Paradise Institute

Veteran therapist 🇺🇸 EMDR & trauma therapy, veteran transition + clinician coaching | Vets & first responders | NJ, ME, FL, VA | Private pay 🌴

[Paradise Institute @ParadiseInst]

Today is the first full day of Summer!  Enjoy every second of it.

[Paradise Institute @ParadiseInst]

"Could EMDR help this client?"

"Is this a wise first case for me, right now?"

Those are different questions.

The quiz helps organize your clinical thinking. It does not clear anyone for EMDR.

https://t.co/i6KH9RBocv

[Paradise Institute @ParadiseInst]

Good consultation reduces avoidance, increases confidence, and helps clinicians stay connected to the protocol under pressure.

[Paradise Institute @ParadiseInst]

Consultation works best when clinicians can immediately apply concepts with actual clients and receive feedback.

[Paradise Institute @ParadiseInst]

Some clinicians leave EMDR basic training wanting more structure, more consultation, and more supported practice before feeling confident.

[Paradise Institute @ParadiseInst]

Why EMDR Clinicians Stop Using EMDR (And How Consultation Helps) https://t.co/Qaguc5av02

[Paradise Institute @ParadiseInst]

Cigarettes = combustion, toxins, disease
Nicotine ≠ the same thing

Policy is starting to recognize reality:
you can move service members away from smoke before total cessation.

That’s not weakness.
That’s strategy.

https://t.co/sixJ0Rp0LM

[Paradise Institute @ParadiseInst]

Case-conceptualization is focused in time-limited EMDR

Remember your tools: EMD, restricted EMDR, EMDR, TICES and mechanical strategies, cognitive interweaves, etc…  
Treatment Plan for how and when to use these skills for best effect.
Be flexible but keep your goal in mind.

[Paradise Institute @ParadiseInst]

How to do EMDR when sessions are limited

Agencies sometimes only provide for 10-15 sessions.  You can still use EMDR if the client meets readiness criteria.  EMDR will need to be very focused and goals for treatment specific.

Learn more 👇

[Paradise Institute @ParadiseInst]

What’s the most important component of time-limited EMDR?

A specific, agreed-upon goal.  The client may be complex but the specific goal doesn’t have to be.  Identify one goal in the constellation of issues as the focus.

Identify how the client will know the goal is met.

👇

[Paradise Institute @ParadiseInst]

Tips 

⚫️ Refocus on only the target memory when checking SUD.
⚫️ Move on to Ph5 when SUD is 0. Ph5 and Ph6 are reprocessing phases and residual material can still process if present.
⚫️ Ph8 provides another opportunity to check on residual material.

[Paradise Institute @ParadiseInst]

Is it dissociation or is it EMDR reprocessing?

When clients stop having strong feelings or can’t bring up the memory it may not be numbing, it may not be dissociation.  It may be desensitization.  👇

#EMDR #Dissociation #EMDRConsultation

[Paradise Institute @ParadiseInst]

Unprocessed memories cause continue distress

Clients jump to other memories when the target is no longer distressing.  Clinicians mistake this for stuck reprocessing.  Ensure you are only checking the target memory when asking distress level (SUD).

[Timothy Vermillion @Dr_Vermillion]

🔥As a clinician treating veterans with trauma and addiction, I see what happens when safer alternatives are priced out of reach: people don’t quit nicotine — they relapse to cigarettes. Policy should reflect that reality.
#vape #nicotinepouches #harmreduction

https://t.co/317eAcLPpR

[Paradise Institute @ParadiseInst]

💨🚬The First and last thing Veterans can do to quit cigarettes:

Switch to vaping or pouches. Once you switch, you have quit cigarettes. Don’t let misinformation keep you smoking. If you need help taking that next step, let me know.
#Harmreduction #Veterans #vaping #smoking

[Paradise Institute @ParadiseInst]

There are many clinicians that trained in EMDR but never felt confident using it. Developing that confidence takes time and guidance. Jumping from drop-in consultation to drop-in consultation will not give you the understanding that a structured consultation program will.

[Paradise Institute @ParadiseInst]

I have two presentations coming up on moral injury. If you’d like to learn more about moral injury, let me know here.

[Paradise Institute @ParadiseInst]

Why does trauma often surface after military service?

EMDR and Adaptive Information Processing help explain how structure can suppress symptoms without resolving underlying memory.

Read more:
https://t.co/ZHjYYoRG9j
#Veterans #EMDR #TraumaEducation