My Perspective
We each have an innate wisdom within us and I love supporting
people in realigning with and following their authentic self.
Physical, emotional and psychological symptoms are telling us we are
living in a way other than from who we really are. People lose their
connection with their innate wisdom if they have been abused or
neglected and/or from family, societal and cultural programming. If we
watch little children who are supported in who they are, they are full
of joy, honesty, enthusiasm and energy. If we travel through life
editing or judging our innate selves eventually uncomfortable symptoms
will appear (depression, anxiety, etc.) These symptoms are our innate
wisdom asking us to return to our natural state. If we choose to
listen and make changes and live from our authenticity symptoms go
away. If we choose to stay in the same self limiting patterns and
beliefs our symptoms keep getting louder until we become disabled
(physically or emotionally). Benjamin Franklin said “The definition of
insanity is doing the same thing over and over and expecting different
results.”
What I ask of you
If you come to psychotherapy please be ready to change, challenge
your old beliefs and patterns, and replace them with new more life
affirming ones. In the over 30 years of practice in psychotherapy, I
have discovered those who have been successful in making changes have
had certain characteristics:
- They have been willing to learn about themselves
- They have been willing to let go of beliefs that limit them
- They have attended therapy consistently
- They have practiced tools they learned in session in their daily lives
- They have made themselves a priority so change could take place
- They have stayed focused on their treatment and achieved their goals
First Session
The first time you come in we will get to know each other. I will
share with you how I work, what my office policies are and set your
fee. You will share with me what brings you to therapy, what
experiences you have had in therapy before and what you would like
different in your life. I will give you an intake form to fill out and
bring back next session. If you prefer we can fill it out together.
The second time we meet we will go over your intake form and I will ask
more questions. If you have brought the form filled out you will save
time. Then we will develop a plan, set goals and begin to identify
targets to clear. This may take a couple of sessions and will continue
through the Resourcing phase of treatment.
I often ask people to write an outcome. What will be new and
different in your life when you complete treatment? Why? This assists
you in measuring your own progress. This is also a time I can
introduce you to Conscious Language and how you can identify and change unconscious self sabotage programs.
First Phase of Treatment
From here we will begin the Somatic Resourcing phase of treatment. This is part of the assessment and preparation phase
of treatment. We will assess what resources you already have and what
requires rebuilding. These phases are crucial for
successful treatment.
Somatic Resourcing
I start everyone out with Somatic Resourcing activities, ie: grounding,
centering, boundaries and containment. These activities allow both of
us to assess what resources you already have and gives you tools to
build resources that may be missing or have been breached. This phase
of treatment is critical.
We start with mindfulness. To be successful
at making changes you must be able to observe your physical, emotional
and cognitive reactions. You will have to have dual focus (aware of
what you are currently experiencing and remembering a past event) to be
able to do EMDR or Lifespan Integration. Mindfulness tells us both if
you are able to dual focus and if not will give you the tool to develop
dual focus. Mindfulness also assesses your ability observe whether you are grounded or not. Being fully and completely present, grounded, when doing LI or EMDR will allow you to make changes. If you loose your focus, presence or groundedness LI and EMDR will be other than effective.
From here we will begin Somatic Resourcing activities.
Somatic Resourcing activities are somatic and experiential in nature,
not visualizations or imagining. You will experience a “felt sense” of
how grounding feels, how your feel when your boundaries are working for
you, and how you feel when you are centered. You will learn how
changes in your physical structure will change your emotional and
psychological state. You will have tools to use in your daily life to rebuild and/or maintain your resources.
Once we move into resolving trauma or self limiting patterns, your
ability to notice if you lose your grounding will be crucial. If you
are ungrounded trauma resolution will be other than effective and can
cause you to feel re-traumatized . If you lose your grounding we can
stop, reestablish your grounding and then continue to work. You will learn much
about yourself through these experiential activities. I have had
clients make dramatic changes in their lives just from these
activities.
