24mar - 25All DayEMDR Conference & AGMConference Workshop - Presenter Andrew Leeds. Keynote Presenters - Mark Nickerson and Susanne Leutner

09:00 – 09:15

Welcome & opening address: Derek Farrell – EMDR UK & Ireland President

09:15 – 09:30

Trauma Aid UK Projects & Developments: Sian Morgan – President Trauma Aid UK

09:30 – 10:30

Keynote Address: Mark Nickerson

The Cycle Model for assessing & treating problematic anger & other problem behaviours

Chair: Derek Farrell

10:30 – 11:00

Refreshment Break – Conference Foyer

11:00 – 11:30

Whittington Suite

How to Build a Secure Base – Meeting the Challenge of Establishing EMDR within CAMHS

Zoe Dale
Chair: Russell Hurn

Auditorium

Specialist Workshop

Case Conceptualisation, treatment planning & target sequencing when using EMDR therapy with survivors of complex, early relational neglect & abuse:

A framework integrating AIP, Attachment Theory & Structural Dissociation

Dr Andrew Leeds

11:30 – 12:00

Do Children & Adolescents who have been Exposed to an ACE show Significant Symptom Reduction following TA Informed EMDR?

Sara Young
Chair: Mike O’Connor

11:30 – 12:15

Portland Suite

Using EMDR Therapy with patients experiencing an Acute Mental Health Crisis

Simon Proudlock, Jonathan Hutchins and Jasmine Peris
Chair: Lorraine Knibbs

12:15 – 13:30

Lunch – Conference Foyer

12:45 – 13:30

Portland Suite

EMDR UK & Ireland C&A Section AGM

Auditorium

Trauma Aid UK AGM

13:30 – 14:45

Working with Syrian refugees: an evaluation of a pilot project incorporating the EMDR group protocol for children

Russell Hurn
Chair: Ali Russell

Specialist Workshop continues:

A framework integrating AIP, Attachment Theory & Structural Dissociation

Dr Andrew Leeds
Chair: Gus Murray

14:45 – 15:10

Refreshment Break – Conference Foyer

13:30 – 14:45

 Whittington Suite

The Syrian Refugees:
The Need for Trauma Based Services

Dr Walid Abdul Hamid
Chair: Sian

Auditorium

Specialist Workshop continues:

A framework integrating AIP, Attachment Theory & Structural Dissociation

Dr Andrew Leeds
Chair: Gus Murray

15:40 – 16:10

The Use of Psychedelic Drugs to Treat Resistant PTSD & Other Disorders – The Legal & Policy Implications

Jonathan Nash
Chair: Matt Kiernan

16:10 – 17:30

Auditorium

Reviewing the EMDR standard protocol, how do we keep it up to date?

Discussion Panel: Richard Mitchel, Derek Farrell, Andrew Leeds , Mark Nickerson
Chair: Matt Kiernan

17:30

Close of Day 1

19:30

Trauma Aid UK Fund-Raising Dinner at Côte Brasserie

27 Devonshire St, Marylebone, London W1G 6PL

09:00 – 09:15

Keynote Address: Dr Susanne Leutner

EMDR Therapy & Ego States in the Treatment of Complex PTSD
Chair: Maeve Crowley

10:30 – 11:00

Refreshment Break – Conference Foyer

11:00 – 11:30

Whittington Suite

An introduction to research in clinical practice

Prof Jamie Hacker Hughes
Chair: Matt Kiernan

Auditorium

Specialist Workshop

Learning to feel good sharing positive emotion: The Positive Affect Tolerance Protocol

Dr Andrew Leeds
Chair: Gus Murray

11:40 – 12:15

Portland Suite

The Need for Meaningful Evaluation – Collaboration & Standardising Data Collection

Dr Matthew Kiernan & Dr Derek Farrell
Chair: Mike O’Connor

12:15 – 13:30

Lunch – Conference Foyer

12:15 – 13:30

Auditorium

EMDR UK & Ireland Association AGM

13:30 – 14:45

Whittington Suite

An introduction to research in clinical practice

Prof Jamie Hacker Hughes
Chair: Matt Kiernan

Portland Suite

Case Conceptualisation & Treatment Planning in EMDR Therapy – Bringing the Protocol to the Client

Gus Murray
Chair: Paul Keenan

Auditorium

Specialist Workshop continues:

