Neuro-auricular Methods for EMDR

Resolve 3 Key Challenges Specific to EMDR

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  1. DEFENSE MECHANISMS 
  2. TARGETING
  3. PROCESSING

Session time is precious; clients are constantly chasing to find the newest, best treatment; and clinics are in a seemingly endless arms race of modalities.

However, therapists who stop to recognize one of the best tools every client already brings to each session — the ear — use this window to the brain
to help resolve complex cases.

The Canadian Institute for Auricular Medicine (CIAM)

Continuing education for healthcare & wellness professionals who seek
broader and deeper insight from the auricular microsystem of the ear — the window to the brain. 
CIAM offers institutionally recognized and highly endorsed curricula to help integrate auricular within your scope of practice.
Dave Maybee,
RMT
Director | CIAM
Connect with Dave, a leading instructor in Auricular Medicine, for live discussions: How to bypass the pre-frontal cortex to support emotional healing using neuro-auricular modulation.
Thasja Hoffmann,
LMFT, LPCC
EMDR Certified Coach
Consult with Thasja, a certified somatic therapist, EMDR supervisor and coach, and discuss: Specific challenges (i.e. defense mechanisms, targeting, processing) in your EMDR practice.
Shannon Bowman, AMHSW
EMDR Certified Psychotherapist
Talk with Shannon, a practicing EMDR therapist who uses Auricular Methods: Clinical case examples and the benefits of using neuro-auricular modulation alongside your EMDR practice.
Lisa Weleschuk,
TCMD, RAc
Clinical Practicum Advisor | CIAM
Learn with Lisa, as she offers her experience working with various health professionals on the subject: How to integrate auricular methods within the scope of clinical practice to support psychological healing.
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Neuro-auricular Methods for EMDR

Move Beyond
Defense Mechanisms

While EMDR is among the main treatments for clients with issues of dual attention of even dissociation,[1-5] dissociation or simply lack of sufficient dual attention are challenges facing the EMDR therapist.[6-10] Neuro-auricular methods bypass pre-frontal cortex involvement and facilitate the restoration of dual attention and self-regulation[11-26] — all while avoiding the risks of proceeding with EMDR when the necessary dual attention is not there.
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Neuro-auricular Methods for EMDR

Gain Insight for Target Identification & Priority

Even without cognitive input from the client, active points on the microsystem of the ear, especially limbic system and pain memory points,[27] can be helpful in offering clues to useful targets.
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Neuro-auricular Methods for EMDR:

Support Processing

In some cases, the client simply is “blocked,” in a “processing loop,” or “resistant” during BLS — no decrease in SUDs. Neuro-auricular modulation helps move beyond client defense mechanisms or other blocks without the need for pre-frontal cortex. It activates the mechanisms of action to support engagement, plasticity, healing and processing.[28-32]

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How to Access the Somatic and Emotional Experience

