EMDR Complex PTSD & Dissociative Disorders 5

Question 1

In EMDR treatment of DID, 'final fusion' refers to which therapeutic milestone?

Accepted Answer

Integration of all identity states into a unified sense of self

Answer

Final fusion in DID treatment means all alternate identity states have integrated into a coherent, unified personality — though many clients achieve functional integration without complete fusion.

Question 2

A complex trauma client reports no distressing memories but presents with chronic emptiness, identity confusion, and relational chaos. Which EMDR targeting approach is most appropriate?

Accepted Answer

Target emotional states and somatic sensations linked to unmet developmental needs

Answer

When explicit memories are absent or inaccessible, EMDR can target somatic sensations, emotional states, or 'feeder memories' linked to unmet developmental needs using affect and body bridges.

Question 3

The ICD-11 requires which two components to be present alongside PTSD symptoms for a diagnosis of Complex PTSD?

Accepted Answer

Affect dysregulation and negative self-concept and relational disturbances (DSO cluster)

Answer

ICD-11 CPTSD = standard PTSD criteria PLUS the Disturbances in Self-Organization (DSO) triad: affect dysregulation, negative self-concept, and relational disturbances.

Question 4

When processing trauma in a client with OSDD (Other Specified Dissociative Disorder), what distinguishes OSDD from full DID that affects the treatment approach?

Accepted Answer

OSDD typically involves less distinct identity states and less inter-state amnesia than full DID

Answer

OSDD (formerly DDNOS) involves dissociative identity disruption that does not meet full DID criteria, usually featuring less distinct identities or less marked amnesia, affecting the intensity of stabilization needed.

Question 5

Which EMDR intervention involves the therapist briefly introducing a connecting thought or question when processing is blocked, without fully departing from the protocol?

Accepted Answer

Cognitive interweave

Answer

A cognitive interweave is a therapist-initiated statement or question designed to unblock stuck processing by introducing a new perspective, responsibility reattribution, or safety information.

(EMDR) Eye Movement Desensitization and Reprocessing Practice Test

(EMDR) Eye Movement Desensitization and Reprocessing Practice Test

EMDR Complex PTSD & Dissociative Disorders 5