The Positive Affect Tolerance Protocol

Dr Andrew Leeds
Chair: Maeve Crowley

14:45 – 15:10

Refreshment Break – Conference Foyer

15:10 – 16:25

Whittington Suite

Presentation continues Using Mindfulness in the Preparation Stage of EMDR

Dr Alexandra Dent
Chair: Ali Russell

Portland Suite

EMDR in a NHS Complex Trauma Service

Maeve Crowley
Chair: Marian Tobin

Auditorium

Using EMDR Therapy for Clients with Autistic Spectrum Disorders

Caroline Fuidge
Chair: Mike O’Connor

16:30 – 17:00

Auditorium

EMDR UK & Ireland President Closing Comments:
EMDR UK & Ireland National Conference (2018) Presentation:
Marian Tobin Chair of Conference Committee & Matt Kiernan Chair of Scientific Committee

17:00

Close of Conference

      Keynote Speakers

MARK NICKERSON

Mark Nickerson

Mark Nickerson

Mark Nickerson, LICSW, a psychotherapist in Amherst, MA, USA, is an EMDR Institute Basic and Advanced Trainer, and Past President of EMDRIA. He conducts advanced EMDR trainings nationally and internationally on topics including treatment for problem behaviors, problematic anger and violence, cultural competency, and the effective use of EMDR protocols. He has developed award winning innovative programs designed to reduce and resolve interpersonal conflict. He is editor/author of Cultural Competence and Healing Culturally Based Trauma with EMDR Therapy: Insights, Strategies and Protocols (2016) and The Wounds Within (2015), an expose on the challenges for war veterans and their families.

The Cycle Model for assessing & treating problematic anger & other problem behaviours.

Recurrent problem behaviours can be effectively understood and treated with the aid of the Cycle Model Approach. This method engages the client in self-assessment, informs treatment stages and priorities, and directs the clinician to an array of impactful strategies and protocols- all integrated into EMDR therapy. The plenary will focus on the model’s application and other considerations in treating problematic anger and violent behaviour, with references to its use with a wider range of problem behaviours.

SUSANNE LEUTNER

Susanne Leutner

Susanne Leutner

Susanne Leutner, Dipl.-Psych. works in her own practice in Bonn as a psychodynamically oriented therapist for adults, children and adolescents. She is certified as Therapist in Rogerian and Systemical Therapy, PITT (Reddemann), Ego-State-Therapy, in Theory and Therapy of the Structural Dissociation Model (Nijenhuis et al.), trained in energetical and hypnotherapeutical work. She is certified as a specialist in Trauma Therapy (DeGPT), is an EMDR consultant and facilitator, vice

president of the Board of EMDRIA Germany and Member of the EMDR Europe Board. She is trainer and consultant in Ego-State-Therapy, togehter with Elfie Cronauer she runs the Ego-State-Therapy Institute in Bonn and has specialized in the combination of EMDR and Ego-State-Therapy.

Treating complex PTSD: Why & how combining EMDR with Ego-State Therapy works

Both methods are very helpful tools, the AIP model allows a wide variety of interventions which in less stable clients can be tailored to their needs. Ego-State Therapy (EST) and other parts models rely on very similar working mechanisms and can be used successfully in complex PTSD. The combination of both is even more helpful.

I developed a processing model which helps clinicians to better conceptualize their more complex cases. It will be shown how the tools of EMDR and EST can be combined to regulate the impact of trauma resolving treatment. For example, access to resourceful ego-states is helpful when clients need more safety. Access to touchstone events is facilitated by ego-states as soon as clients can tolerate more stress.

I will highlight the use of EST in EMDR’s eight phases, showing case examples on videos, teaching how to develop a therapeutic sensitivity towards the appearance of ego-states in clients and how to integrate them while processing. Participants will be able to better know the reason why an ego-state might appear during processing and what to do when this happens.

They will also learn how to enhance the EMDR process, or resolve the blocking of processing, by the integration of (resourceful) ego-states. So the benefit of both approaches can be combined.

EMDR therapists will be provided with first and easy EST interventions to work as well with resourceful as with fragile inner parts.

A group exercise will be performed to get into touch with resourceful ego-states. Appropriate work sheets will be distributed.

