type of individual but if not, one needs to try to make the person feel as welcome as possible.  If things do not improve, a private meeting with an option to leave the group may be the only alternative.

Other individuals can the opposite problem.  Many of these personalities may push their own agenda.  Some may consider themselves experts on grief.  Initially, this may be a self defense mechanism.  However, a know it all can be detrimental to the group.  Sometimes it is best to thank this type of individual for their knowledge, but to push it to how the individual feels.  Try to pull out the feeling, not their intellect.  Others love to give advice.  Advice obviously as a ground rule is something only given upon request, but many feel the need to advice others.  It is important to correct unsolicited advice in a kind and gentle manner.

Some individuals like to preach.  Their preaching may be long winded as well as unwanted.  Many ways this prevents anyone from every knowing what he or she feels.  It important to keep the question on this individual in how he or she feels, not how others should feel.  Closely related to this or highly spiritual and judgmental individuals who believe everyone should believe the way they do.  It is important to maintain a spiritual atmosphere but also a conclusive one.  An individual who looks to push his or her own religious agenda as a way to cope can be detrimental to the group.

In addition, there are personalities who blame, challenge and interrupt.  Obviously these types of attitudes cause chaos.  One pushes blame away from the source of grief, while the other challenges the competency of the leader, as well as prevents others from sharing.  It is important to not tolerate any type of interruptions and abide by rules of the group.  In regards to challengers, it is important to hear it, but to not allow it to force a debate with you as a leader with a group member.   It is important to not be defensive and allow the group to see through the charade of the challenger.

Understanding the various needs of the support group can help guide everyone through the grief process. Please also review AIHCP’s Grief Counseling Program

 

Other individuals will try to avoid the grief work through other ways.  They will ramble about things not related to the grief work or look to socialize.  Many of these attitudes are shields to avoid their own pain, so again, it needs to be stopped but in a gentle and caring way.  It is important to keep the group on track and ready.

As a group leader, there will be plenty of challenges in merely planning and organizing the meeting but there are always issues that can arise within the group itself.   Be easy on oneself if it is first time conducting a group.  Evaluate oneself truthfully and see how one managed the problems.  As time continues and one gathers more group experience, one will be better equipped and ready to identify these group distractions and better handle them.

Please also review AIHCP’s Grief Counseling Program and see if it matches your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a four year certification in Grief Counseling.

Source: ” The Understanding Your Grief Support Group Guide: Starting and Leading a Bereavement Support Group” by Alan Wolfert, PhD

 

 

Grief Counseling Program Blog on Trauma and Restoring Intimacy

Sexuality and intimacy are crucial aspects of human life.  It allows two to bond and share the deepest feelings with a wholesome sexual experience.  An experience that is pure and filled with love as opposed as corrupt and full of hate.  During trauma, individuals can lose intimacy and a healthy understanding of love and sex.  This can create obstacles to fully reacclimating into society because one is not able to form a new bond or attachment with another human being.  The act of intimacy and the act of sex in themselves can also become triggers and reminders of past abuse and push the person away from these normal and healthy bonds.  Please also review AIHCP’s Grief Counseling Program

One who has experienced trauma must eventually face intimacy, trust and friendship and if desired, a more deeper friendship in the contract of a sexual relationship.  Unfortunately, trauma makes this difficult and can prevent the person from an important fountain of healing that can bring the person closer to becoming one again.  In this article, we will look at a few issues of intimacy and sexuality that someone who has faced trauma will deal with and how that someone can learn to trust and love again.  Please also review AIHCP’s Grief Counseling Courses

In intimacy, one opens oneself to another.  This can mean many things to a survivor of sexual trauma or betrayal.  One feels the loss of a control.  In isolation, one feels one has the power to control what occurs and the fear of opening oneself, puts oneself partly at the power of another.  It is exactly this power that a trauma survivor fears.  In addition, trauma survivors fear abandonment.  If one opens up, then one risks the chance of being hurt and betrayed again.  Hence many experience abandonment issues.   Intimacy also opens up the chance of rejection.  Trauma survivors fear the thought of being rejected for who they are and may very well reject someone before they can be rejected.

