Ongoing Support

Building Your Support Team with Catherine Alvarado

 

Enrich Your Experience:

The Optional Offerings in EMDR Intensive Programs provide the chance to dive deeper with personalized assessments and skill training to support you before, during, and after this experience. They can additionally serve as a rich resource to further your understanding of yourself and bring back to dig deeper with your primary therapist.

CURIOSITY – COMPASSION – COLLABORATION

A Powerful Supplement for Talk Therapy

If you have already started working with a therapist, I am so proud of you! I’m aware that building a therapeutic relationship is a delicate process that can be years in the making. Receiving specialized care is important however, it is often intimidating to imagine starting all over again with someone new. In these cases, supplementing your Talk Therapy with Adjunctive EMDR may resolve the impasse.   

Adjunctive EMDR refers to use of EMDR Intensive Programs for those who are already engaged in individual psychotherapy with another therapist and is commonly focused on a clearly articulated issue. Adjunctive EMDR can accelerate progress of traditional talk therapy, help you and your primary therapist to resolve stuck points, and enrich your ongoing work (Borstein, 2009).  It does not replace or interrupt your ongoing therapy but is complementary to the primary therapeutic relationship.

This work can be a BRIEF experience (i.e., 4- 12 sessions including screening, preparation, processing, and followup) to address a single symptom (e.g., a nightmare, intrusive memory, when good psychotherapy is stuck, to illuminate negative cognitions and unresolved emotional symptoms, recognizing relevance of earlier events) when it is not resolving, despite insight, motivation, and good treatment (Borstein, 2009). 

Adjunctive EMDR can also be INTEGRATED  (i.e., regularly scheduled intensives with active & reciprocal communication/care) into your ongoing treatment plan to address more complex histories.

 

Enrich Your Experience:

The Optional Offerings in EMDR Intensive Programs provide the chance to dive deeper with personalized assessments and skill training to support you before, during, and after this experience. They can additionally serve as a rich resource to further your understanding of yourself and bring back to dig deeper with your primary therapist.

Building Your Support Team with Catherine Alvarado
Building Your Support Team with Catherine Alvarado
Therapy Couch
Beach Walk

 

The Process:

Begin by discussing your interest in intensive work with your primary therapist and ensure they are interested in collaborating with an EMDR therapist. It will be helpful to narrow down a specific focus for EMDR before you begin.

We will have a Pre-Intensive Interview for 90 minutes where we can get to know one another and determine if we are a good fit. If we decide we would like to work together intensively in support of your goals, this initial meeting will be the space to begin Phase 1 of EMDR (history and assessment). We can discuss reasonable expectations as well as processing plans for your goals. I will administer symptom measures (i.e., PHQ-9, GAD-7, PCL-5, DES-II) as part of your intake paperwork to evaluate your present symptoms and get an idea of where we are in terms of those goals. 

I require a Release of Information form completed at the beginning of treatment so I may also share everything learned with your primary therapist so we may plan accordingly. Both of you will receive psychoeducation on EMDR therapy, bilateral stimulation (BLS), and the Adjunctive EMDR model as part of Phase 2 of EMDR therapy (preparation). We will not begin EMDR processing until I have consulted with your primary therapist. 

 

 

After our Pre-Intensive Interview, your primary therapist will be provided with a Therapist Feedback Form to support our treatment planning. If our work takes longer than 6 to 8 sessions, I may ask you and your primary therapist to complete a feedback form in the interim. If treatment is not completed after you complete your designated days of intensives, we can discuss the option of re-contracting for more treatment. You will receive a Client Feedback Form at the end of your program to share thoughts and insights. 

If you have chosen to add on the Personalized Treatment Workbook, you will receive Part I after your Pre-Intensive Interview. I curate the assessments of Part I based on what I learn about you and your goals from this meeting and your primary therapist.

Beach Walk

 

Criteria for Referral

An ideal candidate for this model is someone who is generally well-functioning (i.e., stable living arrangement, not actively abusing substances, not actively suicidal or self-injuring), who has a good working relationship with their therapist, and this therapist has an indicated interest and willingness to actively collaborate with the EMDR therapist (Borstein, 2009). 

As with any other therapeutic approach, reprocessing traumatic memories can be uncomfortable; that means some people won’t like or won’t be able to tolerate EMDR treatment well. Others may need more preparation before reprocessing. As a precaution, I may ask you to consult with your medical provider to ensure safety and readiness prior to beginning reprocessing.

Catherine Alvarado Office
Catherine Alvarado Office Chair

Am I Ready for Adjunct EMDR?

Z
Do I have a primary therapist whom I have a rapport with?  (i.e., trusting relationship)
Z
Am I committed to continuing treatment with my primary therapist as necessary?
Z
Is my primary therapist interested in collaborating with an EMDR therapist?
Z

Do I have a clear target or stuck point from which to create treatment goals?

Z

Am I free of any active substance abuse, self-injury, or safety risks that would not be ideal for EMDR therapy?

Referral checklist created by Suzanne S. Bornstein, Ph.D: Borstein, S. (2009). “Brief Adjunctive EMDR.” Journal of EMDR Practice and Research, 3:3, pp. 198-204.

If you answered Yes to all these questions that is amazing! If not, take some time to address those items before beginning Adjunct EMDR.

 

Explore EMDR Intensive Programs
to see which may be a good fit for you.

CONTACT ME

323.296.9846

therapybycat@gmail.com

2309 Pacific Coast Hwy, Hermosa Beach, CA 90254

COPYRIGHT © 2024. THERAPY BY CAT | PRIVACY POLICY

CONTACT ME

323.296.9846

therapybycat@gmail.com

2309 Pacific Coast Hwy, Hermosa Beach, CA 90254

COPYRIGHT © 2023. THERAPY BY CAT | PRIVACY POLICY