EMDR Integration with Somatic Therapy and Parts Work: Interventions for Trauma, PTSD, Attachment Injuries and Dissociation

CPD

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Handouts

Speaker

Sandra Paulsen, PhD Related seminars and products

Paulsen Integrative Psychology

---

Sandra Paulsen, PhD, is an international instructor, author and illustrator of principles and procedures for using EMDR with complex trauma including structural and somatic dissociation and trauma held in implicit memory. She has published widely on the combination of EMDR with ego state therapy, somatic methods and early developmental repair strategies. Her books include coediting The Neurobiology and Treatment of Traumatic Dissociation: Toward an Embodied Self, with Ulrich Lanius and Frank Corrigan. She wrote and illustrated Looking Through the Eyes of Trauma: An Illustrated Guide for EMDR Therapists and Clients, as well as When There Are No Words: EMDR for Very Early Trauma in Implicit Memory. She coauthored and illustrated a children’s book that is also very useful for dissociative adults called All the Colors of Me: My First Book on Dissociation, with Ana Gomez.

Sandra is a Fellow of the International Society for the Study of Trauma and Dissociation. She developed the first protocol for the use of EMDR with highly dissociative individuals, publishing cautions about EMDR with dissociation, and for first urging the screening of every client for dissociation before administering EMDR. She has trained hundreds of mental health professionals in these special procedures since 1993. 
 

Speaker Disclosures:
Financial: Dr. Sandra Paulsen has employment relationships with Paulsen Integrative Psychology, PLLC, Paulsen Consulting Resources, and Steve Frankel Group. She received a speaking honorarium from Alpha-Stim. Dr. Paulsen receives royalties as a published author. She receives a speaking honorarium from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Dr. Sandra Paulsen is a fellow of the International Society for the Study of Trauma & Dissociation and is a member of the EMDR International Association. She is an advocate for EMDR for trauma treatment.

Objectives

1. Practice questions at intake point to case formulation and treatment planning. 
2. Evaluate six somatic methods to enhance trauma processing and embodiment.
3. Conceptualize three critical cornerstones of ego state therapy. 
4. Practice four modifications to the standard EMDR protocol when using the Early Trauma modifications for trauma in the attachment period.
5. Evaluate four neuroaffective strategies that facilitate trauma processing efficacy. 
6. Practice dialogues to connect with client’s traumatized parts sensitively.

Outline

• Basics of the initial interview
• Tune into client’s unspoken story
• The guiding decision process for integration
• When to use standard vs modified EMDR

• Apply main EMDR Strategies 
• Determine level of “aggressor loyalty”
• Spot missed milestones
• Birth, attachment & narcissistic parenting trauma
• Repair client’s imagination
• Specific strategies:
  • Containment
  • Resource State
  • Reset affective circuits

• Is the client embodied?
• Test somatic sensation tolerance
• Identify implicit memories
• Listen to your clients non-verbal “bio-story” 
• New evidence-based strategies
  • Tracking, spontaneous oscillation, somatic micromovements

• Speak directly to clients’ parts
• Dissolve client’s loyalty to aggressor
• Visually access client’s “dissociative table/conference room”
• Disempower internalized “head honchos” 
• Be an “ACT-AS-IF” Architect
  • Containment strategies, Trauma Accessing, Desensitization & more

• Assessment and screening
• Neuroaffective strategies
• Embodiment through Somatic Therapy
• Self-System through Ego State Therapy
• Integrated Therapy for trauma resolution
• Create a NEST™ treatment plan
• Know when and how to incorporate each principle
• Case Studies:
  • Greta – PTSD, anxiety, hears voices, disordered eating
  • Frank – Failed relationships, numb, intellectualizes, substance abuse 

Target Audience

• Counselors
• Social Workers
• Psychologists
• Psychiatrists
• Psychiatric Nurse Practitioners
• Therapists
• Art Therapists
• Marriage & Family Therapists
• Addiction Counselors
• Physicians
• Nurses
• Other Mental Health Professionals