EMDR – You might want to ask yourself, what exactly is this emdr? it is a form of psychotherapy that was developed to resolve symptoms resulting from disturbing and unresolved life experiences. It uses a structured approach to address past, present, and future aspects of disturbing memories. The approach was developed by Francine Shapiro to resolve the development of trauma-related disorders as resulting from exposure to a traumatic or distressing event, such as rape or military combat.
When a person recalls a distressing memory, the person can re-experience what they saw, heard, smelt, tasted or felt, which can be intense. By alternating left-right stimulation of the brain with eye movements, patients can stimulate the “frozen” information processing system. During the process, the distressing memories seem to lose their intensity so that the memories are less distressing and seem more like ‘ordinary’ memories.
Trauma-related disorders could be as a result of a traumatic or distressing event, such as rape or military combat. I’ll be discussing the military combat which is what really interests me. Are our veterans really being treated fairly when it comes to trauma, PTSD and the side effects of war? Does this so-called emdr really work? Although I have heard of cases where clinics use the emdr for other purposes, other than what has mentioned above, since it is not official, I will not mention it here.
EMDR – Eye Movement Desensitization and Reprocessing therapy process and procedures, according to Francine Shapiro involves eight phases to have a complete and effective emdr treatment. This phases or seasons are taking patient history, discussing the overall treatment plan, identify the patient safe place, to serve as a reset mode when or during unbearable reminders of the past traumatic events, identifying the negative cognition, the installation phase, identifying pain or discomfort, debriefing, and re-evaluation.
As long as traumatic memories go unprocessed, they may be triggered by experiences or interactions in your current life, shifting and coloring your perceptions. Some people need more than conversations and replacement thoughts to resolve what is happening in their minds and bodies. Eye Movement Desensitization and Reprocessing, EMDR psychotherapy, provides a proven therapeutic alternative
Best Depression Treatment – Anxiety therapy and medication seems to have always worked when it comes to treating depression related to PTSD
Everyone occasionally feels blue or sad, but these feelings are usually fleeting and pass within a couple of days. When a person has a depressive disorder, it interferes with daily life, normal functioning, and causes pain for both the person with the disorder and those who care about him or her. Depression is a common but serious illness, and most who experience it need treatment to get better. The good news is that depression, even the most severe cases, is a highly treatable disorder.
Screening You may be wondering if you have symptoms of Depression. One way of determining that is to take a brief confidential and anonymous screen. Only you will see the results of the brief screen. None of the results are stored or sent anywhere. You can choose to print a copy of the results for your own records or to give to your physician or a mental health professional.
VA Programs & Services
A number of depression treatments are available. Medication and psychological counseling (psychotherapy) are very effective for most people. There are also many types of professionals who treat depression. A good place to start is with your primary care physician. In some cases, a primary care physician can prescribe medication to relieve depression symptoms. However, if treatment by your physician does not help you, the next step is to see a mental health professional.
In addition to medications, psychotherapy can be very effective in the treatment of depression. In fact, evidence-based psychotherapies are among the most effective treatments for depression. The following evidence-based psychotherapies have been found to be effective in treating depression. One or more of them can be found at your local VA Medical Center.
Cognitive Behavioral Therapy (CBT-D)
CBT is a structured, time-limited psychotherapy that helps individuals develop more balanced and helpful thoughts about themselves, others, and the future. CBT also helps individuals spend more time engaging in pleasurable or productive activities. CBT helps individuals to achieve personal goals and solve problems by learning and practicing new skills.
ACT is a psychotherapy based on the relationship between thoughts, feelings, and behaviors, which help individuals overcome their struggle with emotional pain and worry by encouraging them to take active steps to move forward. ACT helps individuals recognize, commit to, and achieve what matters most to them in life.
Interpersonal Psychotherapy (IPT) is a treatment for depression that focuses on the relationships that may be the cause or the result of depression. IPT helps individuals to understand the connection between their depression and current relationship problems. It also helps individuals build social skills to deal better with problems. This helps to improve how someone feels as well and the quality of their life.
Depression: A detailed booklet with information on symptoms, causes, treatments, getting help and coping (2007).
Depression (Easy to Read): An easy-to-read booklet that explains what depression is, how long it lasts and how to get help (2007).
Older Adults and Depression: A brief statistical fact sheet on depression and suicide in older adults, with information on treatments and suicide prevention (2003).
Late Life Depression: According to the VA’s National Registry for Depression, 11% of Veterans aged 65 years and older have a diagnosis of major depressive disorder, a rate more than twice that found in the general population of adults aged 65 and older.
Seasonal Affective Disorder: Seasonal Affective Disorder, also known as “winter depression,” is not pure seasonal depression, but seasonal worsening of pre-existing depression. It is defined as “recurring depression with seasonal onset and remission,” mostly affecting people who already have depression.
