Feeling-State Addiction Protocol<\/a> training in March 2013, and Itold Tommy so. He seemed enthusiastic about possibly being one of the first clients with whom I would try to use it once I returned.<\/p>\nOh, and before we begin, a \u2018key\u2019 for the uninitiated:<\/p>\n
BLS = bi-lateral stimulation
\nEM = eye movements<\/p>\n
SUDs = subjective units of disturbance
\nVOC = validity of (positive) cognition
\nFS = feeling-state (emotion+sensation+cognition+addictive\/compulsive behavior)
\nPFS = positive feeling-state (the FSAP version of the SUDs)
\nPC = positive cognition
\nNC = negative cognition<\/p>\n
FSAP processing commenced on April 12, 2013, in a 60 minute session, which progressed as follows:<\/p>\n
EMDR FSAP Processing \u2013 FSAP Phase III<\/b><\/p>\n
FS Processing – Session 1<\/i><\/p>\n
Target Behavior: Methamphetamine Use
\nMost Intense Part(s): Preparing syringe for injection<\/p>\n
Feeling State #1: Euphoria+preparing syringe
\nStarting PFS: 6
\nLocation in Body: chest<\/p>\n
Notes: EM used to facilitate BLS in this session. PFS for FS#1 dropped to 0 after 1 set of BLS. Tommy could identify no other positive feelings connected to preparing to use.<\/p>\n
—————————-
\nDeficit Processing<\/i><\/p>\n
Wanted Feeling #1: Euphoria
\nSUDs: 9
\nLocation in Body: upper chest<\/p>\n
Notes: Intensity of WF#1 dropped from 9 to 0 after 2 sets of BLS.<\/p>\n
—————————-
\nFuture Template<\/i><\/p>\n
Tommy wanted to be motivated in his life, and feel that he ‘belongs’ there, working, attending school, etc. Tommy reported somatic blocks in his chest and stomach, as well as feelings of sadness, in successive sets of BLS, and reported that the initial ‘scene’ felt clear of disturbance after 3 sets of BLS and that it felt totally try that he was motivated and belonged in his life. Tommy was able to proceed through his imaginal ‘film’ of living his life and dealing with potential barriers feeling motivation and a believing that he belongs to life, and responded well to reinforcement of this situation with BLS.<\/p>\n
****************************
\nMay 19, 2013 (45 min session)<\/b><\/p>\n
FS\/Behavior Evaluation Since Last Session: Tommy reported that he was unable to ‘conjure up’ any experience of euphoric recall related to preparing to use methamphetamine (the identified initial target) since last session. Tommy reported ‘feeling different’, as well, although he could not necessarily quantify this. Tommy reported two additional triggers: a) Drawing back the syringe after shooting up; b) Imagining someone else using, seeing someone have that ‘first rush’. The second target was addressed first in today’s session. Session progressed exactly as documented below, without any breaks in the 45 minute session.<\/p>\n
EMDR FSAP Processing \u2013 FSAP Phase III<\/b><\/p>\n
FS Processing – Session 2<\/i><\/p>\n
Target Behavior A: Methamphetamine use
\nMost Intense Part(s): Seeing someone else injecting meth and witnessing their ‘first rush’<\/p>\n
Feeling State #1: Feeling free+witnessing another person’s rush
\nStarting PFS: 5 – 6
\nLocation in Body: Behind eyes; chest<\/p>\n
Feeling State #2: Relief+watching
\nStarting PFS: 4 – 5
\nLocation in Body: Behind eyes; chest<\/p>\n
Notes: EM used to facilitate BLS in this session. PFS for FS#1 dropped from 5 – 6 to 0 after 2 sets of BLS. PFS for FS#2 dropped from 4 – 5 to 0 after 1 set of BLS<\/p>\n
Although, most of the time, relief is not the core feeling, thus not part of a feeling-state, in this case Tommy appeared very much to be seeking a sense of relief from emotional pain, etc.<\/i><\/p>\n
—————————-
\nDeficit Processing<\/i><\/p>\n
Wanted Feeling #1: Feeling free [from mother]
\nSUDs: 9
\nLocation in Body: Back of head<\/p>\n
Notes: SUDs dropped from 9 to 0 after 3 sets of BLS.<\/p>\n
—————————-
\nEMDR FSAP Processing \u2013 FSAP Phase IV<\/b><\/p>\n
NC Underlying Feeling: I’ll never amount to anything
\nFloat Back Target: Mother saying this to him when he was younger<\/p>\n
EMDR Reprocessing – Target #1<\/i><\/p>\n
Target: Feeling that he won’t amount to anything<\/p>\n
Most Disturbing Part: Mother saying this to him as a child and later in life<\/p>\n
