Clinical Application & Case Management Flashcards

When using the cognitive interweave technique, the clinician's goal is to:

Answer: Jumpstart blocked processing by introducing information linked to the three domains of responsibility, safety, and choices

The cognitive interweave addresses blocking in processing by offering targeted statements or questions in the domains of responsibility, safety, or choices/control.

A child client (age 8) is beginning EMDR. Which adaptation is most appropriate?

Answer: Use shorter processing sets, developmentally appropriate language, and incorporate play or art

Child EMDR adaptations include shorter BLS sets, child-friendly explanations, and integration of expressive modalities to match developmental level.

A client processes a traumatic memory to SUD=0 and VOC=7, but during the body scan notices persistent chest tightness. What does this indicate?

Answer: Residual trauma material remains and BLS should continue until somatic disturbance resolves

A positive body scan requires the absence of somatic disturbance; persistent tightness signals that additional processing is needed.

Which of the following best describes 'looping' in EMDR?

Answer: The client repeatedly returns to the same disturbing material without reduction in SUD

Looping refers to processing that cycles without progress, often requiring the clinician to use a cognitive interweave or change the approach.

A client who experienced childhood emotional neglect rather than a discrete traumatic event presents for EMDR. The most appropriate initial focus is:

Answer: Identify the earliest or most representative memory of the neglect experience as the target

For chronic or developmental trauma, EMDR targets representative or earliest memories that embody the maladaptive belief network formed by the neglect.

What is the primary purpose of the 'future template' in Phase 8 of EMDR?

Answer: To help the client rehearse adaptive responses to anticipated future situations

The future template allows the client to mentally rehearse coping successfully with future triggers, completing the three-pronged protocol.

A client discloses active suicidal ideation with a plan at the start of an EMDR session. The clinician should:

Answer: Conduct a full suicide risk assessment and address safety before any EMDR processing

Active suicidal ideation with a plan requires immediate safety assessment and safety planning before any trauma reprocessing can occur.