National Institute of Mental Health (NIMH) – Depression: A national organization whose mission is to transform the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery and cure. Provides information on signs, symptoms, treatment, clinical trials and more.
Mental Health America (MHA) – Depression: A nonprofit dedicated to helping all people live mentally healthier lives. Provides a number of factsheets on depression such as: Depression: What You Need to Know and Signs of Depression Checklist.
What Kind of Drug and Alcohol Rehab Centers Are There?
By Milfred Kennelly | Submitted On November 09, 2010
Drug And Alcohol Rehab – What do you think of when you hear the word “drug and alcohol rehab centers”? You may think all drug and alcohol rehab centers are alike, but the truth is that they’re not. There are different types, and they serve different types of needs. Some provide posh accommodations complete with generously stocked refrigerators, luxury bedrooms and over-friendly staff to make your whole stay vacation-like. Then, there are those that resemble hospitals.
In the past, most drug and rehab centers were only a few steps away from resembling jails. They looked like a prison and they felt like the prison, except that you could always leave at any time. Of course, if you did, you might never be let in again. However, you won’t necessarily be suffering when you are in rehab, although you will find yourself working harder than ever before.
What Kind of Drug and Alcohol Rehab Centers Are There?
Tips on How to Go About the Drug and Alcohol Rehab Process
There are drug and alcohol rehab centers that are solely for alcoholics, and then there are those that take in only the users of a certain drug. There are also treatment centers that take in only repeat visitors, women, men, teenagers, the elderly, or people who don’t just suffer drug and alcohol addiction, but also psychological problems.
Additionally, there are rehab centers for people of a certain religion and centers for those who do not want religion to play any part of their rehabilitation. Many treatment centers are anchored on the “twelve-step” program. For the “twelve-step” program to be effective, you would have to believe in a “higher power”. If this doesn’t cut it for you, try a treatment center that offers an alternative system to get the same message across.
One specific example of religion-specific drug and alcohol rehab centers are Christian-based rehabs. Naturally, these programs have a lot of religious elements involved, which is why as I have stressed before, they are not for everyone. If you do not believe in the core principles of the religion involved, then the specially designed treatment course will not be effective on you.
For the most part, drug and alcohol rehab centers are classified according to the principles behind the treatment. For example, there are centers that follow a client-centered approach. There are also centers that follow the many different paradigms for psychoanalytic treatment. Then, there are the hybrids. These are the drug and alcohol rehab centers that combine at least two different schools of thought where rehabilitation is concerned.
When you are getting treatment, you can choose to either be an inpatient or an outpatient. Experts recommend residential programs because these are far more intensive and usually more effective. In any case, given how varied treatment approaches are, it’s important to do a little research on the drug and alcohol rehab centers that are on your shortlist. Go ahead and do this. Get in touch with the centers that you are considering, and talk to them about what methods they use for treatment and if it fits in with your belief system. Once you know what to expect, you will see that no matter what substance you are addicted to, there are people who can help.
Milfred Kennelly is a writer and researcher on drug and alcohol rehab centers. Learn how you can fight addiction and help yourself or a loved one start the necessary journey to recovery using the Recovery Ways system: recoveryaddictiontreatment.com.
Tips on How to Go About the Drug and Alcohol Rehab Process
By Nelson Kana | Submitted On March 25, 2010
After the great achievement of starting the substance free life comes one other very delicate part of the journey to complete drug and alcohol rehab. Let’s agree on the fact that there is a great difference between taking the decision to do away with addicting substances and to effectively keeping them away from you. In all the cases there is always a starting point without which we would never talk about drug and alcohol rehab.
Keeping a drug and alcohol-free life consists of all the initiatives that one undertakes to avoid falling back into dependence. In the past when the substance abuse was still a very rare phenomenon, all the main efforts put in place so far to try to fight it was to prove its harmful effects. Today it has been established that more efforts have to be put in the second part of drug and alcohol rehab process which is to live the substance free life.
In order to be sure of where we are going it is important to know what exactly we want. Most of the people who go through drug and alcohol rehab seem to miss the point because once they stop consuming substances, their enemy becomes their body reactions to this break. Since the body reactions will only cease after a given period of time after the last intake, it turns out to be like fighting the wrong enemy without success. This usually causes most people who engage in drug and alcohol rehab to give up after a short period of time.
In the process of drug and alcohol rehab, these body reactions are termed drug withdrawal. Depending on the particular substance it is important to know the expected symptoms of the withdrawal. Though most of them can be dealt with by simple perseverance some can be treated with medication. The chemical treatment, in this case, will just serve like the pain killers does when we have a headache that is not really solving the problem at the source. Therefore we are left with developing the new habit of living without drugs.
Let’s put all together with our goal in drug and alcohol rehab.