      Main Workshops

ANDREW M. LEEDS, PH.D

Andrew M. Leeds, Ph.D

Andrew M. Leeds, Ph.D

Andrew Leeds, is a licensed Psychologist with 40 years of private practice experience. He completed EMDR training in 1991. He has conducted EMDR training for 13,000 clinicians in the USA, Canada, Europe, and Japan and presented at numerous conferences. He is the author of the 2009 and 2016 book, A Guide to the Standard EMDR Therapy Protocols (2nd ed.) and numerous journal articles. He served as Director on the EMDRIA Board 2003-2005. He serves on the Journal of EMDR Editorial Board and

is Director of Training for Sonoma Psychotherapy Training Institute, offering EMDRIA and EMDR Europe approved basic training in EMDR. In 1999 he received the Ronald Martinez Memorial Award from Francine Shapiro and EMDRIA’s award for creative innovation and in 2013 EMDRIA’s Francine Shapiro Award.

Day 1 Workshop

Case conceptualization, treatment planning & targeting sequencing when using EMDR therapy with survivors of complex, early relational neglect & abuse: A framework integrating AIP, attachment theory & structural dissociation.

When working with survivors of early, complex relational neglect and trauma, clinicians trained in EMDR therapy trained need a comprehensive framework for case formulation, treatment planning and developing a targeting sequence. This presentation integrates three conceptual models as a framework for case formulation, organizing treatment plans and predicting responses to EMDR procedures including RDI and standard EMDR reprocessing:

a) the Adaptive Information Processing Model (Shapiro, 2001),
b) Adult attachment classification (Cassidy and Shaver, 1999; Main, 1996) and
c) Structural Dissociation of the Personality (van der Hart, Nijenhuis, and Steele, 2006)

Clinical case examples illustrate practical clinical strategies for assessing attachment classification as a foundation for case formulation. This presentation offers an approach to treatment planning that is informed both by symptoms and defenses. This symptom informed treatment planning approach incorporates elements of the parallel models of Korn (Korn, et al., 2004), Leeds (2004) and de Jongh, et al., (2010). Case example treatment plans will be presented in a visual format to illustrate how this model can be applied to simple and complex cases.

Day 2 Workshop

Learning to feel good sharing positive emotion: the Positive Affect Tolerance protocol.

Some clients with posttraumatic stress disorder have histories of emotional neglect, present with co- occurring Cluster C personality disorder symptoms (Avoidant, Dependent, Obsessive-Compulsive) and show dismissing insecure attachment (Cassidy & Shaver, 1999; Main, 1996). Clinical assessment often reveals low tolerance for shared positive interpersonal emotions and defensive strategies to minimize, deny or subtly avoid experiencing and assimilating these shared emotional states into self-identity or self-worth. With superficial characteristics of competence, interpersonal skills, or emotional stability, they often prove on closer examination to be fragile and may collapse in the face of social stressors.

Scholars have identified pervasive difficulties in survivors of emotional neglect experience including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1994, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al., 1993; Teicher et al 1997). Their problems in emotional self-regulation are not solely due to adverse effects of traumatizing experiences, but are significantly linked to insufficient exposure to normal, developmental attachment sequences based in shared positive affect (Dutra, et al., 2009; Leeds, 2012; Ogawa et al, 1997).

The theoretical model presented in this workshop is congruent with the affect phobia model described by McCullough (1996, 2003) with an emphasis on a anxiety regulating, titrated approach to developing tolerance for shared adaptive positive affect. Putnam’s (1997) discrete behavioral states model provides an additional conceptual framework for understanding these clients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemas and scripts) fostering access to these states as a crucial early phase of treatment to help them resolve their impairments in emotional self-regulation.

This workshop will describe the use of standard EMDR procedural steps – with minor modifications – applied in a treatment plan that differs from the standard – past, present, future – PTSD protocol, but consistent with strategies described by EMDR scholars focusing initially on improving responses to current stimuli (Hoffman, 2004; Leeds & Korn, 1998, Leeds & Shapiro, 2000) before attempting to target memories of adverse childhood experiences. Targets for this Positive Affect Tolerance and Integration (PAT) protocol are recent experiences – current stimuli – in which the client was exposed to shared positive emotional states. The purposes for applying EMDR therapy to these targets are: to decrease defensive avoidance and anxiety about these shared positive emotional states; to increase the capacity to tolerate these positive emotional states; and to integrate these positive emotional states into positive schemas and self-concepts.

