Understanding Attachment Focused EMDR Therapy

Bay Area CBT Center

July 22, 2024

Attachment Focused EMDR (AF-EMDR) is an EMDR therapy designed to address early attachment traumas. Developed by Dr. Laurel Parnell, it combines attachment theory with EMDR techniques. This article explains what AF-EMDR is, how it works, and its benefits.

Key Takeaways

Attachment Focused EMDR (AF-EMDR) therapy, developed by Dr. Laurel Parnell, integrates attachment theory with traditional EMDR techniques to address the needs of individuals with attachment-based trauma from early childhood experiences.
AF-EMDR therapy differs from traditional EMDR by placing a strong emphasis on the therapeutic relationship, prioritizing the understanding and repair of early attachment issues, and forming healthier relational patterns.
Research highlights promising outcomes for AF-EMDR in reducing symptoms of complex PTSD, PTSD, anxiety, and depression, particularly concerning attachment-related issues, though further research is needed for comprehensive validation.

What is Attachment Focused EMDR Therapy?

Illustration of a therapist and a client during an EMDR session

Attachment Focused EMDR (AF-EMDR) is a subtype of EMDR therapy specifically designed to address attachment difficulties stemming from early childhood experiences. Developed innovatively by Dr. Laurel Parnell in 2008, this approach melds the principles of attachment theory with traditional EMDR techniques, addressing the individual needs of those who have suffered emotional trauma, neglect, or loss during their early years.

The foundation of AF-EMDR lies in attachment theory, which examines how early relationships with caregivers influence emotional development and interactions with the world. A secure caregiver relationship helps a child develop a sense of safety and a positive internal model. However, disruptions in these early attachments can lead to unhealthy coping strategies such as emotional distance and avoidance in adulthood.

AF-EMDR therapy combines the standard mechanisms of EMDR, like bilateral stimulation, with significant resource development to prepare clients for processing distressing memories. The Parnell Institute, which emphasizes a flexible, client-centered, and culturally responsive approach, has been at the forefront of promoting this therapy. AF-EMDR aids individuals in healing and cultivating healthier emotional patterns by tackling psychological issues stemming from traumatic childhood events.

Key Differences Between Traditional EMDR and Attachment Focused EMDR

Unlike traditional EMDR therapy, which primarily concentrates on reprocessing specific traumatic memories, Attachment Focused EMDR (AF-EMDR) incorporates an attachment-repair emphasis into the EMDR framework. This means that AF-EMDR not only aims to address specific traumatic events but also considers the broader relational context in which these traumas occurred.

One of the key distinctions of AF-EMDR is its emphasis on:

Longer-standing trauma resulting from unhealthy coping mechanisms and neglectful early attachments, which are often influenced by past experiences
Exploring early attachment dynamics and their influence on current relationships
Forming healthier relational patterns by understanding and tackling these early attachment issues

This approach prioritizes these aspects, which is not typically the focus of traditional EMDR.

Another significant difference lies in the therapeutic relationship. Attachment-focused therapy places a strong emphasis on establishing a robust and trusting relationship between the therapist and the patient. This strong alliance is crucial for the success of AF-EMDR, as it provides the client with a safe space to explore and heal from deep-seated attachment wounds.

How Attachment Focused EMDR Works

Visualization techniques in Attachment Focused EMDR

In assisting clients to process and heal from attachment-related traumas, AF-EMDR therapy employs a mix of visualization techniques, resource development, and adaptive strategies, such as a robust therapeutic alliance. A critical component of this therapy is ‘tapping in,’ which refers to resource development to prepare clients for processing distressing memories.

In AF-EMDR, a therapeutic alliance marked by trust and empathy is critical. The EMDR therapist works closely with the client to build this relationship, ensuring that the client feels safe and supported throughout the therapy process. This alliance helps the client feel more comfortable and open to exploring their attachment issues.