Overcoming the withdrawal symptoms Developing the drug-free life style The question left should be how do we develop this life style? Let’s examine the different things that influence our life style. As we live each day we gather information from all our five senses that are we gather images, sounds, scents, tastes and feelings from our skin. In the same way that a set information caused one to be addicted, we have to put together another set information to will produce the reverse effect. To make it plain with an example, if a person decides to stop tobacco consumption and then goes to places where he sees people smoking and even catches the scent of cigarette, this person is very likely to fall back into dependence because the more you get information about something the more you are urged to do that thing. A better situation would be if the person were surrounded by all sort of information that suggests a complete drug-free life then these would ease the persons passage to detoxification.
Drug and alcohol rehab requires that an addict should stay away from all sort of images, sounds, tastes, feelings, and scents that suggest drug and alcohol addiction as much as possible. This is somehow why some people reported about their failures in their complete detoxification. It takes much support from family and friends to be able to complete the process. However, it worth taking that step because it is better to be able to choose what pleases you and chose when you want to get pleasure from it than to be controlled by drugs. It should be noted however that there is no guarantee that following these rules will secure your drug and alcohol rehab process. For generations now it has been known that if there be any thing man cannot do then God can do it for you. The only thing man can do is to suggest treatment but God is the only one who heals.
Nelson Kana is currently a Youth Worker in a local Youth Ministry in Cameroon and has been carrying out researches on drug and alcohol rehab [http://www.drugandalcoholrehab.ebottabi.com/]
Would you like to learn some great tricks about how to cope with panic attacks? Panic attacks can happen to anyone at anytime. This article is filled with information and tips on getting rid of your stress and managing your panic attacks.
If you tend to have panic attacks, make sure you are getting enough sleep every night. Not getting enough sleep can not only increase the frequency of attacks, it can also keep you from clearing your head and calming down if you have one. Try for eight restful hours of sleep every night.
Deal with your panic attacks by seeing a great therapist. Look online to find reviews of therapists, or ask a trustworthy friend or family member.
If you feel an onset of panic or severe anxiety looming ahead, you must force yourself to determine whether the situation poses an actual threat to your health and well-being. Is anyone actually trying to hurt you? Probably, the answer is no. Just relax and let go of the fear.
The minute you know a panic attack is coming, distract yourself — even if it’s something as simple as counting and recounting your fingers to yourself or reading license plate numbers. Think about your favorite song or do a puzzle. Anything that will distract you from the panic will be helpful. It is possible to avoid a full-on panic attack this way.
TIP!Listen to music as soon as you feel the feeling of panic so that you divert your attention to the lyrics or beat. Sit still without any outside distractions and listen to calming songs that have a nice soft tone while focusing on the words that are sung.
The best course of action during a panic attack is to sit down right where you are and breathe. Breathe in deeply through your nose, allowing your stomach to rise. Count to five while you inhale, and then exhale through your mouth as your count to five again. Continue these deep breathing exercises for ten reps to stave off a panic attack.
If possible, invite them over in person. Doing so will help you improve your mood very fast.
Focus on exhaling when you are having a panic attack. Most people take short, quick breaths when they are panicking, and doing so is fine. The important thing is to try to hold in each breath and then slowly exhale.
Use your the adrenaline from your panic attacks to motivate you to clean your house and eliminate clutter. If you stay inactive, your excess energy will only cause you to feel more stressed. Besides, by channeling your extra energy, you should be able to clean your house more efficiently than ever.
Write down your knowledge of dealing with panic attacks to share with others. You can start an online blog, create a newsletter, or write an e-book. Others who suffer from panic disorders may be able to give you some useful information.
Be aware of what you are feeling and experiencing at any given time in order to anticipate the onset of a panic attack and avert it if possible. Knowing what types of situations elicit anxiety can help you find methods for dealing with them. Look over them often, so that you can get a feel as to what your triggers and try to steer clear of them.
Never consider yourself a failure because of your panic attacks. There is no method that can make your condition worse, so try new methods until you find the one that helps you.
If you have a family member who suffers from panic attacks, you should familiarize yourself with the physical symptoms he or she is going to experience, so you can recognize an attack and remain calm, should the person ever have one in your presence. A sufferer could experience feelings of faintness, numb sensations, shortness of breath, trembling, heart palpitations, hot or cold flashes, sweating, dizziness, and nausea. Look out for symptoms of heart attacks or any other serious health problems before you start treatment for a panic attack.
A great way to stop your anxiety and panic attacks is to try meditation and deep breathing exercises. Take in ten deep breaths, counting each one on the inhale and then on the exhale. Depp breathing oxygenates your brain for improved function and takes your attention away from any negative thoughts.
If you are really suffering from severe panic attacks, cognitive behavioral therapy might be your answer. Many people have benefited from this type of therapy when it is conducted by licensed professionals, and it could be helpful to you as well. You can find practitioners in your area by doing an online search. Make sure you look for one who is an experienced and accredited specialist and who specializes in treating anxiety disorders and panic disorder.
As you can see, there are many ways you can fight back against panic disorders. None of us are able to make them stop completely, and all of us have a good chance of having one. These tips can help you control the situation when a panic attack happens.