PAT has been described at EMDRIA Conferences and workshops approved for EMDRIA Credits (Leeds, 2001, 2002a, 2002b, 2006, 2015; York & Leeds, 2001). Over 1000 EMDR trained clinicians have been trained in the use of the PAT at programs approved by EMDRIA, EMDR Spain and EMDR Italy. Anecdotal reports by participants on the benefits of these interventions have been consistent with those of the developer of PAT. The goal of presenting the PAT and this case series is to encourage research to evaluate the effectiveness of this application of the EMDR procedures for syndromes of neglect that are often considered challenging to treat.

      Clinical & Research Presenters

WALID ABDUL-HAMID

The Syrian Refugees’ Need for Trauma-Based Services

Abstract: 53% of the 62 participants of the two Istanbul EMDR training organised by HAP were Syrian. We felt it is a unique opportunity to assess the needs of Syrian refugees they are working with. We asked all the participants who are all mental health professionals to complete an Arabic translation of ‘The Need for Trauma-based Services Questionnaire’ in these trainings. All participants completed some quantitative but mainly qualitative questions. The rest of the participants on the course were from Iraq (18%), Jordan (16%), Egypt (7%) and others from Palestine, Sudan & Libya (6%).The results of comparing the needs reported by Syrian mental health professionals showed higher prevalence of PTSD seen by the Syrian mental health professionals (72% compared with 56% in the clients seen by the rest of participants). Also, the Syrian mental health professionals could only meet 34% (SD=17.1) of the needs of their client who suffer from PTSD. The unmet need for trauma therapy was reported as 100% by these professionals. The discussion tried to throw light of the needs of the Syrian refugees arriving the UK used through both the qualitative and quantitative parts of the results to draw a picture of the very dif cult situation these refugees are coming from and who EMDR can be used to help these refugees be a productive part of the British society.

Dr Walid Khalid Abdul-Hamid is a Consultant in General Adult and Old Age Psychiatry, and an Honorary Lecturer in Psychiatry. He is also an EMDR Consultant. As a member of the Humanitarian Assistance Program, during a sabbatical year in 2013, he helped in the organisation of the part 1 and parts 2&3 of EMDR training in the Arabic language for 29 Middle East mental health professionals, held in Istanbul between 2013 and 2014. He organised and conducted supervision of some of these participants in Baghdad and Damascus through these two years. He is a Visiting Fellow at the Veterans and Families Institute, Anglia Ruskin University, Chelmsford, Essex, and is a member of the Essex Veterans Clinical Group. He is currently President of the British Arab Psychiatric Association; the representative of Arab Psychiatrists in UK and Ireland at the Arab Federation of Psychiatrists; a member of the advisory board of the Arab Psychological Network; and a member of the advisory board of the Arab Psychological Sciences Journal since 2012.

MAEVE CROWLEY

EMDR in an NHS Complex Trauma Service

Abstract: EMDR therapy is accepted as a treatment for PTSD. Working in an NHS service where people present with Complex PTSD, are on the dissociative spectrum and come with different diagnoses, this can be a challenge. The workshop explores how EMDR therapy can be used in all Phases of the work with this group of clients. It explores current advances in the use of EMDR therapy and presents clinical cases to illustrate the above. The psychological and economic bene ts of working with these clients are explored. The issues around vicarious traumatisation are also discussed.

Maeve Crowley is a Consultant Clinical Psychologist and Europe Approved Consultant and Facilitator. She leads a Complex Trauma service in Sussex Partnership NHS Trust, which deals with clients on the Dissociative spectrum. She trains, supervises and teaches in the area of Complex Trauma in her local Trust and nationally. She is Past President of EMDR UK and Ireland Board and is a representative of UK and Ireland on EMDR Europe Board. She also has a small private practice.

ZOE DALE

How to Build a Secure Base – Meeting the Challenge of Establishing EMDR within CAMHS

Abstract: The current clinical climate in CAMHS presents many challenges to establishing EMDR practice, risking that some quali ed practitioners never fully use or develop their EMDR skills. This presentation aims to stimulate discussion and debate about how best to establish EMDR Therapy within day to day CAMH practice. In particular how the Preparation Phase of the EMDR Model has been further developed to facilitate signi cant change with young people in acute distress and with a high risk of school and social exclusion.