We will assess you ability to self soothe and build in skills if
more are required. Self soothing is crucial for handling emotional
challenges which may arise between Lifespan or EMDR sessions, as we clear traumatic experiences or
ingrained belief patterns. Trauma becomes stored our nervous systems
when we become overwhelmed by an event. Having new life experiences, resources and self soothing tools when you target these old memories or beliefs allows you to revisit and clear
the original experiences in a new way. You may still experience emotional upset for
a short while and your new perspectives and tools will allow you to
move through old experiences without overwhelm and reach resolution. New self soothing skills will allow yourself to self regulate in between sessions when we address issues with Lifespand and/or EMDR.
Why are somatic resourcing skills and self soothing so important?
These are skills we are suppose to develop in early childhood. They
provide a foundation for the rest of our lives. Without them
depression, anxiety, and other symptoms appear. These skills give you
the resources to make choices and follow through with action with a
sense of confidence, knowing what is right for you. Think of it this
way. If you build a house, the first thing you build is a foundation.
If there is no foundation or it is built inadequately at some point the
house (your life) will fall off of the foundation and crumble. Once
you rebuild your foundation you are prepared to rebuild you life in a
lasting way.
If theses resources are already working for you, you will move
quickly through this phase. If they have to be rebuild this phase will
take as much time as you nervous system requires and lays a crucial
foundation.
During this phase of treatment we will be identifying what your
presenting life issues are you would like to see change and develop a
target sequencing plan. We will do a history of each issue various
times you recall having the same experience and the first time you
recall. The Somatic Resourcing activities often help us identify
experiences.
Conscious Language
I am a “Language of Mastery” Instructor with Mastery Systems. I can
tell what your core life issues are in a short period of time based on
what you say. I often share with you some of this information so you
can begin tracking your own self sabotage systems and make new
choices. Conscious Language is a wonderful tool for becoming aware of
what unconscious self sabotage beliefs are operating in your daily
life. I have a book, CDs and DVDs available if you are interested in
studying more deeply. Since I teach people to work mindfully I can
give you opportunities to feel what your words are doing to you and how
new choices feel. As you become more self aware you can catch your
patterns and make changes. Conscious Language assists you in living
your life consciously.
Second Phase of Treatment
After you have completed the assessment and beginning preparation
phase we will move on to resolving specific targets. Many times some of the original issues have already improved. You will choose a life issue to address (from the list you started treatment with and those we uncovered in the assessment and preparation phase). We will develop a Target Sequencing Plan
identifying the self limiting beliefs you experience and do a history of
all of the times you remember having the same experience. We will then
systematically address each one to clear the entire pattern. I use
both EMDR and Lifespan Integration. The assessment and preparation phase will have allowed me to identify which tools will work for you. Sometimes I use both since both
work differently our brains. The combination can make remarkable and
profound changes. Some people who have a long history of emotional
abandonment and neglect growing up so better with Lifespan Integration
to start with. Adding the EMDR to the same targets after often clears
associations you had not even considered. I am a Facilitator with the
EMDR Institute, Inc. and an Approved Consultant with EMDRIA (EMDR
International Association). I have been using EMDR since 1991 and
assist in training other professionals. I have been doing Lifespan
Integration since 2003.
You will be asked to make brief notes about what
physical, emotional, and cognitive experiences you are having in
between sessions, as well as any further memories that may show up.
What comes up that is uncomfortable tells us what else has to be
cleared. What positive changes occur tells us what progress you are
making. I will be relying on you to give me accurate feedback of what you experience in between sessions to guide you further in your process.
Here is some information on both Lifespan Integration and EMDR:
Lifespan Integration
Lifespan Integration (LI) is an excellent choice for therapy if you have a history of
abandonment (including emotional abandonment), neglect (including
emotional neglect), if you grew up in an alcoholic or drug addicted
home, and/or abuse. LI is a gentle method which works on a deep neural
level to change patterned responses and outmoded defensive strategies.