With today’s fast-paced world, many people wind up feeling stressed and stretched thin. Even finding good ways to handle stress can take time and be stressful. Fortunately, this article offers a variety of simple tips and strategies for managing your stress levels.
Use scents to relieve stress. Several different scents including basil, anise, and lavender have calming effects. Using a small vial, mix rock salt and add a few drops of whatever oil you have chosen. Take the lid off the vial and inhale deeply whenever your stress level begins to rise.
A professional massage is a great way to take some of the stress away. A byproduct of stress can be wound, tense muscles that do not loosen with conventional methods. A massage will work out the tenseness, as well as leaving you rested and reinvigorated.
Write about the stress you are experiencing. There may be situations in your life that are causing stress to increase, but you can’t discuss them with anyone. However, by writing them down you are effectively getting them off your chest, and that may help to lower your stress levels. You can read this journal later and assess how you handled the things that cause you stress. It can help you find ways to tackle things in the future.
You should discover your main causes of stress, and find out methods of eliminating or reducing them as much as you can. A good example of this is creating some distance between you and a friend that constantly stresses you out. If you eliminate some places where stress is happening in your life it will help your health.
Drink some herbal tea to help relieve your stress symptoms. There are a number of teas which help reduce stress, including chamomile and kava kava. Leaving it to steep in hot water for ten minutes will produce a strong tea. A cup of tea is especially effective at the beginning or end of a stressful day.
One of the best ways to reduce stress is to live a healthy lifestyle. Nutritional support, exercise and ample rest will help your body ward off stress and work at peak capacity. Additionally, by taking better care of yourself you will start to increase your self-esteem, making it easier for you to relax during previously stressful situations.
Breathing deeply is a great way to calm you and reduce stress. During periods of stress, our breathing can become fast and shallow. Breathing slowly deeply reduces stress and curbs tension. Try to incorporate breathing exercises into your daily stress relief routine.
Learn how to say no when you are overwhelmed by stress and your own responsibilities. Although it may be difficult to resist lending a hand, putting too much weight on your shoulders can easily lead to excess stress.
Use visual escapism to control feelings of stress. Many studies have shown that utilizing calming visual imagery can significantly reduce stress levels. Even if you do not have access to pictures, just imagining a sunny beach where you can lay back and listen to the gentle sounds of waves crashing ashore while you soak up the sunshine or the invigorating and soothing feel of a steamy bath can make a huge difference is successfully envisioning stress leaving your body. Closing your eyes and imagining something peaceful for a moment will help you become less stressed.
One way to cope with stress is to use self-hypnosis. Self-hypnosis has been helpful for many people as a way to relax and work through stressful issues, like troublesome coworkers or persistent noise.
One simple, yet very effective, way to beat stress is to smile more often. When you smile, the muscles used stimulate the limbic system, also known as the emotional center of the brain. Simply smiling will work to tilt the limbic system into a calmer state, and that is an excellent way to lower stress.
Not only is stress a hassle, but it can also have negative effects on your health. When faced with too much stress, your body cannot continue to function properly and effectively. If you use your time to take the advice you have learned in this location, you will have more time to relax and get rid of the burdens the world has placed onto you.
Sometimes, the incident that occurred in your past tends to hold you back in your everyday life. Talk to your therapist about using EMDR Therapy as an alternative to your regular therapy to boost your personal development.
It is always wise to look ahead, but difficult to look further than you can see. – Winston Churchill
Word of Advice Listen to music every time, don’t be an enemy of yourself! Exercise yourself, it brings out the best in you. Always remember to plan, cause people don’t plan to fail, but they fail to Plan. Always plan to succeed! Speculation, anticipation, and fear of the unknown only bring you “$0.00” ROI.
Throughout recorded history, there has always been alcohol in of some variety. When you are sitting on a Friday night with your vodka and coke or Pernod and lemonade, does it ever cross your mind how exactly the drink came about? Below is a history of some of the more popular drinks that are enjoyed today such as vodka, gin, Pernod, and cachaca.
Pernod is an aniseed-based spirit that has been enjoyed in France for approximately 200 years as an aperitif and a zesty cooking ingredient. During the Babylonian era, aniseed drinks were known as elixirs with unique qualities to cure a variety of stomach and digestive disorders. It has long been recognized that when you combine wormwood and aniseed plants it contains certain healing powers and has been known to have mood-altering effects.
Cachaca is made from raw sugar cane and the major difference is that the lighter rums are more commonly made from whats known as molasses, (A thick syrup produced in refining raw sugar and ranging from light to dark brown in color) this is a by-product from boiling the cane juice to extract as much sugar as possible. It is made from fresh sugarcane juice that is fermented and distilled.