It is important with intimacy to accept fears.  This is the hardest part, but only until one dismisses the fears, can one again learn to have a trusting relationship.   The fear may be in the other person, or in one’s own tendencies but one cannot have the healing powers of intimacy without trust and letting fears go.  One also needs to reject ideas and notions that can block intimacy with others.  Many who have been traumatized universally label everyone.  All men/women are bad is a common over generalization.  The perpetrator was not good but not all people are bad.  This central concept can take time to finally become a reality again. Other false narratives include assuming no one has every experienced what one has experienced, or that one cannot ever burden another with one’s issues.  In addition, others feel unloved and if anyone ever knew what occurred, then that person would no longer be lovable.  Flaws are seen as more prominent and as a sign of weakness, when in reality everyone has flaws.

It can be difficult after trauma to again show intimacy and open oneself up. Please also review AIHCP’s Grief Counseling Program

 

Learning how to discuss the past and discuss the future are critical communication skills.  Individuals who fear intimacy need to be better able to express to another and share how to handle issues and conflicts.  Without releasing the fear, false notions and opening up communication, then a person suffering from trauma will not be able to open again and find the value and healing within a friendship or a deeper relationship.

One of the biggest blocks to a deeper relationship is again seeing sexuality as wholesome and natural.  Sex in its very nature promotes union, trust, and love but the trauma has distorted the true value of intimacy and sexuality.  Following an assault, sex itself can become a trigger to a PSTD response.  A certain touch can remind one of the trauma and turn something of love into something of abuse.  The person has a hard time viewing sex as holy and the person as sacred.  The rape or assault has stripped sexuality and intimacy of its dignity and the person has difficult times again experiencing these feelings and senses in a positive way.

Sex can also be seen as a way to control others, or it may be a device to fix what went wrong before.  Unhealthy expressions and sexual behavior can result in different directions from fear of sex to promiscuity later in life.  It is hence important to remove these past negative images.  One image that is especially unhealthy is seeing all sexual behavior and correlating it with a sense of disgust.  It is important to learn skills to neutralize this feeling of disgust and help re-evaluate these past negative experiences with positive experiences.

In rebuilding oneself for intimacy and sexual relations, the traumatized need to overcome many hurdles of trust and intimacy but certain steps can help to start the healing process.  Disgust and association with trauma can be overcame with patience and time and understanding from one’s new partner.

It is hence important to again see certain parts of the body as holy and good.  They cannot be seen or associated as evil in themselves.  The action must be separated from the part of the body itself.  Second, one needs to learn neutralize disgust.  Ideas that the body is an object to be used must be dismissed and replaced with ideals that the body is a temple and a gift.  This not only deals with the other person, but also how one views oneself.  One can further separate the feeling of disgust with sex itself and shame.   The shame with trauma needs to be separated from the act itself.  By learning to separate negative feelings and events from the body and act itself, one can better open up to others.  One can then create a new narrative where the event with a different person is not hateful or abusive but instead filled with love and respect.

Unfortunately, while rebuilding each other, partners should be conscious of others past.  Certain boundaries may initially needed and a slow crawl until mutual comfort is met.  Flashbacks can occur and it is important to recreate intimacy and the sexual experience together to form new wholesome memories.  This requires patience, counseling as well as awareness.

Healthy sexuality is the ultimate key.  While intimacy does not necessarily involve sexuality, nor the necessity of entering into a sexual relationship, one must still restore a sense of the sacred to the sexual act.  Sex is not about control, secretive, shameful, wrong, abusive, dis-connective, controlling, superficial, or selfish but instead is a spiritual, emotional and physical act that binds.  It builds self esteem and gives proper pleasures associated with that.  It is celebrated and gives deeper meaning to life.  It does not abuse, but promotes a feeling of unity and safety.  It honors and loves and builds two instead of breaking down another. Finally, it does not reject, but it also accepts the imperfect and celebrates the two.