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References:
[1] Haour F, Dobbelaere E, de Beaurepaire C. Scientific Evaluation of EMDR Psychotherapy for the Treatment of Psychological Trauma Summary: Scientific evaluation of EMDR psychotherapy. L'encephale. 2016 Jun;42(3):284-288. DOI: 10.1016/j.encep.2016.02.012. PMID: 27017321.
[2] Diseth TH, Christie HJ. Trauma-related dissociative (conversion) disorders in children and adolescents--an overview of assessment tools and treatment principles. Nord J Psychiatry. 2005;59(4):278. doi: 10.1080/08039480500213683. PMID: 16195132.
[3] EMDR and Dissociative Disorders. EMDRIA website. 2011. Accessed September 30, 2021. https://www.emdria.org/group/emdr-and-dissociative-disorders/
[4] Bufka, L. Et al. Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. American Psychological Association website. February 24, 2017. Accessed September 30, 2021. https://www.apa.org/ptsd-guideline/ptsd.pdf
[5] de Jong, et al. Guidelines for the Management of Conditions Specifically Related to Stress. World Health Organization website. 2013. p37. Accessed September 30, 2021. https://apps.who.int/iris/bitstream/handle/10665/85119/9789241505406_eng.pdf ISBN 978 92 4 150540 6
[6] Hart O, et.al. Dissociation of the Personality and EMDR Therapy in Complex Trauma-Related Disorders: Applications in Phases 2 and 3 Treatment. Journal of EMDR Practice and Research. 2014; 8(1): 33
[7] Forgash C, Knipe J. Integrating EMDR and Ego State Treatment for Clients With Trauma Disorders. Journal of EMDR Practice and Research. 2012; 6(3): 121
[8] Dunne T, Farrell D. An Investigation Into Clinicians’ Experiences of Integrating 
EMDR Into Their Clinical Practice. Journal of EMDR Practice and Research. 2011; 5(4):177-188
DOI:10.1891/1933-3196.5.4.177
[9] L Royle, & C Kerr. (2010). Integrating EMDR into your practice. New York, NY:Springer Publishing.
[10] Stacy R. 4 Big Challenges for EMDR Therapists — Part 3. Stacy Ruse Counseling Group website. Accessed August 6, 2021. https://stacyrusecounseling.com/emdr-therapy-challenges-part-3/
[14] Mercante B, Deriu F, Rangon CM. Auricular Neuromodulation: The Emerging Concept beyond the Stimulation of Vagus and Trigeminal Nerves. Medicines (Basel). 2018;5(1):10. Published 2018 Jan 21. doi:10.3390/medicines5010010
[17] Shiozawa P, Silva ME, Carvalho TC, et al. Transcutaneous vagus and trigeminal nerve stimulation for neuropsychiatric disorders: a systematic review. Arq Neuropsiquiatr. 2014; 72: 542-7.
[19] Kong J, Fang J, Park J, et al. Treating Depression with Transcutaneous Auricular Vagus Nerve Stimulation: State of the Art and Future Perspectives. Front Psychiatry. 2018; 9: 20.
[21] Fang J, Rong P, Hong Y, Fan Y, Liu J, Wang H, Zhang G, Chen X, Shi S, Wang L, Liu R, Hwang J, Li Z, Tao J, Wang Y, Zhu B, Kong J. Transcutaneous Vagus Nerve Stimulation Modulates Default Mode Network in Major Depressive Disorder. Biological Psychiatry. 2016 Feb 15;79(4):266-73. 
[24] Kurebayashi LF, Turrini RN, Souza TP, Marques CF, Rodrigues RT, Charlesworth K. Auriculotherapy to reduce anxiety and pain in nursing professionals: a randomized clinical trial. Rev Lat Am Enfermagem. 2017;25:e2843. Published 2017 Apr 6. doi:10.1590/1518-8345.1761.2843
[25] Stanton G. Auriculotherapy in Neurology as an Evidence-Based Medicine: A Brief Overview. Med Acupunct. 2018;30(3):130–132.
[26] Alimi D. Medical Auriculotherapy: Scientific Bases, Principals and Therapeutic Strategies.[in French]. Paris: Elsevier–Masson; 2017

[27] Strittmatter B. Ear Acupuncture: A Precise Pocket Atlas Based on the Works of Nogier/Bahr. Stuttgart, Germany: Thieme; 2011: iii-iv, 240-241, 236, 128, 160-161
[28] Rosenberg S. Accessing the Healing Power of the Vagus Nerve. Berkely, California: North Atlantic Books; 2017:87-93.
[29] Porges, S.W. Dana, D. Clinical Applications of the Polyvagal Theory: The Emergence of Polyvagal-Informed Therapies. New York: WW Norton. 2018: 53, 52
[30] Badran B, Dowdle L, Mithoefer O, Austelle C, McTeague L, George M. Neurophysiologic effects of transcutaneous auricular vagus nerve stimulation (taVNS) via electrical stimulation of the tragus: A concurrent taVNS/fMRI study and review. Brain Stimulation. 2017; 11(3):492-500. DOI: https://doi.org/10.1016/j.brs.2017.12.009
[31] Hays SA. Enhancing Rehabilitative Therapies with Vagus Nerve Stimulation. Neurotherapeutics. 2016;13(2):382-394. doi:10.1007/s13311-015-0417-z
[32] Edgerton R., Gad P. Spinal Cord Injury: Is the vagus nerve our neural connectome? eLife 2018;7:e35592 DOI: 10.7554/eLife.35592