Cachaca is Brazils national spirit and the key ingredient in the classic cocktail caipirinha, the history of Cachaca goes back nearly 5 centuries when plantation owners began serving Cachaca to their slaves after seeing that it increased their vigor. Over the next lot of years better Cachacas were being distilled and soon people started drinking it in colonial Brazil while having dinner at home. Shortly after this slavery was banned in 1888 when Brazil was declared a modern Republic.
The first confirmed date for the production of gin is the early 17th century in Holland, although claims have been made that it was produced prior to this in Italy. No journals or record to back it up. In Holland, it was produced as a medicine and sold in chemist shops to treat stomach complaints, gout, and gallstones. To make it more palatable, the Dutch started to flavor it with juniper, which has medicinal properties of its own.
As with other chronic diseases, such as diabetes, asthma, or heart disease, drug addiction can be managed effectively
British troops fighting in the Low Countries during the Thirty Years’ War, were given ‘Dutch Courage’ during the long campaigns in the damp weather through the warming properties of gin. Eventually, they started bringing it back home with them, where already it was often sold in chemists’ shops. Distillation was taking place in a small way in England, but it began on a greater scale, though the quality was often very dubious. The new drink became a firm favorite with the poor.
In 1730 London had over 7,000 shops that sold only spirits. Abuse of alcohol by the poor became a major problem, which was tackled by introducing The Gin Act at midnight on 29 September 1739, making gin prohibitively expensive. The Prime Minister, Sir Robert Walpole and Dr. Samuel Johnson were among those who opposed the Act since they considered it could not be enforced against the will of the common people. They were right.
Riots broke out and the law was widely and openly broken, the Gin Act was finally repealed in 1742 and a new policy was introduced with the help of distillers: reasonably high prices, reasonable excise duties and licensed retailers under the supervision of magistrates. In essence, this is the situation which exists today. Since then many companies established themselves as well-to-do manufacturers and the gin became the drink of high quality.
Vodka is a drink which originated in Eastern Europe. The name stemming from the Russian word ‘voda’ meaning water. The first documented production of vodka in Russia was the end of the 9th century, but the first known distillery at Khylnovsk was about two hundred years later as reported in the Vyatka Chronicle of 1174. Poland lays claims to having distilled vodka even earlier in the 8th century, but as this was a distillation of wine it might be more appropriate to consider it a crude brandy. The first identifiable Polish vodkas appeared in the 11th century when they were called ‘Gorz-Alka’ originally used as medicines.
During the Middle Ages, distilled liquor was used mainly for medicinal purposes, as well as being an ingredient in the production of gunpowder. In the 14th century a British Ambassador to Moscow first described vodka as the Russian national drink and in the mid 16th century it was established as the national drink in Poland and Finland.
Since early production methods were crude, vodka often contained impurities, so to mask these the distillers flavored their spirits with fruit, herbs or spices. The mid 15th century saw the first appearance of pot distillation in Russia. Prior to that, seasoning, aging and freezing were all used to remove impurities, around this time (1450) vodka started to be produced in large quantities and the first recorded exports of Russian vodka were to Sweden in 1505. Polish ‘woda’ exports started a century later, from major production centers in Posnan and Krakow.
In the 18th century, a professor in St. Petersburg discovered a method of purifying alcohol using charcoal filtration. Felt and river sand had already been used for some time in Russia for filtration.
The spread of awareness of vodka continued throughout the 19th century, helped by the presence in many part drunkenness of Europe and Russian soldiers involved in the Napoleonic Wars. Increasing popularity led to escalating demand and to meet this demand, lower grade products were produced based largely on distilled potato mash.
After the Russian Revolution, the Bolsheviks confiscated all private distilleries in Moscow. As a result, a number of Russian vodka-makers emigrated, taking their skills and recipes with them. One such exile revived his brand in Paris, using the French version of his family name – Smirnoff. Thence, having met a Russian migrant from the USA, they set up the first vodka distillery there in 1934. This was subsequently sold to a US drinks company. From this small start, vodka began in the 1940s to achieve its wide popularity in the Western World.
Following the Russian Revolution in 1917, a number of Russian refugees took their skills and their love of vodka to many parts of the world.
In the 1930s one such exile emigrated from Russia via France to the United States bringing with him the formula to one of the leading Russian makes of vodka.
Through his dealings with another Russian immigrant, the first vodka distillery in the U.S. was set up in the 1930s. Although not particularly successful at first, this enterprise was sold on again to an entrepreneur who eventually made a hit in the 1950s with a vodka-based cocktail – the Moscow Mule. Vodka did not see a great boom in popularity in the West until the 1960s and 1970s when many more brands were launched in the USA and the UK.
The timing coincided with the cultural revolution in these countries – the ‘swinging 60s.’ With a more affluent younger generation and a generally more relaxed lifestyle and the emphasis on adventure and experimentation – vodka’s mixability led to its huge and ever rising popularity.
Vodka cocktails are almost as numerous as those of gin and are seen in the same exclusive circles and stylish bars the world over. Now let’s talk about the addiction to these wonderful cocktails.
