Clinical Application & Case Management Flashcards

A client reports no change in SUD after multiple BLS sets on a traumatic memory. The clinician should consider all of the following EXCEPT:

Answer: Increasing the number of bilateral stimulation repetitions to over 100 per set

Simply increasing BLS repetitions indefinitely is not an evidence-based solution; stuck processing calls for conceptual reassessment, not mechanical escalation.

Which scenario most accurately represents an appropriate use of EMDR's resource development and installation (RDI)?

Answer: Installing a resource of calm before a client with poor affect tolerance begins processing a traumatic memory

RDI builds internal resources and strengthens affect regulation capacity to support clients who lack sufficient coping before entering trauma processing.

A client asks whether EMDR will make them forget their trauma. The most accurate psychoeducational response is:

Answer: EMDR reprocesses the memory so it is no longer distressing, but the facts of the event are still accessible

EMDR does not erase memories; it facilitates adaptive processing so memories lose their disturbing emotional charge while remaining accessible.

When treating a client with a phobia using EMDR, the most appropriate target sequence typically begins with:

Answer: The earliest or most representative memory associated with the onset of the phobia

EMDR phobia treatment typically targets the index event or origin of the phobia first, following the standard three-pronged approach.

Which statement about EMDR and medication is accurate?

Answer: EMDR can be conducted alongside appropriate psychiatric medication management

EMDR is compatible with concurrent psychiatric medication; however, heavy benzodiazepine use may blunt emotional processing.

During trauma history taking in Phase 1, the EMDR clinician's primary goal is to:

Answer: Identify and prioritize traumatic targets without encouraging detailed narration that could destabilize the client

Phase 1 focuses on identifying treatment targets and assessing readiness without conducting trauma processing, which could cause unnecessary destabilization.

A client successfully completes EMDR processing for a single-incident trauma. What is the most appropriate indicator that treatment can be concluded?

Answer: SUD=0, VOC=7, clear body scan, and successful future template on all relevant targets

Comprehensive EMDR completion requires all targets to reach SUD=0, VOC=7, clear body scan, and successful future templates.