LI helps you connect unpleasant feelings and dysfunctional patterns
with memories of past events where they originated. Making these
connections at a deep level of your body-mind “re-sets” your neural
system to be more in line with your current life situation. LI uses an
affect bridge to find a memory which is connected to a current life
problem. I then guide you to imaginably re-visit this past memory,
bringing into therapy whatever is required to resolve the memory. Once
the memory is resolved, I guide you through time to the present using a
Time Line of visual images of scenes from you life. The Time Line of
memories and images proves to your body-mind system time has passed and
life is different now. Each pass through your time line strengthens
your core sense of self and weaves in all of your life skills in a way
that makes them now easily available to you. After LI therapy people
find themselves spontaneously reacting to current stressers in more age
appropriate ways. After several session of LI clients have reported
they feel better about life, are more self accepting and are better
able to enjoy their intimate relationships. For more information you
can visit www.lifespanintegration.com.
EMDR
EMDR (Eye Movement Desensitization Reprocessing) is a
method of psychotherapy which has been extensively researched and
proven effective for treatment of trauma. EMDR is a set of
standardized protocols incorporating elements from many different
treatment approaches. To date, EMDR has helped an estimated two million
people of all ages relieve many types of psychological stress. EMDR
can also be used to enhance performance, ie: sports activities, public
speaking.
EMDR is founded on the premise we have an innate inner wisdom which
prompts us toward health and wholeness. EMDR is an approach to
psychotherapy comprised of principles, procedures and protocols. It is
not a simple technique characterized primarily by use of eye
movements. EMDR is grounded in psychological science and is informed
by both psychological theory and research on the brain.
EMDR integrates elements from both psychological theories (e.g.
affect, attachment, behavior, bioinformational processing, cognitive,
humanistic, family systems, psychodynamic and somatic) and
psychotherapies (e.g., body-based, cognitive-behavioral, interpersonal,
person-centered, and psychodynamic) into a standardized set of
procedures and clinical protocols. Research on how our brain processes
information and generates consciousness also informs the evolution of
EMDR theory and procedure.
EMDR has 8-phases. The first two phases (assessment phase and
preparation phase) are crucial to success of EMDR treatment. I use Somatic
Resourcing and self soothing tools in the assessment phase and
the beginning of the preparation phase. We will identify what life
issues you would like to improve and do a detailed history of how often
the pattern has repeated itself in your life, which were the most
difficult and when the first one occurred. We will assess your ability
to feel safe during EMDR treatment. Because challenging emotional
responses may come up, feeling safe with me and having an ability to
tell me what you are experiencing are crucial. I act as a guide
through the EMDR sessions and you accurately reporting what you
experience allows me to guide you correctly. Giving me accurate and
clear information about what you are experiencing between sessions is
crucial for both of us to measure your success. You will have to have
good self soothing skills to use between session if challenging
memories or emotions arise between sessions. I use Somatic Resourcing
to begin treatment so we have assessed your skills and resources and
built or strengthened your skills and resources before beginning any
trauma treatment. We will take into consideration appropriate timing
of using EMDR based on what is currently going on in your life, ie: how
busy your life is (do you have time to go through the process?),
support you have while going through treatment, safety. EMDR can
shorten length of treatment and you still may have periods of intense
emotional processing until the target are cleared.
In Phases 3 – 6, standardized steps must be followed to achieve
good results. EMDR is a process, not a technique, and unfolds according
to requirements and resources of each person in the context of our
therapeutic relationship. Therefore, different elements may be
emphasized or utilized differently depending on the unique requirements
of each person.
