EMDR Clinical Application & Case Management 2

Question 1

A client with complex PTSD has difficulty tolerating the distress involved in EMDR reprocessing. Which modification is most appropriate?

Accepted Answer

Extend the preparation phase and strengthen affect regulation skills before processing

Answer

Clients with complex PTSD often require extended preparation, including robust affect regulation and stabilization skills, before trauma reprocessing begins.

Question 2

During the installation phase, the client's Validity of Cognition (VOC) remains at 5 despite multiple sets of BLS. What should the clinician do?

Accepted Answer

Check for blocking beliefs or ecological validity concerns that may be limiting the VOC

Answer

A VOC that does not reach 6-7 may indicate a blocking belief or an ecologically invalid positive cognition that needs to be addressed.

Question 3

A veteran client reports flashbacks occurring daily despite completing several EMDR sessions. The most likely explanation is:

Accepted Answer

Insufficient number of trauma targets have been identified and processed

Answer

Ongoing symptoms after some sessions often indicate that additional trauma targets, touchstone memories, or earlier contributing events still need reprocessing.

Question 4

Which client presentation would most warrant postponing EMDR reprocessing and returning to stabilization work?

Accepted Answer

A client who is currently experiencing a domestic violence situation with ongoing threat

Answer

Active ongoing threat is a contraindication for trauma reprocessing; safety must be established before processing past trauma.

Question 5

A client's SUD rises from 4 to 7 mid-session after new traumatic material emerges. The best response is to:

Accepted Answer

Continue BLS and allow the new material to process within the same session

Answer

Increased distress when new material emerges is a normal part of processing; continuing BLS allows associated memories to be reprocessed.

(EMDR) Eye Movement Desensitization and Reprocessing Practice Test

(EMDR) Eye Movement Desensitization and Reprocessing Practice Test

EMDR Clinical Application & Case Management 2