Visualization techniques play a significant role in AF-EMDR, which incorporates eye movement desensitization. Clients are encouraged to internalize a peaceful setting or safe space, which helps them feel more soothed and less anxious during therapy. This visualization process aids in emotional regulation, allowing clients to reconnect with their bodies and respond to physical sensations in adaptive ways.

Additionally, the therapy emphasizes aiding clients to nurture essential resources, like internal regulators, for managing their emotional responses. By combining these elements, AF-EMDR provides a comprehensive approach to addressing and healing attachment-related traumas, enabling clients to move beyond their past and develop healthier relationships and emotional patterns.

Benefits of Attachment Focused EMDR

Illustration of reduced anxiety and enhanced emotional regulation through AF-EMDR

Attachment Focused EMDR (AF-EMDR) offers numerous benefits for individuals struggling with the effects of childhood trauma. It is particularly effective for conditions such as:

AF-EMDR assists in internal regulation of the nervous system and calming the mind by reprocessing everyday attachment injuries.

AF-EMDR primarily benefits by reducing symptoms linked to anxiety, depression, and PTSD, enhancing overall functioning and life quality. Clients often find that they are better able to distinguish between past dangers and present safety, which reduces hypervigilance and feelings of vulnerability.

In addition to symptom reduction, AF-EMDR helps individuals reclaim a sense of safety and trust that is crucial for forming fulfilling relationships. Clients often report enhanced self-awareness, an increased capacity for intimacy, and a greater sense of security within themselves and their relationships. By moving beyond defensive mechanisms, individuals can build strong and healthy relationships, learning to trust and be vulnerable, which leads to deeper connections.

Efficacy and Research on Attachment Focused EMDR

Research into the effectiveness of Attachment Focused EMDR (AF-EMDR) has demonstrated hopeful outcomes in alleviating attachment-related symptoms and enhancing emotional regulation. Clinical studies analyzing the effectiveness of EMDR in adults and children with attachment issues have indicated significant improvements, with children showing a decrease in attachment-issue symptoms and better emotional regulation.

In spite of these encouraging findings, further research is needed to validate the effectiveness of AF-EMDR comprehensively. Current studies provide a solid foundation, but additional research will help better determine the full scope of benefits and refine the therapy for broader applications.

Overall, the existing research highlights the potential of AF-EMDR as a valuable therapeutic approach for addressing attachment-related issues. Continued exploration and study of this method will contribute to its development and efficacy, offering hope for individuals seeking to heal from deep-seated emotional traumas.

Training and Certification for Therapists

Therapist receiving certification in Attachment Focused EMDR

Mental health therapists keen on administering AF-EMDR therapy can attain training and certification from reputed institutions such as the Parnell Institute. This organization offers a comprehensive three-part Attachment-Focused EMDR Basic Training model, which includes lectures, demonstration videos, and small group supervised practice.

The Francine Shapiro training program requires participants to complete Parts 1 and 2 over two three-day weekends scheduled closely together. Part 3, taken approximately six months after Part 2, includes a review and deepening of the material. Following Parts 1 and 2, participants must complete ten hours of consultation with Parnell Institute faculty, typically done virtually in groups over Zoom.

To participate in the virtual training, therapists need:

A computer with speakers
A microphone
A video camera
High-speed internet access

This comprehensive training ensures that therapists are well-equipped to provide AF-EMDR therapy and effectively address attachment-related issues in their clients.

Finding an Attachment Focused EMDR Therapist

The search for a qualified Attachment Focused EMDR (AF-EMDR) therapist necessitates the consideration of specific credentials and experience. Start by seeking therapists who have completed specialized training or certification in AF-EMDR from recognized institutions like the Parnell Institute. Ensure that the therapist is credentialed and licensed to practice EMDR therapy.

Inquiring about the therapist’s proficiency in treating attachment-related problems is also significant. Experienced therapists are more likely to provide emdr therapy effectively and understand the complexities of attachment trauma. Look for therapists who are willing to spend extra time getting to know you and making you comfortable before starting EMDR sessions.