To achieve comprehensive treatment effects a three-pronged basic
treatment protocol is used to first address past events. After past
targets are cleared we clear current stimuli still capable of evoking
distress. Finally future situations are processed to prepare for
possible or likely circumstances. For more information on EMDR visit: www.emdria.org
Attendance
I do 1 hour
& 20 minute sessions and require you to attend weekly. EMDR and
Lifespan Integration both require longer sessions. We can move through
the assessment and preparation phases more quickly with 1 hour & 20
minute sessions. Once you have made significant changes we can
reevaluate frequency. I have found people who attend irregularly or
even every other work have not met their treatment goals. Real change
requires focus and consistency. There are exceptions. For those who
have already done significant work and have already had Lifespan
Integration and/or EMDR treatment and are doing some fine tuning a
different schedule may be possible (length of sessions remains the
same). EMDR and Lifespan Integration both require longer sessions.
Cost
My fee is $165.00 per
1 hour & 20 minute session. I am not on any insurance panels but
if you have insurance and if you have a plan that covers an out of
network provider I can provide you with forms to submit to your
insurance company so you can be reimbursed. You should also find out
how many sessions they will cover so we can plan your treatment
accordingly. It is important you tell me how many sessions your
insurance will cover if you plan to stop treatment after your insurance
benefit runs out, so we can come up with a treatment plan that fits the
number of sessions you will be attending. For those who do not have
insurance and require a reduced fee I do some sliding on my scale. We
can discuss my range and see if something can be worked out.
How long does therapy take?
There are many factors which affect length of treatment. What
resources you already have in your life and how your nervous system
responds to treatment makes a difference. If you have had an extensive
history of emotional abandonment and/or neglect or abuse therapy can
take longer. How consistent you are with practicing the resourcing
activities I prescribe makes a difference. How focused you are in
treatment makes a difference. How consistent you are in attending
sessions makes a difference. If you have financial limitations it may
be best to set realistic goals for a limited number of sessions and
return later to work on the next goal. How can you speed up treatment?
- Attend sessions weekly
- Practice daily the activities I prescribe
- Make time for yourself to integrate your new changes - make yourself a priority.
- Make time to notice changes and make brief notes to share with me at your next session.
- Stay focused on your treatment goals.
Confidentiality
Washington State Laws have always
been very protective of patients rights. All of what you share in
session is kept confidential with some exceptions. I am required to
report child abuse/neglect, elder or those with developmental
disabilities abuse or neglect, or if you commit or contemplate
committing a crime (past or present). If I receive a subpoena for your
records I can protest them being released but ultimately if a judge
orders me to release them I have to. You may authorize me, in writing,am to release
or share information to anyone, ie: a family member who will help your
treatment, another health care professional to coordinate treatment.
Communicating with Me
I do all
communication with clients via telephone. E-mail is other than secure
and less reliable in reaching me. There may be days I am unable to get
to e-mail. I can be easily reached by voice mail or my Google voice number during
business hours and I return calls as soon as possible. Messages left
outside of business hours are returned on the next business day unless
you are a client of mine who is having a clinical emergency. Then I
return calls as soon as I am able to pick up my messages. You can call the Crisis Clinic
at: 206-461-3222 if you require assistance sooner than I am able to get
back to you.
Office Days & Hours
My office days are Monday - Thursday. I see clients on
Tuesdays, Wednesdays and Thursdays. Other days I am consulting,
teaching, writing or doing administrative tasks. I see clients from
noon to 4:30p on my client days. My
sessions are 1 hour and 20 minutes long.
I am able to do some sessions via internet video conferencing. Some of the Somatic Resourcing work can be done via video conferencing and some has to be done in person. This option can be helpful for clients who find themselves traveling for work, when logistical issues come up, or those who are outside of my area. If you are out of my area contact me to discuss if this method could work for you. Usually you will have to have some sessions in my office during the initial phases of treatment.
How to Contact Me
I look forward to supporting you in discovering and living from your authentic self! You can leave me a message on my voicemail: 425-747-5774 or try reaching me in person on my Google Voice number: 425-502-5607 for more information or to schedule and appointment.