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Overview of Established Modifications of EMDR Therapy for Dissociative Disorders

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About the Course:

The International Society for the Study of Trauma and Dissociation has developed an EMDR therapy training that integrates trauma and dissociation education. In this workshop, authors of this curriculum will present an overview of the most important published modifications of EMDR therapy for Complex Trauma (CT) and Dissociative Disorders (DDs), both to highlight the complexity of treating this population and as enticement to obtain further training.

We will discuss diagnostic evaluation, discernment of ‘red flags’ in the client’s history/presentation, and the known and potential challenges of applying standard EMDR therapy protocols with clients with CT and DDs.

We will briefly describe, with examples, specific techniques in the stabilization phase (Resource Development and Installation, Ego-strengthening, and Enhancing Orientation) and memory processing phase of EMDR therapy (Flash Technique, Memory Fractionation, Wreathing Protocol, Targeting Avoidance Defenses, Constant Installation of Present Orientation and Safety and the Back of the Head Scale).

EMDR therapy interventions spanning all 3 stages of complex trauma treatment include Paulsen’s ACT-AS-IF Model, Gonzalez and Mosquera’s Progressive Approach, Kitchur’s Strategic Developmental Model for EMDR, Knipe and Forgash’s Cross Training Model, Knipe’s Loving Eyes Procedure, Fraser’s Dissociative Table Technique, Parnell’s Attachment-Focused EMDR, and O’Shea and Paulsen’s Early Trauma Approach.

This course is based on the recorded webinar, Overview of Established Modifications of EMDR Therapy for Dissociative Disorders created by Marilyn Korzekwa, MD FRCPC and D Michael Coy, MA, LICSW in 2020.

Publication Date:

Oct 2020

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Marilyn Korzekwa, MD FRCPC
Marilyn Korzekwa, MD, FRCPC, completed medicine at the University of Toronto in 1982 and psychiatry at McMaster University in Hamilton, Ontario, Canada in 1986, where she is an associate professor (part-time). She worked in general hospital outpatient psychiatry for 28 years, which included founding and running a Dialectical Behavior Therapy Program and Day Hospital. She opened her private practice in 2014, specializing in trauma and dissociative disorders. Her 17 publications include first author on 6 papers about Borderline Personality Disorder (BPD), and 5 papers about dissociation in BPD, collaborating with Paul Dell. She has completed both levels of training in DBT, EMDR and Lifespan Integration, and Level 1 in Developmental Needs Meeting Strategy and Sensorimotor Psychotherapy. She is a fellow of the ISSTD, a recipient of the Distinguished Achievement Award, and has been a member since 1992. She has been a member of EMDRIA since 1995. Currently she is devoting her time to the committee that is developing the curriculum for ISSTD’s EMDR course.
D Michael Coy, MA, LICSW
D. Michael Coy, MA, LICSW, is a Seattle-based therapist whose focus in the integrative treatment of persons who have struggled with the effects of pre-verbal and attachment trauma, addictions/compulsions, and complex trauma and dissociative disorders. Michael is an EMDRIA Approved Consultant, has intermediate training in clinical hypnosis through ASCH, and is Level I trained in Sensorimotor Psychotherapy. He served on the Standards & Training committee of the EMDR International Association from 2014 to 2017. Michael is co-author of the Interpretive Manual for the Multidimensional Inventory of Dissociation Analysis, 2nd Edition, and manages the MID website. He has presented and co-presented on the MID extensively both in the US and internationally. Michael currently serves as Treasurer, and in 2019 was named a Fellow, of the International Society for the Study of Trauma and Dissociation (ISSTD). Since 2017, he has co-chaired a task group developing ISSTD’s own, home-grown EMDR therapy ‘basic’ training.

Course Creator

Sandi Cardaman
Sandi Cardaman has been a Licensed Mental Health Counselor for more than 15 years. She has worked with eating disorders, domestic violence and clients who are working with the dependency system.

Recommended For:

This course is recommended for social workers, psychologists, marriage and family therapist and counselors who work with trauma survivors. It is appropriate for all levels of participants’ knowledge.

Course Objectives:

After taking this course, you should be able to:

  1. Define pathological dissociation
  2. List six reasons to thoroughly screen for dissociation in all clients before commencing EMDR therapy
  3. Identify six questions and six client observations that provide information suggestive of pathological dissociation
  4. Outline the targeting sequence of childhood memories in the Strategic Developmental Model for EMDR
  5. Explain the basic principles of the Progressive Approach to EMDR and Dissociation


Disclosure of Relevant Financial Relationships

Disclosure of Relevant Financial Relationships

CE Learning Systems, LLC is an independent provider of continuing medical education. CE Learning Systems, LLC has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.

In accordance with our disclosure policies, CE Learning Systems, LLC is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real conflicts of interest between any individual with control over the content and any ineligible company (commercial interest).

Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:

  1. Individual relationship(s) or lack thereof, and its nature, with any/all ineligible company, and
  2. any investigational, off-label, or non-FDA approved content or discussion

CE Learning Systems, LLC has reviewed these disclosures, assigned relevance based on the relationship and scope of content, and identified those with the potential to compromise the goals and educational integrity of the education. Relevant relationships, or lack thereof, are shared with the learner.

Education has been independently peer-reviewed to validate content, mitigate identified conflicts of interest, and ensure:

  1. All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
  2. All scientific research referred to, reported, or used in accredited continuing education in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection, and analysis.
  3. Content is appropriate, fair and balanced, unbiased, referenced, and non-promotional.

The planners have reported the following: There are no relevant disclosures.

Course Material Authors

The authors have disclosed any disclosures within the material.

Course Creator: Sandi Cardaman
There are no relevant disclosures.
Commercial support

There is no commercial support for this distance-learning course.

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Course Retired
Course Number 102923
3 CE credit hours
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  • Recorded Webinar
Exam Fee $17.91
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Course Materials $75.00

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