This presentation will explore how skilled resource development and installation can effectively manage acute distress and help contain volatile behaviour. Often in situations where young people have struggled to engage with previous psychological approaches.

Skilled psycho-education used in conjunction with evidence based relaxation techniques, enables children and young people to begin ‘tuning’ into their feelings and associated bodily sensation. This presentation will explore how common symbols, such as trafic lights or the volume setting on a mobile, can become powerful analogies for young people in beginning to understand their own level of tolerance. Drawing on specific clinical examples, techniques central to EMDR practice such as rating scales, identifying bodily sensations and cognitions, will be explored in detail.

The approach will be practical, aiming to spark debate and practice development. Including the theoretical model underpinning effective resource development, exploring developmental perspectives, and the opportunity to experience key techniques.

Zoë Dale combines working in Child and Adolescent Mental Health, with her role as a Professional Adviser for Young Minds. She has her own consultancy and training practice in London. Since 2002 she has worked with a wide range of professionals in education, health and children’s services. Zoe quali ed as an Occupational Therapist and has 25 years’ clinical experience in CAMH. Her postgraduate academic study has led to a deep interest in attachment and emotional development. For four years Zoe led the Child and Adolescent Mental Health Programme at the University of Greenwich. Zoe quali ed in EMDR in 2015 and will undertake Part 2 of her child training this December.

ALEXANDRA DENT

Using Mindfulness in the Preparation Stage of EMDR

Abstract: The workshop will start with an overview of the theory of Mindfulness and current research, highlighting the bene ts of this therapy for psychological dif culties. Attenders will then be shown how to provide an overview of Mindfulness theory to clients in the preparation stage of EMDR. Attendees will learn how to identify areas where they become easily stuck in thoughts of the past or future in their lives and how this can potentially lead to distress, anxiety or depression. The importance and bene ts of learning how to stay in the present moment will be discussed using principles of awareness, acceptance, compassion and non- judgement. Attenders will learn for themselves as well as their clients how to be mindful of their surroundings and environment in everyday life. As con dence increases, a person can develop Mindfulness of their physical bodies and emotions and learn how to befriend dif cult emotions. Tools to demonstrate Mindfulness to clients will be shown, including Mindful breathing, ideas to wake up the ‘autopilot’ and body scan exercise. Case examples will be discussed including video clips of clients’ experiences using Mindfulness in the preparation stage of EMDR.

Dr Alexandra Dent is an experienced Registered and Chartered Clinical Psychologist and Europe EMDR Consultant working with children and adolescents, adults and families across the East Midlands. She worked in a Child and Adolescent Mental Health Service (CAMHS) between 2002 and 2013 and was the Lead Clinician for trauma work. This involved the provision of trauma services with particular emphasis on the use of EMDR. She has supervised and provided consultation for Clinical Psychologists, other health care professionals and external agencies. Alexandra set up her own independent practice in March 2012. Areas of interest include Trauma, Attachment work and Mindfulness.

CAROLINE FUIDGE

EMDR for Clients with Autistic Spectrum Disorders

Abstract: People with Autistic Spectrum Disorders (ASD) enter into the mental health services with a range of psychological needs. It is common to have experienced dif culty with trauma, bullying, depression and anxiety. The rigidity of thinking patterns can sometimes make other types of psychological therapy dif cult to grasp. We know that EMDR can be helpful for trauma, depression and anxiety. With some modi cation to the protocol it can equally be helpful for people with ASD. Within the workshop we will review the common areas of dif culty for this client, re ecting upon why modi cation is necessary to the protocol. Consideration will then be given to each phase of the protocol to identify potential modi cations to aid the client to engage and process with EMDR.

Caroline Fuidge is an EMDR Consultant and Accredited CBT Therapist currently working within NHS and within private practice in Staffordshire and Shropshire. She moved to Adult Mental Health services in 2004 having completed a MSc in Applied Learning Social Theory and Counselling. Previously a Learning Disability Nurse, Caroline has always been passionate about helping people psychologically. She has worked regularly with clients with Autistic Spectrum Disorders and has a special interest in supporting clients with these needs. Caroline introduced EMDR to the psychological service in Shropshire in 2005 and since then a thriving team of EMDR therapists has developed.

