EMDR for Fear of Public Speaking by Laurel Parnell
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Description
In this video the client, a therapist, has a fear of public speaking. She would like to present publically, but she is very anxious and avoids situations where speaking would be required. She said that when she speaks, she can’t think, and has significant anticipatory anxiety that could be so severe it affected her sleep before scheduled events. Her goals for treatment were to be confident enough that “I can handle whatever happens so I can think.” She wanted to be able to speak publically and do presentations and also to see more couples without sleepless nights.
In the session the client using tactile stimulation pulsers for bilateral stimulation, installed resources. We then used the bridging technique to bridge from a recent example of her speaking anxiety to find a target from the past. After processing that target to completion and installing a positive cognition we returned to the incident we bridged from to check our work. She felt much better, but found another area that still had charge. We then bridged a second time to find another target from her childhood and processed that. When that was complete, we again returned to the recent anxiety-producing situation to check our work. She felt much better in that situation, no distress. She then imagined future scenarios of speaking. These felt better, but new concerns came up that she hadn’t been aware of before. After exploring these, we decided to close the session with the understanding that these could be targeted in future sessions. At the end of the video I summarize the session and explain what I did and why.
- Explore the presenting problem, symptoms and triggers
- Create and install resources and metaphors for nurturing, wisdom and peace
- Establish a signal for stop and keep going
- Set up a bridge from a recent example of anxiety to find a target
- Develop the target using the modified protocol
- Refine the picture or scene
- Check the target
- Check the Subjective Units of Disturbance Scale (SUDS)
- Install a positive cognition (PC)
- Check the trigger scene that we bridged from
- Explore to see if there is another target to process
- Target the anticipatory anxiety directly (without a bridge)
- Check the trigger scene again and the SUDS
- Bridge back from new feelings and beliefs
- Recognize the negative cognition
- Begin bilateral stimulation
- Focus on the body
- Check the SUDS
- Process the trigger scene with positive cognition
- Check the original scene
- Check the imagined future scenarios for change
- Closing and debriefing
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Medicine is the science and practice of establishing the diagnosis, prognosis, treatment, and prevention of disease.
Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness.
Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease,
typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.
Medicine has been around for thousands of years, during most of which it was an art (an area of skill and knowledge) frequently having connections to the religious and
philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancient philosopher and physician would apply bloodletting according to the theories of humorism.
In recent centuries, since the advent of modern science, most medicine has become a combination of art and science (both basic and applied, under the umbrella of medical science).
While stitching technique for sutures is an art learned through practice, the knowledge of what happens at the cellular and molecular level in the tissues being stitched arises through science.
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