For some, sex is more than naturally just beautiful but also sacred from a religious view.  Sex in this regard binds two as one before God and calls forward a vocation that goes beyond the symbolic act of sex, but carries itself in all matters of life itself.  Spiritually, the destruction of sex to anything less is not of God and is a misuse of this divine gift to not only bring forth new life but also unify two into one.

Restoring intimacy with a victim of abuse can take time and patience but it can again reveal the goodness of intimacy and love

 

One can restore intimacy, and if desired, a healthy sexuality after assault, but naturally, the traumatized must learn to reprogram one’s mind to not only not fear but to open up and let go past narratives that prevent the leap of love and faith.  The traumatized must also learn differentiate the corruption of the perpetrator from the holiness and goodness of the action itself and how it can be experienced with a good person.

It is a most disgusting sin to harm another through sex because it injures the person not only physically but also emotionally.  It affects one’s ability to feel intimacy again and feel trust.  It is more than a theft of virginity or physical freedom, but is a theft of self, but fortunately, through healing, counseling and prayer, one can again heal.

Please also review AIHCP’s Crisis Intervention Certification, Stress Management Consulting Program as well as AIHCP’s Grief Counseling Certification Program.  The programs are online and independent study and open to qualified professionals seeking a four year certification in these disciplines.

 

 

Source: “The Post Traumatic Stress Disorder Sourcebook: A Guide to Healing, Recovery and Growth” by Glenn R Schiraldi, PhD

PTSD from the Mayo Clinic

PTSD from the National Institute of Mental Health

When PTSD and Intimacy Collide: What Really Happens? By Tia Hollowood

Understanding Intimacy Avoidance in PTSD by Annie Tanasugarn Ph.D., CCTSA

Grief Counseling Program Video on Miscarriage and Loss

The loss of a child via miscarriage is something many women and couples suffer alone.  Since there is usually no body to bury, the miscarriage is seen as less than losing a child.  The woman or couple are left with less support and not seen as parents that loss a child.  This disenfranchisement can cause unresolved grief for the woman or couple.  It is important to recognize the loss of a child via miscarriage.

 

Please also review AIHCP’s Grief Counseling Program and see if it matches your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a four year certification in Grief Counseling.

 

Please review the video below

Grief Counseling Program Video on War and Traumatic Grief

With war comes a type of traumatic loss than many experience.  Whether soldier or civilian, the pain and loss is very traumatic.  The losses can vary from loved ones to home to identity itself.  They can long term consequences of depression, prolonged grief and PTSD.  The losses are so severe that they can implant a death imprint on the very person.

Please also review AIHCP’s Grief Counseling Program and see if it meets your academic and professional goals. The program is online and independent study and open to qualified professionals seeking a four year certification in Grief Counseling.

Grief Counseling Training Video on Grief and Identity

Many individuals lose identity with grief.  A loss limb, or a loss of a loved one that they identify with.  A father or mother may no longer feel like a parent if they lost a child.  Grief can transform one’s identify of self.

Please also review AIHCP’s Grief Counseling Program and see if it meets your needs.  The Grief Counseling Training is online and independent study and open to qualified professionals.

Grief Counseling Program Video on Grieving Styles

Grief is unique.  It is universal but different people can have different reactions and can grieve in multiple different ways.  Grieving styles is how one expresses grief and there are multiple ways individuals express grief in a healthy way.

Please also review AIHCP’s Grief Counseling Program and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a four year certification in grief counseling

 

 

Please review the video below

Grief Counseling Training Video on Loss of a Sibling

Loss of a sibling can occur at multiple times in a life.  One can be young or old.  This loss always stings but can vary in pain. It also can call into play the fragile nature of life and how quickly one can pass.

Please also review AIHCP’s Grief Counseling Training Program and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified professionals who wish to become a certified grief counselor.