Intervention Of Drug And Alcohol Recovery
Sometimes life gets tough and we need to make some hard decisions to better ourselves. We seek solace through materials that can be harmful to us. No matter your age, or when you experience an addiction, can be costly for the person suffering from it as well as their families. In times like these, it%u2019s imperative to get professional help to nip the problem in the bud.
Addiction is a tough issue to confront. Even when you know that you%u2019re dealing with an alcohol addiction, it%u2019s not something you want to reflect on or talk about. It%u2019s certainly not something you want to muster up the energy to fight. More than 15 million Americans have some sort of alcohol use disorder, though just 1 percent receives the help they need.
In 2014, 30,700 Americans died from alcohol-induced causes. This figure includes both alcohol poisoning and cirrhosis, which is primarily brought on by excessive alcohol consumption. In that same year, there were 9.4 alcohol-induced deaths per 100,000 people % u2013 a 37 percent increase from 2002.
Treatment of Drug And Alcohol Addiction
Principles of Drug Addiction Treatment: A Research-Based GuideAlcohol AddictionNaltrexoneNaltrexone blocks opioid receptors that are involved in the rewarding effects of drinking and the craving for alcohol. It has been shown to reduce relapse to problem drinking in some patients. An extended release version, Vivitrol%u2014administered once a month by injection%u2014is also FDA-approved for treating alcoholism and may offer benefits regarding compliance.
Acamprosate (Campral) acts on the gamma-aminobutyric acid (GABA) and glutamate neurotransmitter systems and is thought to reduce symptoms of protracted withdrawal, such as insomnia, anxiety, restlessness, and dysphoria. Acamprosate has been shown to help dependent drinkers maintain abstinence for several weeks to months, and it may be more effective in patients with severe dependence.
Disulfiram (Antabuse) interferes with degradation of alcohol, resulting in the accumulation of acetaldehyde, which, in turn, produces a very unpleasant reaction that includes flushing, nausea, and palpitations if a person drinks alcohol. The utility and effectiveness of disulfiram are considered limited because compliance is generally poor. However, among patients who are highly motivated, disulfiram can be effective, and some patients use it episodically for high-risk situations, such as social occasions where alcohol is present. It can also be administered in a monitored fashion, such as in a clinic or by a spouse, improving its efficacy.
Topiramate is thought to work by increasing inhibitory (GABA) neurotransmission and reducing stimulatory (glutamate) neurotransmission, although its precise mechanism of action is not known. Although topiramate has not yet received FDA approval for treating alcohol addiction, it is sometimes used off-label for this purpose. Topiramate has been shown in studies to significantly improve multiple drinking outcomes, compared with a placebo.
Combined With Behavioral Treatment
While a number of behavioral treatments have been shown to be effective in the treatment of alcohol addiction, it does not appear that an additive effect exists between behavioral treatments and pharmacotherapy. Studies have shown that just getting help is one of the most important factors in treating alcohol addiction; the precise type of treatment received is not as important.
EMDR or Eye Movement Desensitization and Reprocessing (EMDR) is a fairly new, nontraditional type of psychotherapy. It’s growing in popularity, particularly for treating post-traumatic stress disorder (PTSD). PTSD often occurs after experiences such as military combat, physical assault, rape, or car accidents.
Francine Shapiro, Ph.D., an American psychologist, developed Eye Movement Desensitization and Reprocessing (EMDR) Therapy as a breakthrough therapy with the special capacity to overcome the often devastating effects of psychological trauma in the late 1980s. An ever-growing community of therapists soon saw directly its power to transform lives.
At the same time, controlled research studies consistently demonstrated its efficacy and effectiveness. For many therapists who took up this therapy, EMDR felt like a “gift” to themselves and their clients, and they were eager to “pay it forward” by spreading the word to colleagues.
Therapist directed lateral eye movements are the most commonly used external stimulus but a variety of other stimuli including hand-tapping and audio stimulation is often used (Shapiro, 1991). Shapiro (1995, 2001) hypothesizes that EMDR therapy facilitates the accessing of the traumatic memory network, so that information processing is enhanced, with new associations forged between the traumatic memory and more adaptive memories or information. These new associations are thought to result in complete information processing, new learning, elimination of emotional distress, and development of cognitive insights.
How Does EMDR Work?
In a study, 77% of combat veterans were free of PTSD in 12 sessions. There has been so much research on EMDR therapy that it is now recognized as an effective form of treatment for trauma and other disturbing experiences by organizations such as the American Psychiatric Association, the World Health Organization and the Department of Defense.
Given the worldwide recognition as an effective treatment of trauma, you can easily see how EMDR therapy would be effective in treating the “every day” memories that are the reason people have low self-esteem, feelings of powerlessness, and all the myriad problems that bring them in for therapy. Over 100,000 clinicians throughout the world use the therapy. Millions of people have been treated successfully over the past 25 years.