NC: I’ll never amount to anything
\nPC: I can achieve what I put my mind to
\nVOC: 3<\/p>\n
Emotions: sadness; disappointment<\/p>\n
SUDs: 9<\/p>\n
Location in Body: chest\/heart<\/p>\n
Processing Notes: Tommy reported SUDs of 0 after 6 sets of EM; adaptive processing began almost immediately. After initial reprocessing, VOS increased from 3 to 5. After 1 additional set of EM, VOC increased to 7. In body scan, Tommy reported no disturbance at all, with no EM necessary. Positive feelings reinforced with BLS. At this point, moved on to addressing Target Behavior B.<\/p>\n
================
\nTarget Behavior B: Methamphetamine use
\nMost Intense Part(s): Seeing someone else injecting meth and witnessing the ‘first rush’<\/p>\n
Feeling State #1: Excitement+witnessing another person’s rush
\nStarting PFS: 2
\nLocation in Body: Behind eyes; chest<\/p>\n
Notes: When initially asssessed at beginning of session, PFS=4. After processing Target Behavior A, PFS dropped to 2, which was reprocessed at this pointin session. PFS for FS#1 dropped from 2 to 0 after 1 set of BLS.<\/p>\n
—————————-
\nDeficit Processing<\/i><\/p>\n
Wanted Feeling #1: Excitement
\nSUDs: 0 with no BLS<\/p>\n
Notes: Nothing remarkable observed. Identification and processing of NC not undertaken for this cluster, as the session concluded.<\/p>\n
****************************
\nApril 26, 2013 (60 min session)<\/b><\/p>\n
FS\/Behavior Evaluation Since Last Session: Tommy reported having a meth using dream where nothing would give him his desired high–at least, not anywhere near to the degree he was used to experiencing it. Tommy reported experiencing a ‘mild rush of heat’ in his body, but he recalled getting angry in the dream because he wasn’t getting his high.<\/p>\n
Tommy also reported that a friend who recently relapsed (on meth) offered client a graphic retelling of his relapse experience, and Tommy experienced no triggering at all.<\/p>\n
EMDR FSAP Processing – Phase III<\/b><\/p>\n
FS Processing – Session 3<\/i><\/p>\n
Target Behavior: Using methamphetamine
\nMost Intense Part(s): Could not identify<\/p>\n
Notes: Client experienced no triggering, but expressed a strong desire for a feeling of relief. No processing on FS, as no positive feelings could be identified.<\/p>\n
—————————-
\nDeficit Processing<\/i><\/p>\n
Wanted Feeling #1: Relief
\nSUDs: 6
\nLocation: heart\/chest<\/p>\n
Notes: EM used to facilitate BLS in this session. Desire for relief dropped from 6 to 0 after 1 set of BLS. Processing moved on to FSAP Phase IV from here.<\/p>\n
—————————-
\nEMDR FSAP Processing \u2013 FSAP Phase IV<\/b><\/p>\n
NC Underlying Feeling: If I put my guard down, I’ll get hurt
\nFloat Back Target: Volatility at home growing up<\/p>\n
EMDR Reprocessing – Target #2<\/i><\/p>\n
Target: Volatility at home growing up<\/p>\n
Most Disturbing Part: same as above<\/p>\n
NC: If I put my guard down, I’ll get hurt
\nPC: Putting my guard down opens me up for love
\nVOC: 3<\/p>\n
Emotions: sadness<\/p>\n
SUDs: 6<\/p>\n
Location in Body: chest<\/p>\n
Processing Notes: Processing on this target was rather brief, due to time constraint. However, after 6 sets of BLS, Tommy reported feeling much more accepting of the general situation at home growing up, yet realizing how much pain and suffering was there for him and his siblings. Tommy experienced a revelation in processing: ‘It was so much to process [back then]. When I found drugs and alcohol, I didn’t have to process anything’.<\/p>\n
****************************
\nMay 3, 2013 (45 minute session)<\/b><\/p>\n
In this session, Tommy asked to \u2018take a break\u2019 from EMDR\/FSAP processing to reflect on the work done in the past three sessions. When I asked Tommy about his desire\/urge to use methamphetamine, this was his response:<\/p>\n
\u201cIt would be like if someone said [to me], ‘Let’s go for a swim in the sewer\u2019…it’s like, ‘No thanks. Not today’.\u201d<\/p>\n
Tommy reported no evidence at all of cravings or urges to use methamphetamine and no using dreams. Tommy also reported no experiences of feeling triggered to use, explaining by way of the quote noted above. Tommy explored what it has been like for him not to experience cravings.<\/p>\n
