•I am available to supervise other psychotherapists in the areas of   Psychodynamic Psychotherapy, EMDR, Body Image work, and
  Leaving Home.

•I enjoy guest lecturing and public speaking on these topics.

I 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.


ADJUNCT EMDR TREATMENT
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.

When 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.

The 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.

  AN EXAMPLE OF ADJUNCT TREATMENT:
 

I worked 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.

Dr. 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 therapy relationship.

Miss 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.