Treatment & Approach

Trauma Counselling

Trauma that goes unresolved can diminish your ability to deal with further stressful, traumatic events. This can lead to the development Post Traumatic Stress Disorder (PTSD) and Complex PTSD.  When we have unresolved trauma in our system we have a tendency to under-react to what is abnormal (rage, abuse, neglect) and over-react to what is normal (misunderstandings, being late, emotions, not being heard).

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Psychotherapy is a process that allows you to explore your thoughts, feelings, and behaviour in the non-judgmental presence of a therapist. At Healing Waves Counselling we practice the following aspects of creating a safe therapeutic space to explore your experience together:

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• You decide what you are willing to share

• You are not alone in your experience

• We go into material that you can tolerate

• We ask that you be open to feedback

• You will not have to tell your story over and over again

Our approach to ADHD

There is an overrepresentation of adults with undiagnosed ADHD—particularly women—in our clientele. And this is true for two reasons: first, adults with undiagnosed ADHD have spent a lifetime struggling, without support, with the difficulties. All people with ADHD struggle with impaired working memory, problems with decision making, impaired executive functioning, difficulties with procrastination, and difficulties getting started (activation), to name just a few.

This often results in a distorted self-conception: for example, feeling that one is lazy or unintelligent or unreliable. And second, people with ADHD are significantly more likely to have other mental health diagnoses, for example, depression, anxiety, and bipolar disorder.

Healing Waves Counselling can help clients navigate the diagnostic process, access available accommodations, and work closely with clients as they begin finding the proper medication at the correct dosage.

EMDR

EMDR stands for Eye Movement Desensitization and Reprocessing. This therapy is a set of standard protocols incorporating elements from many other treatment approaches, such as mindfulness, CBT, somatic experiencing, experiential, psychodynamic, & family systems theory. Bilateral stimulation is added to this, usually by the therapist guiding the clients’ eye movements left to right, as our eyes do naturally in REM sleep. Some therapists use bilateral tapping on the client’s knees instead of eye movements. There is much less talking in EMDR sessions so that you can go inwards and process (like mindfulness with a jet pack and a laser targeting specific beliefs). You choose which beliefs you want to work on, one at a time, in a collaborative way with your therapist.

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How does it work

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Traumatic memories stay “stuck” in the brain’s nether regions– the nonverbal, non-conscious, subcortical regions (amygdala, thalamus, hippocampus, hypothalamus, and brain stem), where they’re not accessible to the frontal lobes– the logical, reasoning parts of the brain. They are recorded as sensory memory traces (including body sensations) and are inaccessible to conscious examination (Damasio, 2006). This therapy activates all these parts simultaneously and because neurons that fire together, and wire together = triggers are desensitized and new neural pathways are formed that are more adaptive. The insights clients gain in EMDR result not from clinician interpretation, but from the clients’ own accelerated intellectual and emotional processing. Once the trauma is resolved, spontaneous improvement in other psychological domains occurs. See Shapiro’s AIP model for more explanation.

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What to expect during a session

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When you have done all the prep and have chosen the first memory and belief to work on, your therapist will sit opposite you but to one side. They need to move closer temporarily when using eye movement so their fingers are at a distance that is comfortable for your eyes to focus on and follow. The therapist will ask you to focus inward on the traumatic memory, your emotions, thoughts, bodily sensations, and visual images and follow their fingers with your eyes: left-right. No, it is not at all like hypnosis, where you are in a calm, relaxed state. You will experience strong emotions, as that is what helps activate the parts of the brain where the trauma/disturbing event is stored. This is necessary to produce change. I used to use therapies that only dealt with the conscious mind and found little improvement that didn’t last. With EMDR, more parts of the brain are activated, in an intense way. I found significant progress in my clients in much less time and with lasting results.

If you cannot do the eye movements, some therapists offer other forms of bilateral stimulation (BLS): hand taps, auditory tones, hand-held buzzing mechanisms. They are all alternating activation of the right hemisphere and then the left hemisphere of the brain (BLS) which facilitates the processing of psychological difficulties. You will be pausing briefly & reflecting on what you were noticing during the BLS. If needed, your therapist may ask you questions occasionally to help you move to a neutral or positive interpretation of what the event meant about you e.g., “I did the best I could.” A crucial step is pairing the original disturbing event with the new positive cognition. By the end of each session, clients report a significant reduction in level of disturbance and report feeling relief, peace, & calmness.

Unlike some other therapies, EMDR clients are not asked to relive the trauma intensely for prolonged periods of time. In EMDR when there is a high level of intensity, it will only last for a few moments and then decrease rapidly. If it does not subside quickly on its own, let your therapist know because they can then use techniques to help your distress quickly dissipate. This is important so you can function comfortably outside of the sessions. If you are stuck at any point, I will not just keep saying “Go with that.” I will offer cognitive interweaves (questions, info, or ideas for an alternate ending) that you can try out if you wish to. They can provide for you what you wished had happened but didn’t. You may be tired after EMDR sessions, so plan to have some downtime after each treatment.

Past, present, and future aspects of events are addressed and evaluation is included briefly in each session to assess progress and choose the next events/beliefs to work on.​

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What EMDR is effective for?

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EMDR can be used to enhance performance, including interview skills, public speaking skills, or dating. EMDR is effective at treating PTSD and traumas from natural disasters, assault, abuse, accidents, or traumatizing medical or dental procedures. EMDR can be used to treat anxiety, depression, survivor guilt, or low self–esteem.

Somatic Attachment Psychotherapy