Summary<\/b><\/p>\n
At this point, Tommy continues to experience no cravings or urges to use methamphetamine, and we are delving more into the underlying trauma that created the needs that made the development of the feeling-state(s) possible. The final phase of treatment will include reprocessing the negative beliefs Tommy developed as a result of his meth use (the final phase in FSAP processing) remain.<\/p>\n","protected":false},"excerpt":{"rendered":"
Disclaimer: This blog entry is neither intended to provide a step-by-step guide to using the Feeling-State Addiction Protocol (FSAP) nor is it in any way meant to stand as a scientifically supported statement of effectiveness. The results described herein are merely illustrative of the anecdotal experience of its author when employing the protocol. The FSAP\u2014or any other EMDR treatment protocol\u2014should not be employed by anyone not specifically trained in EMDR and stabilization techniques. The following is meant to represent this writer\u2019s impressions of the protocol and is not meant to supplant writings and research conducted by FSAP developer Robert Miller, PhD. This writer has taken utmost care to ensure that clients participating in this treatment have been fully supportive and desiring of the hoped for results. It has been such a busy couple of weeks, and I\u2019ve been remiss in posting. It\u2019s nice to be back at the keyboard doing something fun. I\u2019ve continued to work with clients employing the EMDR Feeling-State Addiction Protocol, and I wanted to offer up a bit more detail of my (and my clients’) experience of it. The client about whom you will read has granted me permission to share this information for training\/learning purposes. Please note that names and some details have been changed to protect the confidentiality of the client. I began working with \u2018Tommy\u2019 some months ago, at which point he sought to remain abstinent from methamphetamine use. This was a great struggle for Tommy, owing to the powerful feelings he gained from using, combined with the sex he had enjoyed while high. He acknowledged, though, that he no longer got the same \u2018high\u2019 that he experienced very early on in his use, and that, in fact, he rarely if ever had sex anymore when using. The drug had gotten in the way of his enjoyment of the thing he started using for in the first place. Nevertheless, Tommy remained ambivalent about not using. He was in meth\u2019s grip. After a brief participation in, then an extended hiatus from, therapy, and finding that his life was falling apart around him, Tommy made […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[40,25,4,39,29],"tags":[47,52,45,44,46,42],"class_list":["post-622","post","type-post","status-publish","format-standard","hentry","category-addictions-and-compulsions","category-clinical-practice","category-digging_deep","category-emdr","category-traumatic-experience","tag-addiction-treatment","tag-emdr","tag-feeling-state-addiction-protocol","tag-fsap","tag-methamphetamine-addiction-treatment","tag-therapy"],"_links":{"self":[{"href":"https:\/\/www.dmcoy.com\/main\/wp-json\/wp\/v2\/posts\/622","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dmcoy.com\/main\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.dmcoy.com\/main\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.dmcoy.com\/main\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dmcoy.com\/main\/wp-json\/wp\/v2\/comments?post=622"}],"version-history":[{"count":13,"href":"https:\/\/www.dmcoy.com\/main\/wp-json\/wp\/v2\/posts\/622\/revisions"}],"predecessor-version":[{"id":632,"href":"https:\/\/www.dmcoy.com\/main\/wp-json\/wp\/v2\/posts\/622\/revisions\/632"}],"wp:attachment":[{"href":"https:\/\/www.dmcoy.com\/main\/wp-json\/wp\/v2\/media?parent=622"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dmcoy.com\/main\/wp-json\/wp\/v2\/categories?post=622"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dmcoy.com\/main\/wp-json\/wp\/v2\/tags?post=622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}