The neuroscience behind EMDR1/21/2022 My book Beyond the Blue mentions Eye Movement Desensitization and Reprocessing (EMDR) as a type of therapy that can help people with anxiety, depression, relationship conflict, and trauma. As a psychotherapist, I use EMDR on a daily basis, and I am often asked why we focus on eye movements.
Here is a quick explanation to explain why EMDR works: When you attend an EMDR therapy session, eventually (after preliminary work) we will identify target memories that relate to your current difficulties. For example, from a young age you might have formed the belief that you are ‘unsafe’ or ‘unlovable’, or you might carry around an overwhelming sense of shame or abandonment. Focusing on a target memory, we will guide your eyes laterally (left and right, rather than vertically, up and down). This process helps to quieten your amygdala (your brain’s alarm system) in relation to that target memory, and the triggering belief or emotion. Why do we know this works? Because research shows that when we walk or otherwise move forward, and things move past us, this causes our eyes to move laterally, and thus quietens our amygdala. So the lateral eye movements in EMDR replicates the brain’s natural ability to quieten the amygdala. But that is not all… When you are triggered, or experience a threat (whether that is in the present, or a distressing memory of a past event), you might fight, flee, or freeze. In 2018 research was carried out to identify the part of the brain that is responsible for the fight response, or “forward confrontation”, and some argue that this part of the brain is linked to the dopamine reward pathway (and this plays a big part in us experiencing pleasure). Faced with a threat, when we move forward in a safe way, we suppress the amygdala, and we send signals to the dopamine reward centres of our brain to reward us for forward effort. So in the face of a threat, a sense of forward action will help, and that can be replicated through the use of the lateral eye movements in EMDR - the brain thinks you are moving forward, and this suppresses the fear/alarm system of the amygdala, and it also rewards you through the production of dopamine. I hope you found this as interesting as I did! If you have any questions, get in touch. Chris Warren-Dickins LLB MA LPC Psychotherapist, author of Beyond the Blue, and LGBTQ+ advocate #beyondtheblue #beyondthebluebook
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Panic attacks1/16/2022 Panic attacks are terrifying and debilitating. You cannot breathe, your head spins, your limbs are buzzing with energy, and you are sweating like a pig. At the time you believe that you are going to die, but you don’t. You are sure that you have something physically wrong with you (perhaps your heart or lungs), but the doctors can find no cause for all of this.
Without any explanation for this, you start to do some of the following things -
Each time you look back and realize that this is your mind playing tricks with you, rather than a serious physical health concern. But there is hope for change. With a bit of guidance, we can help you to -
To plan for the next panic attack, here are some things to consider -
Panic attacks are scary at the time, but they do not have to rule your life. There are simple tools for you to use and regain control of your life, and if these do not help, there are treatments such as EMDR (Eye Movement Desensitization and Reprocessing therapy) that can help. Either way, you do not have to continue to struggle. Chris Warren-Dickins LLB MA LPC www.chriswarrendickins.com Psychotherapist, author of Beyond the Blue, and LGBTQ+ advocate #beyondtheblue #beyondthebluebook How to set boundaries... with love1/15/2022 In a relationship you bring your own baggage. You may feel more easily triggered, or scared, or angry, in certain situations that are beyond the control of your loved one(s).
When it comes to your emotions, there are no rights or wrongs. You feel how you feel, but it is how you act on it, and how you communicate those emotions, that counts. This is where boundary-setting comes in. Boundaries help you to establish the space within which you can –
One approach to all of this is to use DEAR skills to set boundaries with love. DEAR skills were developed by Marsha Linehan, who created Dialectical Behavior Therapy (DBT). Here is a quick three-minute run-down on using DEAR skills to set boundaries with love -
If DEAR skills are new to you, start slowly. Try one or two parts of it the next time you need to set your boundaries with love. If you would like more tools to tackle relationship conflict, get Beyond the Blue, available from most good book retailers. Chris Warren-Dickins LLB MA LPC www.chriswarrendickins.com Psychotherapist, author of Beyond the Blue, and LGBTQ+ advocate #beyondtheblue #beyondthebluebook How to find better ways to cope1/15/2022 Emotions can really get in the way of things. If we are overwhelmed with anger because we are stuck working from home and teaching our kids at the same time, the pressure might get to us so we say or do something we might regret. We might attempt to dampen these emotions with distraction or food or substances.
But our emotions are are also important sources of information. Sometimes we need to heed the warning signs; like the fuel light on a car, we can only ignore it for so long before that ‘running on empty’ turns into a grinding halt, where we cannot concentrate on work, we are unable to respond kindly and calmly to our kids, and our better half is packing a suitcase to go live with the in-laws. There are better ways to cope, and this is where we turn to emotion regulation. This is a big area, and you probably don’t have time to read a whole book about it, so here are just six aspects of emotion regulation. Emotion regulation can involve - 1. Increasing present-focused emotion awareness – For example, rather than regretting the past or fearing the future, you are mindfully identifying those one-word emotions that are arising within: Anger, sadness, loneliness, or rejection, for example. 2. Developing flexibility in your thoughts and assumptions – For example, are you assuming that your partner knows that you need some space to breathe, and that it would be great if they could take the kids for a run around the park? Do you then generalize this present frustration, and overlook other times, when they have been able to check in with you and find out what you need, and respond lovingly to this? 3. Identify patterns of emotion avoidance – For example, you might have been raised in a household where tears were unwelcome, and so you quickly try and throw yourself into work, or a petty dispute with a friend, instead of allowing those tears to come. 4. Develop awareness and tolerance of bodily sensations - Mindfully noticing and describing your bodily sensations can often serve as a bridge to emotional awareness. We may say that we are “fine”, and yet when we think of our partner, we get a tightness in our throat or our stomach. 5. Gentle, gradual exposure to the things you avoid – How many times have you heard someone say “I don’t want to cry because I fear I will never stop”, or “If I let myself really feel this, I will become overwhelmed and never get out of this slump”? This is a fear-driven approach to emotions, and yet there is another way. I like to think of emotions as a wave – there is a build-up, peak, and then subside of an emotion. If we avoid that emotion when it is building up, we do not benefit from experiencing the subside of the emotion, and this experience can teach our brain that these emotions are not to be feared, and they are temporary. Emotion regulation is hard if we listen to some of the myths that surround our emotions. As a psychotherapist I frequently hear these myths -
The truth is that there is no right or wrong about your emotions, they just exist. It is what you do with them that dictates the right or wrong of emotions, including anger. It is important to pay attention to your emotions because they contain important information about what needs to change. But you need to balance this information with your rational mind. You don’t have to be a hostage to your emotions; they can change by learning about emotion regulation. Part of this includes an awareness that emotions (given the right conditions) peak and then subside. You don't have to become overwhelmed by them. You can change your emotions by developing skills in emotion regulation (as set out above), but you only need to regulate the ones that are unhelpful. This is a useful guide to what emotions are helpful and unhelpful -
I hope you find this useful. Chris Warren-Dickins LLB MA LPC Psychotherapist and author of Beyond the Blue chriswarrrendickins.com Help for anxiety1/1/2022 If you are feeling triggered by rising COVID numbers, these simple tips might help with your anxiety. Chris Warren-Dickins LLB MA LPC www.chriswarrendickins.com Psychotherapist, author of Beyond the Blue, and LGBTQ+ advocate #beyondtheblue #beyondthebluebook Chris
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