Locating a therapist who values forging trust and rapport with their clients is vital due to the critical role a robust therapeutic relationship plays in the success of AF-EMDR. By carefully selecting a qualified and experienced therapist, you can ensure a supportive and effective healing journey.

Summary

Attachment Focused EMDR (AF-EMDR) therapy offers a powerful approach to healing emotional trauma and attachment issues stemming from early childhood experiences. By integrating attachment theory with traditional EMDR processes, AF-EMDR addresses both specific traumatic memories and broader relational contexts, providing a comprehensive path to recovery.

As research continues to explore and validate the effectiveness of AF-EMDR, this therapy stands as a promising option for individuals seeking to overcome attachment-related challenges. With the right training and a strong therapeutic relationship, therapists can offer transformative support to their clients, helping them reclaim a sense of safety, trust, and emotional well-being.

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EMDR Therapy

Frequently Asked Questions

What is evidence-based therapy?

Evidence-based therapy involves interventions that are scientifically proven to be effective for particular issues. In this approach, a strong partnership based on trust and collaboration is formed between you and your therapist. Within this supportive and unbiased environment, you can freely express yourself without fear of judgment. Over a series of sessions, you and your therapist will work together to address obstacles and set goals aimed at personal growth and fulfillment. This method ensures that the techniques and strategies used are not only supportive but also empirically validated to help you achieve your therapeutic goals.

Who do we work with?

The Bay Area CBT Center provides therapy services for everyone, from children to adults, and welcomes individuals, couples, and groups. We help with various concerns like anxiety, depression, trauma, relationship issues, and behavior challenges. We value diversity and cultural differences, offering personalized and culturally sensitive care to each client.

Why is it so important to find the right therapist?

Studies show that the bond between you and your therapist, known as the therapeutic alliance, is a key factor in treatment success. This alliance is characterized by the strength of your relationship and how well you both agree on treatment goals. Research indicates that individuals with a solid therapeutic alliance experience better treatment outcomes including greater productivity at work, more satisfying relationships, improved stress management, and decreased engagement in risky behaviors.

What should I expect from the matching appointment?

You can expect a 15-30 minute phone call with our care coordinator, who is extensively trained in ensuring the perfect match for you. During this conversation, our matching expert will collaborate with you to understand your therapy needs, preferences, and scheduling availability. This discussion builds upon the information you provided during sign-up and offers an opportunity for you to address any personal questions or concerns you may have about therapy or our services at The Bay Area CBT Center. Following your conversation, we’ll pair you with the therapist who best aligns with your needs, goals, and preferences.

When will I be matched to a Therapist?

At your matching appointment, we will match you with a therapist specifically chosen for you and schedule your first session. Depending on your availability, you can expect to meet your therapist anywhere from one day to a week after this appointment.

Do you provide in-person or virtual therapy?

Our approach to therapy includes a flexible hybrid model, blending both online and face-to-face sessions. This option is perfect for clients situated close to our clinics in the Bay Area who prefer the flexibility of choosing between virtual consultations or meeting their therapist in person. Our aim with hybrid care is to ensure every client is matched with the ideal therapist and therapy environment, be it from the convenience of your own home or in one of our clinics.

Do you accept insurance?

At the Bay Area CBT Center, we accept PPO insurance plans that allow you to use out-of-network providers. This means if your insurance plan is a PPO and it includes mental health benefits, you could get back some or all of the money you pay for our services, depending on what your insurance company allows. When you see one of our therapists, they’ll give you a superbill. You can send this superbill to your insurance company to ask for reimbursement. If you’re not sure if your insurance covers services from providers not in their network, it’s a good idea to give them a call and check.

You may be eligible to have 60-80% of your costs covered by out-of-network benefits.

Also, if you have an FSA (Flexible Spending Account), you can usually use it to pay for individual counseling sessions. It’s wise to double-check with your FSA provider or talk to your accountant to make sure that counseling sessions are considered an allowed expense.