There are 8 phases involved. You can read more about EMDR Principles and the phases here.
EMDR Therapy for PTSD
EMDR is a psychotherapy for PTSD. EMDR can help you process upsetting memories, thoughts, and feelings related to the trauma. By processing these experiences, you can get relief from PTSD symptoms.
After trauma, people with PTSD often have trouble making sense of what happened to them. EMDR helps you process the trauma, which can allow you to start to heal. In EMDR, you will pay attention to a back-and-forth movement or sound while you think about the upsetting memory long enough for it to become less distressing. Although EMDR is an effective treatment for PTSD, there is disagreement about it works.
Some research shows that the back and forth movement is an important part of treatment, but other research shows the opposite.
During the first stage, you will learn about physical and emotional reactions to trauma. You and your provider will discuss how ready you are to focus on your trauma memories in therapy. To prepare, you will learn some new coping skills. Next, you will identify the “target”, or the upsetting memory you want to focus on–including any negative thoughts, feelings and bodily sensations related to the memory.
You will hold the memory in your mind while also paying attention to a back-and-forth movement or sound (like your provider’s moving finger, a flashing light, or a tone that beeps in one ear at a time) until your distress goes down. This will last for about 30 seconds at a time, and then you will talk about what the exercise was like for you. Eventually, you will focus on a positive belief and feeling while you hold the memory in your mind. Towards the end of treatment, your provider will re-assess your symptoms to see if you need to process other targets.
What Are the Risks? – EMDR Side Effects
You may feel uncomfortable when focusing on trauma-related memories or beliefs. These feelings are usually brief and people tend to feel better as they keep doing EMDR.
Most people who complete EMDR find that the benefits outweigh any initial discomfort.
EMDR is an individual therapy. You will meet one-to-one with your provider for each session.
In most cases, you will not be asked to talk about the details of your trauma out loud. But you will be asked to think about your trauma in session.
EMDR does not require you to complete homework or practice assignments between sessions.
About 1-3 months of weekly 50-90 minute sessions. But, many people start to notice improvement after a few sessions. And the benefits of EMDR can last long after your final session with your provider.
In recent years, Eye Movement Desensitization Reprocessing (EMDR) has become one of the most ground-breaking and talked about therapies for clinicians and clients dealing with the lingering effects of trauma.
As with any new form of therapy, EMDR has its believers and non-believers. As the subject of over 25 controlled studies, however, it has proven to be an effective form of trauma treatment when carried out by a trained and qualified psychotherapy professional. If you have decided to seek the help of a counseling professional to deal with the aftermath of trauma, it may be worth your while to find an EMDR certified therapist near you to learn more about this exciting and innovative therapy.
We’ve all experienced trauma in our lives of one sort or another. Many of these moments may not have registered to you at the time as traumatic, but such moments can become “frozen” within our minds and bodies. The longer they remain there, the more negative the effects. EMDR, as administered by a trained therapist, can help to desensitize and reprocess those moments, and allow you to move beyond your trauma once and for all.
In EMDR, the patient recalls a traumatic event while simultaneously undergoing bilateral stimulation that can consist of moving the eyes from side to side, vibrations or tapping movements on different sides of the body. EMDR has been used to help those dealing with:
• Trauma • Post Traumatic Stress Disorder • Anxiety • Grief and Loss • Mourning • Panic Attacks • Performance and Test Anxiety • And more
Not only has EMDR been proven as an effective form of trauma treatment, it has also been shown to get results in a shorter period of time than other methods of trauma treatment. EMDR is most effective when used in conjunction with more traditional methods of therapy.
As with any form of therapy, EMDR isn’t necessarily the right choice for everyone. It is important to feel comfortable with the type of therapy you choose, and the best way to do so is to learn as much about it as you possibly can. If you are interested in EMDR, contact a therapist who administers this technique in your area for an initial consultation in which you can ask questions and gather information.
EMDR is yet another tool by which those affected by trauma can move beyond its adverse effects and reclaim a healthy, balanced existence. Learning more about your condition and therapy will help you in living a better life!
If you are seeking a Bethesda psychologist, visit our website http://www.wilfriedbusse.com/ for more information on PTSD treatment, anxiety treatment, EMDR therapy, cognitive behavioral therapy and stress counseling.
EMDR is a type of psychotherapy which helps people recover from difficult memories, especially traumatic ones. Many people in recovery from addictions have difficult memories in their past–memories that led up to their addiction or memories that resulted from using and drinking. About 60 percent of people in recovery have experienced serious trauma in their lives. Some of these old memories lead to repeated relapses.
Starting from the symptoms or complaints from your life today, an EMDR therapist will help you identify the memories that are contributing to your current difficulties. By following a procedure developed by Francine Shapiro, the therapist helps you resolve the current issue by reprocessing the old memory. That’s where the long name comes from-eye movement desensitization and reprocessing. When the technique was first used it involved eye movements; nowadays clients can choose the type of bilateral stimulation they like best.