JAMIE HACKER HUGHES

An Introduction to Research in Clinical Practice

Abstract: Professor Jamie Hacker Hughes will discuss the importance of research in clinical practice, in the evaluation of therapies and protocols and, most importantly, the role of research in informing evidence-based practice for the EMDR therapist, Practitioner and Consultant.

Professor Jamie Hacker Hughes is a psychologist, psychotherapist and supervisor, psychotraumatologist and researcher. He is an EMDR Europe Accredited Consultant. In his career so far, he has been Head of Healthcare Psychology at the Ministry of Defence, Founding Director of the Veterans and Families institute at Anglia Ruskin University, and the 81st President of the British Psychological Society. He is now in independent practice and is Honorary or Visiting Professor at a number of UK and international universities.

RUSSELL HURN

Working with Syrian refugees: An Evaluation of a Pilot Project Incorporating the EMDR Group Protocol for Children.

Abstract: This paper looks at a practical and creative application of the EMDR Child group protocol, as described by Korkmazla and Kurt at the 2016 EMDR Europe Conference. The development of the pilot programme in line with the needs of Syrian Refugees in the UK is considered and the dif culties addressed. These include adaption for cultural requirements, developmental stage and routine outcome monitoring. The paper will deliver a clear understanding of the components of the programme and the key elements of the EMDR standard protocol embedded within it.

Dr Russell Hurn has spent 11 years in CAMHS, Hertfordshire before moving to the voluntary sector where he is the Clinical Director for CHUMS CIC a mental health and emotional wellbeing service for children and young people. Russell has specialised in trauma for 12 years. He completed his basic EMDR training in 2006 and has been an Accredited Practitioner since 2011. He is the current chair of the Child and Adolescent Section of EMDR UK & I Association.

MATT KIERNAN

The Need for Meaningful Evaluation – Collaboration and Standardising Data Collection

Abstract: Across all health care the importance and need to evaluate services are paramount, to ensure that the care we deliver is having the desired outcome and evidence based. In this session, we will explore various methods and the hierarchy of evaluation research and look to develop a discussion and movement within EMDR UK and Ireland towards a uni ed, collaborative research strategy.

Dr Matthew Kiernan. Before joining Northumbria University in January 2013 Matthew was a Lieutenant Commander in the Queen Alexandra’s Royal Naval Nursing Service. Prior to leaving the Royal Navy Matthew worked as a Senior Research Fellow at the Academic Department for Defence Nursing.

Matthew entered academia as a mature student whilst serving in the Royal Navy. Originally qualifying as a RGN in Derby in 1991 he subsequently qualified as a RN (Mental Health) in 2001 with a BSC Med Sci from Shefield University. He was awarded a PhD from Nottingham University in 2011. Matthew was the Head of Mental Health Nursing in the Royal Navy, the Specialist Nurse Advisor for Mental Health (Royal Navy) and the Defence Specialist Nurse Advisor (Mental Health) prior to taking up his appointment as a Senior Research Fellow at the Academic Department for Defence Nursing. Whilst in the Royal Navy Matthew’s research focus was care delivery and the psychological effects of basic training on the individual. Matthew retired from the Royal Navy on Health grounds due to injuries he sustained as a result of operational service. Since arriving at Northumbria University he has co-founded and leads the Northern Hub for Veterans and Military Families’ Research (www.northumbria.ac.uk/militaryveterans). He completed his basic EMDR training in 2007, and in 2015 became Associate Editor of the Journal of EMDR Research and Practice.

GUS MURRAY

Case Conceptualisation and Treatment Planning in EMDR therapy – Bringing the Protocol to the Client

Abstract: This workshop is developed in response to the needs of EMDR therapists who grapple with questions about when to use EMDR, with whom to use it, and how to use it with diverse clinical presentations and caseloads. The workshop will offer a therapist-friendly approach to Case Conceptualisation and Treatment Planning to guide therapists in facing these challenges. It will facilitate practitioners to develop an expanded understanding and appreciation of the importance and role of Case Conceptualisation and Treatment Planning in EMDR therapy and to apply this in the clinical setting. This will be achieved by:

i. Presenting an overview of the principles and practices of Case Conceptualisation and Treatment Planning in clinical work.
ii. Describing the use of these principles and practices within EMDR therapy, guided by the Adaptive Information Processing model.
iii. Outlining a range of clinical strategies that can be used in implementing Case Conceptualisation and Treatment Planning within EMDR therapy illustrated with clinical case examples.

