am available to supervise other psychotherapists in the areas of Psychodynamic
Psychotherapy, EMDR, Body
Image work, and
enjoy guest lecturing and public speaking on these topics.
am also available to work as an Adjunct EMDR Therapist. If you are having
specific difficulties as Primary Psychotherapist with a
given patient, you might find my services useful.
Sometimes, when working toward insights in a psychodynamic psychotherapy,
there are times of "stagnation" when nothing seems to be progressing.
This can be a normal function of the transference-countertransference
dynamic, that can be analyzed, lived through, and ultimately yields to
your treatment. However, there are times when a therapist can feel "on
the wrong track", and needs a break through. A short-term adjunct EMDR
treatment can often provide that kind of process. New information and
perspectives can emerge, and be brought back by the patient to the primary
treatment, which can then continue in a more productive fashion.
I collaborate as an adjunct therapist, I make a commitment to both the
primary therapist and the patient, to support and preserve the integrity
of their primary therapy relationship. I will actively head off any development
of splitting the transference, and will emphasize the behavioral-cognitive
aspects of EMDR work.
adjunct arrangements are considered short-term and specific symptom-oriented.
Primary psychotherapy might be suspended during the EMDR work, which could
last a month or two, or it might alternate sessions with the EMDR sessions.
EXAMPLE OF ADJUNCT TREATMENT:
as an Adjunct EMDR therapist with Miss X, who referred herself to
me, after reading about EMDR treatment. She had been in psychotherapy
with an analytic psychotherapist for several years. She was seen
twice a week in treatment. She was interested in EMDR work because
she felt "stuck" in treatment. I explained to Miss X that I would
need to confer with her primary therapist in order to move forward
into a therapeutic arrangement. I recommended she give my number
to her therapist, which she did.
Y called me the following week, and expressed relief that she would
be getting collegial support for a somewhat stagnating treatment.
While she had made some good progress with Miss X, she felt the
process was being held up by unresolved PTSD, stemming from a series
of childhood traumas of an interpersonal nature. While Miss X remembered
these incidents, and could discuss them intellectually, she was
unable to "get over" them. Dr. Y and I agreed that I would focus
the EMDR work on the most distressing of these memories, to help
"reprocess" the event. We agreed that helping Miss X to deal with
her memory with more emotional connection could be beneficial. We
discussed the arrangements, and decided that Miss X could give up
one of her analytic hours to schedule her EMDR sessions, pending
Miss X' agreement. Dr. Y and I both thought we should be in touch
periodically by phone. We also discussed transference and countertranference
considerations, and I gave her my commitment to protect the primary
X subsequently called to set up appointment times, and we talked
about Dr. Y's and my conversation. Miss X was fine with all the
choices. Miss X and I met for a two month period, focusing on a
particularly troubling memory. During that treatment, she was able
to process the event and become desensitized to its power over her.
She and Dr. Y both reported an improved experience in the primary
psychotherapy treatment. During that time, Dr. Y and I spoke three
times. At the end of the two month period, Miss X felt she no longer
needed to come for EMDR. We stopped the treatment, with the proviso
that we might meet again, if she should need my help in the future.
Dr. Y and I had a final phone consult, in order to wrap up our collaboration.