It is always best to develop a solid recovery program with lots of support before beginning any depth psychotherapy while in early recovery. But some issues can be tackled sooner than was once believed. Sometimes people in recovery get stuck or relapse because these old wounds have not been addressed. The therapist will help you determine at what point in your recovery it is best to begin EMDR work.
EMDR Therapy Facilitates Natural Healing
Just as the human body has a built-in process for healing threats to its physical health, we also have a natural healing process for mental health after we have experienced a shock or emotional trauma. Our mind continually makes connections for us that are geared toward health and survival. In the 1980s, it was discovered that bilateral stimulation–alternately stimulating the right and left side of the brain accelerates the natural process of return to mental health.
Theory of EMDR Therapy
Memories of traumatic experiences get stored in frozen memory networks. They can’t link to other more adaptive memory networks. The natural healing process gets sidetracked. With EMDR therapy, it is possible for traumatic memories to be “unstuck” and to link up with more adaptive, healthy memories. The precise way EMDR therapy works is not yet understood, but it has been studied widely and found to be a very effective therapy for processing traumatic memories.
Lighting up the Traumatic Memory Network
After history taking and preparation, the therapist asks you to identify the images, emotions, self-beliefs, and bodily sensations linked to the difficult memory. This activates, or lights up, the frozen traumatic memory network and prepares it to link with healthier, more adaptive memories, associations, and thoughts. Remembering the associations connected to the shock or trauma can be painful, but you are supported in the session and given tools to manage the feelings as they occur. These involve safe place exercises and positive internal resources you can use to self-soothe. This gives you a way to deactivate the old traumatic memory network when you need or want to and to slow down the pace of the processing when you want to.
Managing the “Lit Up” State
The therapist helps you experience a balance between activation and safety that is just right for processing the difficult memory. In this “zone” the thoughts, emotions, images, feelings and body sensations of the memory are activated, but you are not so engulfed in the memory to be unaware that “That was then and this is now” and that you are safely in the present moment in your therapist’s office. While you are in that middle-place of one foot in the past and one foot in the therapist’s office, the therapist begins left-right stimulation. There are various types of left-right stimulation and the therapist and you together decide which is best for you. Whatever type you choose, the EMDR processing makes it possible to connect to more health-producing thoughts, images, and associations. You just notice your thoughts, feelings, body sensations, and emotions as they occur while experiencing the left-right stimulation. Always remember to not censor anything. This free association process brings up a variety of sensations, feelings, and thoughts as your mind works through the memory. After each set of left-right stimulus, the therapist checks in to see what you are experiencing.
Letting Whatever Happens Happen
EMDR therapy may bring up seemingly unrelated associations. You just let whatever is happening happen. Every so often you report briefly on what you are experiencing when the therapist checks in. It is important not to censor anything! You may experience painful or difficult sensations, but it is best to stay with the sensations with the support of your therapist. Moving through the wave can be deeply healing. It makes it possible for the mind to link up more adaptive memory networks to the old, frozen traumatic memories. The therapist monitors the process as it unfolds, looking for signs that it is on target. Sometimes things change and sometimes they don’t. The therapist is there to assist when things get sidetracked. If things are not progressing, the therapist changes techniques or adds information to facilitate the natural healing process at work.
The Body Remembers!
You will pay special attention to physical sensations during EMDR therapy. Focusing on body sensations provides an entryway to the old stuck memories. You are asked to be aware of and report on physical sensations during the session. Releasing these physical sensations is often the key to healing trauma. Whatever issue or challenge you are working with in therapy, it probably has a past, present, and future element. EMDR therapy is used to work with all three aspects of an issue. The therapist helps you target the issue from these three perspectives.
The Work Continues
The natural healing process will likely continue between therapy sessions. You may also have insights, dreams, or thoughts and feelings related to the work you did. It is very important to use your support system between sessions. Go to meetings, talk with a friend or sponsor, and find ways to get extra support. You may also want to talk to your therapist between sessions. After a session you may feel tired and need some down time. If possible, plan your EMDR session when you have time to relax after the session. You are asked to keep notes between sessions and to use self-soothing techniques to manage feelings between sessions.
EMDR is a relatively new (over twenty years old) type of psychotherapy that has been found to be faster and more effective than talk therapy alone for some people. It is a useful tool for resolving blocks and old negative beliefs that get in the way of recovery from drugs and alcohol. To learn more, go to the EMDR International Association website at www.emdria.org or contact the author, Teresa Allen MFT, at firstname.lastname@example.org.
Teresa Allen is in private practice as a licensed Marriage and Family Therapist in Oakland, California. She also works with persons recovering from addictions at New Bridge Foundation in Berkeley, California. Teresa has worked with people in recovery since 1998. She is a Full Member of EMDRIA and has been using EMDR since 2005 in her private therapy practice.