Gus Murray M.Sc. (Psych.), M.HRD, has been Programme Director and Senior Lecturer in Counselling and Psychotherapy at the Cork Institute of Technology, Cork, Ireland for over 25 years. He is an EMDR Europe Accredited Practitioner and Consultant and an Integrative Psychotherapist accredited with the Irish Association for Counselling and Psychotherapy and the United Kingdom Council for Psychotherapy. He is the Republic of Ireland representative on the boards of EMDR UK and Ireland and EMDR Europe. He works extensively with complex trauma and dissociative states. He has extensive training and experience in Ego State therapy and has also completed training in Somatic experiencing. He has a special interest in the use of therapeutic interweaves in EMDR therapy with complex trauma particularly Ego State and Somatic interweaves. Gus has over 25 years’ experience as a mental health clinician and trainer.

JONATHAN NASH

New Research into the Use of Psychedelic Drugs to Treat Resistant PTSD and Other Disorders – the Legal and Policy Implications

Abstract: Psychedelic research into psychiatric disorders is slowly re-emerging after a near 40-year morass. My presentation will briefly introduce delegates to psychedelic research history, its near-complete prohibition from the early 1970s and recent rebirth. The Multidisciplinary Association for Psychedelic Studies’ (MAPS) MDMA- assisted psychotherapy for treatment-resistant PTSD study with a reported 80% ‘success’ rate (published in the Journal of Psychopharmacology in 2010) will be considered together with completed international Stage 2 trials, planned Stage 3 trials and current UK trials. Full approval from the US Food and Drug Administration and the European Medicines Agency for MDMA-assisted psychotherapy is projected by MAPS to be granted in 2021.MAPS have also received full approval for a medical marijuana drug development study and together with Johns Hopkins University will treat 76 US veterans with treatment-resistant PTSD. The study is funded by a $2.15 million Colorado state grant. Other psychedelic research areas, such as Imperial College London’s recent study of psilocybin for treatment-resistant depression (published in the Lancet in July 2016) will then be brie y touched on as will ongoing studies at Johns Hopkins University and New York University’s into psilocybin for existential stress in terminal cancer patients. I will then look at the legal and policy implications of these areas of research including regulatory approval, drug schedule classification, governmental response and big pharma (dis)interest. The presentation should be well received by EMDR practitioners as these novel (and controversial) areas of research to treat PTSD have promising initial results.

Jonathan Nash was a disability solicitor working in the eld of community care and mental health law for a decade, both in legal aid and local government. He has delivered extensive training for local authority adult social services departments, local and national advice providers and presented at national conferences. Jonathan joined Northumbria University in 2015 as a senior lecturer and his research interests include the legal divide between health and social care as well as the legal and policy implications of psychedelic research.

SIMON PROUDLOCK, JONATHAN HUTCHINS AND JASMINE PERIS

Using EMDR Therapy with Patients Experiencing an Acute Mental Health Crisis

Abstract: Objectives: Can EMDR Therapy be used with patients experiencing an acute mental health crisis? The presentation will start by covering the case series published in February 2016 by the presenters that looked at using EMDR within a Crisis Resolution and Home Treatment Team (CRHTT). The majority of the presentation will look at more recent research of a non-randomised exploration study to see if EMDR Therapy improves patient outcomes and cost savings for the NHS in which EMDR Therapy was offered to patients presenting with a trauma picture who were under the care of a (CRHTT) or admitted to an acute mental health ward. This research was funded by The Health Foundation under their Innovation for Improvement project. Over 50 patients were treated in the study. Patients made significant improvements across all the psychometrics, including a reduction in suicidal ideation. The majority needed less than 10 sessions and needed no onward referrals for further psychological therapy. These outcomes were maintained at follow- up. Cost savings were realised by retracting referrals for further therapy and in early discharge from CRHTT and acute wards, and by preventing admissions. Contact with services post treatment also reduced. Within the presentation we will cover how we evaluated clinical risk and took positive risks and how the clients were selected, together with how EMDR Therapy was delivered to this client group.

