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What is EMDR and why can it be helpful for adopted people? guest blog from David Benjamin

David Benjamin was adopted at six weeks old in the North East of England in 1972. His journey to finding his birth family is complete, this has given him the passion and experience to help others in his work. He is a qualified therapist and has sat on adoption and foster panels for the local authority for the past 10 years. He regularly tells his story to prospective adopters.

So what is EMDR and how can it help adoptees?

In the 1980s, American psychologist Francine Shapiro became interested in the connection between eye movement and the affect of persistent traumatic memories. She assumed that eye movements had a desensitizing effect on traumatic memories, and when she experimented with this she found that others also had the same response. She began a lifelong study developing what is now commonly known as Eye Movement Desensitization and Reprocessing therapy. EMDR therapy is designed to resolve unprocessed traumatic memories in the brain.

According to Laurel Parnell, (who developed ‘Attachment focused EMDR’), “A trauma is an experience that causes one to develop erroneous beliefs about oneself or the world and to behave in ways that are not skillful”. For example, a child who is abused may come to believe that the world isn’t safe. They may have difficulty thriving in intimate relationships.

Trauma expert Bessel van der Kolk explains in his book ‘The Body Keeps The Score’, “We have learned that trauma is not just an event that took place sometime in the past; it is also the imprint left by that experience on the mind, brain, and body.”

Our brains have a natural way to recover from traumatic memories and events. This process involves communication between the amygdala (the switch triggered by stressful events), the hippocampus (which assists with learning, including memories about safety vs danger), and the prefrontal cortex (which regulates our behaviour and emotion). While many times traumatic experiences can be managed and resolved spontaneously, or with a talking therapy, sometimes the ‘stickiness’ may need to be processed with a therapy such as EMDR - which moves the trauma information from being dysfunctional to functional; it allows the cognitive and emotional parts of the brain to be online at the same time which speeds up processing. Often talking therapies may not work as they can take the person too deeply back into the trauma thus creating even more distress.

Stress responses are part of our natural instincts. When distress from a disturbing event remains, the upsetting images, thoughts, and emotions may create an overwhelming feeling of being back in that moment, or a perception of not being safe in the present. EMDR therapy helps the brain process these memories, and allows normal healing to resume. If the therapy is successful, the experience can still be remembered, but the fight, flight, or freeze response from the original event is resolved. Many people I’ve worked with describe it like they are trying to remember the feelings around the incident but it feels distant, like it’s behind them and they can no longer grasp it, and the triggers that once controlled their day-to-day lives have disappeared.

The trauma that adoptees have experienced is beyond huge. The adoption of a child is a single event, fixed in time, with a beginning and an end. However, the impact  is far-reaching—a process that continues throughout the life of the adoptee. Removed, often as a very small child, from their mother, the safety-inducing sounds and smells which the infant responds to in that supernatural attachment between a mother and child is brutally broken. That baby or child must feel terror beyond words, given away to strangers, experiencing unfamiliar sounds and smells, the child will perceive this to be a dangerous situation. Even as adults we struggle with too much change, but this early relinquishment catapults things far into the severe trauma realm in an infant brain that is years from full development and resilience. For many adoptees, the trauma happened before we developed the language to explain the events, so our memories are primarily somatic, stored in our nervous system.

These experiences become fixed in the body and mind in the form of ‘irrational’ emotions and physical symptoms, taken forward into adulthood. Children can’t process these feelings on their own in the absence of therapeutic interventions, and post-adoption services are lacking, at best, outside of the private therapy sector. 

The affect of trauma is sticky, like the static when a balloon is rubbed on your clothes and it attaches to you. When the static is discharged the balloon falls to the floor, it is just a balloon…when the affect of trauma is gone, it is just a memory that can be thought about without the woosh of emotion or panic, the triggers disappear and a new freedom can be lived. That’s what EMDR does. I imagine our brain as if it has lots of little filing cabinet drawers that slam shut full of whatever trauma we have experienced, EMDR teases open a specific drawer and allows the effect of the trauma to escape our brain. 

I would recommend EMDR therapy to adoptees and anyone who has experienced trauma that is affecting them in the present day. Make sure you find a therapist you click with - a good therapeutic relationship is essential as trust between the two parties needs to be strong. In my opinion, the client should never be allowed to leave the therapy room in a distressed state, so I normally use visualisation resourcing exercises to calm emotions. 

EMDR therapy does not require talking in detail about the distressing issue, in fact a person embarking on EMDR therapy doesn’t have to actually remember the specific incident. Indeed, how can we remember what happened in the early days of life? ‘Floating’ back in our minds to the earliest memory of whatever feeling we are experiencing and focusing on that as the ‘target’ memory is enough for EMDR therapy to be successful. EMDR targets the unprocessed memory at the same time as the emotions, beliefs about ourselves, and associated body sensations. Bilateral stimulation (left and right movements - generally eye movements or tapping) activates the brain’s information processing system, allowing the old memories to be digested or reprocessed and stored in an adaptive way. I often use buzzers that the client holds one in each hand that pulse left and right, any bilateral stimulation is effective. Subjective Units of Distress (SUDS) are scored at the beginning and the end of the therapy and the goal is to see a shift in the bodily feelings and the overall levels of disturbance to a more adaptive state.

I hope this has been helpful and debunked EMDR somewhat!


David Benjamin

www.davidbenjamintherapy.com

Photo by Marina Vitale on Unsplash