Simon Proudlock is a Consultant Psychologist working for the NHS and in private practice. He is currently leading on a 15-month research project, into using EMDR in a Crisis Resolution and Home Treatment Team and Acute Mental Health Ward. In 2012 he was awarded the Practice Prize by the Division of Counselling Psychology for his work in Solution Focused Therapy, and is author of ‘The Solution Focused Way: Incorporating Solution Focused Therapy Tools and Techniques into Your Everyday Work’. Simon is an EMDR Europe Consultant, and Associate Fellow of the British Psychological Society.

Dr Jonathan Hutchins is a Clinical Psychologist working for the NHS and in private practice. He worked in a Crisis Resolution and Home Treatment Team (CRHTT) for 2 years and is now working in an adult Community Mental Health Team setting. He is an Accredited Cognitive Behavioural Psychotherapist with the BABCP an Accredited Counsellor and Psychotherapist with the BACP. He is currently a EMDR Europe Accredited Practitioner and is working towards becoming and EMDR Consultant. Jonathan is also an Associate Fellow of the British Psychological Society.

Jasmine Peris is a graduate member of the BPS and an Assistant Psychologist working for the NHS. She graduated with a first class honours degree in Psychology from the University of the West of England. Currently she is working within a Community Mental Health Team and on the EMDR Innovation Project, examining the use of EMDR in a Crisis Resolution and Home Treatment Team and Acute Mental Health Ward. Jasmine has a growing interest in EMDR and is currently completing a postgraduate level qualification in traumatic stress studies and hopes to take this interest further and train as a Clinical Psychologist.

ANDREW ROSE

EMDR in a Primary Care (I.A.P.T.) Service

Abstract: Improving Access to Psychological Therapy (IAPT) is a UK government-led initiative to provide NICE recommended therapy for people with mild to moderate anxiety and or depression. A significant number of people are referred with PTSD / trauma and treated either with Trauma-Focussed CBT or EMDR. This study presents the outcomes over a 1-year period at a city-based IAPT service. A variety of traumas were treated including road traffic accidents, military trauma, domestic violence and childhood sexual abuse. Of 33 clients treated within the study period, 52 % obtained ‘recovery’ and an additional 29% ‘improvement’, as defined by IAPT criteria (i.e. below cut-off in IES-R and PHQ-9 after treatment). There was a statistically significant improvement in mean outcome measures: Impact of Event Scale-Revised (IES-R, cut-off=33) reduced from 60 to 19.3 (P<0.01, n=26), Patient Hospital Questionnaire (PHQ-9, cut –off=10) reduced from 15.6 to 8.2 (p<0.01, n-31) and General Anxiety Disorder-7 (GAD-7, cut-off=8) from 15.4 to 7.5 (p>0.01, n=31). This study suggests that EMDR can make a significant impact within a Primary Care Service.

Dr Andrew Rose is an accredited EMDR and CBT therapist and works for the NHS at a city-based Improving Access to Psychological Therapy (IAPT) service. Andrew originally trained in Biological Sciences and worked in the area of sh disease. Following a career change, he qualified as an Occupational Therapist working in psychiatry. He subsequently trained in psychotherapy and has a particular interest in trauma and EMDR.

SARA YOUNG

Do Children/Adolescents who have been Exposed to an ACE, Show Significant Symptom Reduction following TA-Informed EMDR?

Abstract:

  • I will begin with a brief 5-minute outline of how I got to the point I am at now, with one case example of a child whom I worked with.
  • I will talk about TA and how it informs my therapeutic EMDR work with children, with 3 case examples (15 minutes)
  • I will talk about the aims of the research (5 minutes)
  • I will talk about the research design (5 minutes)
  • I will talk about the participants (5 minutes)
  • I will talk about the main outcome measures and why I have chosen them (10 minutes)
  • I will talk about what I would hope the research that I’m doing might generate and change within the child mental health service (10 minutes)
  • Q and A (5 minutes)

This format may be moved around a small amount but the content will be the same.

Biography: I was drawn to the Northern Guild of Psychotherapy in Newcastle whilst wanting to set up a gym for over-weight people and discovering that every person I met had an underlying issue. As I had no formal quali cation to say that I knew what I was talking about, I decided to train as a psychotherapist. Whilst being interviewed by Jenny McNamara, one of the directors at the guild, she said that she felt I would be better suited to the child training course, so I signed up to become a child and adolescent psychotherapist.

Handouts and other files are available for delegates on a separate downloads page (click this link).
More materials will be added between now and the 2017 London Conference. You will need a password to access the page.