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Anyone else feeling irritated by how clinicians love to tell each other what is right or wrong? Ever notice how scripts often don’t thoroughly address client preferences or the process of client engagement? Where is the role of autonomy for the client?
To remedy our irritation, today we zoom out and get curious about how we make clinical choices, and how we engage with our clients about making those clinical choices.
For EMDR clinicians, this can be tricky. Questions may already be coming up for you like: How do we make a shared decision with our clients when we have a protocol, step-by-step process, and/or script that we are to follow to do it right and be effective?
Herein lies the balancing act between positive health outcomes and patient autonomy. How and when do we make clinical choices with our clients? How do we follow the script or protocol, and stay client-centered? What’s important to the client? How do we triage what is clinically relevant? The questions are important, and the answers feel challenging.
Good news: physicians have been researching this for decades. And it’s time for us to catch up with the rest of the healthcare literature. Today, as we talk about shared decision making, we realize that we cannot say we are trauma-informed if we are not client-centered. I said what I said.
You deserve to have richer conversations with your clients, in consultation, and even in Facebook groups. As we dive into models of shared decision making, get clarity on which shared decision making model you’re using when you make clinical choices. By identifying your orientation along the shared decision making spectrum, you'll get to have more productive conversations with your colleagues and clients.
And you can finally understand how to make EMDR a client-centered therapy. Perhaps you were also clinically trained in a paternalistic model of shared decision making. I was, and boy did it mess me up. The paternalistic model tells us the rules about EMDR, like talking during Phase 4, what target to start from, and what form of BLS to use.
Let’s get curious about how to translate the gold of EMDR into the deliberative model of shared decision making so we can serve more clients effectively. What does EMDR in the deliberative model look like? Listen in to find out!
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Want to keep learning with us?
Are you ready to get consultation in a way that feels comprehensive and relational? Learn how to build a private practice and grow your clinical confidence in an 8-month journey with a cohort of colleagues you keep forever. Apply for The Consultation Program. There's nothing like it.
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Learn more about Zero Disturbance:
Zero Disturbance offers comprehensive resources for therapists on EMDR-informed clinical reasoning, intensive design, passive income systems, & teaching excellence.
With a Masters in Education from Vanderbilt, Kambria has been creating trainings and teaching adult learners for 20 years. As Director of Education and Quality Improvement at Stanford Medical School, her job was to decomplicate and consolidate complex systems and topics, thereby giving medical trainees successful learning experiences. Now, as a busy mom of fraternal twins, dedicated business owner of Zero Disturbance, and EMDRIA Approved Consultant, Kambria knows what it means to do things efficiently, effectively, and in a learner-centered way.
I had the opportunity to sit down with not one but two folks in the trauma-informed therapy and coaching communities. And not only was our conversation aligned around our similar value systems, it was yet another example of how innovative thinking offers clinicians the chance to go beyond the traditional images of what we see as therapy.
George Tabb and Noshima Darden-Tabb are a dynamic, married duo who run their own EMDR and Brainspotting private practice and coaching business. They help us understand what it means to work in your zone of genius when it comes to partnership in business, how to identify and use different clinical modalities, and what it takes to be a transformational clinician and trainer.
I was amazed to learn about what these folks have offered their communities and how their business is thriving because of it.
Take some time to listen to George and Noshima as they share anecdotes about their partnership in life, in their business, and their role in their community.
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Want to keep learning with us?
Are you ready to get consultation in a way that feels comprehensive and relational? Learn how to build a private practice and grow your clinical confidence in an 8-month journey with a cohort of colleagues you keep forever. Apply for The Consultation Program. There's nothing like it.
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Learn more about today’s spotlight guest:
George Tabb is a dynamic trainer and inspirational speaker. As an Approved Consultant & Trainer for EMDR he provides basic EMDR trainings and Critical Incident Trainings. If you are specifically seeking an EMDR training, you will have the unique opportunity to be trained and coached by a husband-wife team, George and Noshima. Noshima is also a Certified EMDR therapist and Coach. This makes for helpful nuances as they share experiences from their private practice and consultation briefings. Other trainings are designed upon request and based on the audience being trained. As a previous corporate trainer and speaker in the business community, George is also a highly requested inspirational speaker. Incorporating almost thirty years of business experience with clinical expertise, makes George a unique trainer for your practice or business.
Learn more about their training opportunities here.
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Learn more about Zero Disturbance:
Zero Disturbance offers comprehensive resources for therapists on EMDR-informed clinical reasoning, intensive design, passive income systems, & teaching excellence.
With a Masters in Education from Vanderbilt, Kambria has been creating trainings and teaching adult learners for 20 years. As Director of Education and Quality Improvement at Stanford Medical School, her job was to decomplicate and consolidate complex systems and topics, thereby giving medical trainees successful learning experiences. Now, as a busy mom of fraternal twins, dedicated business owner of Zero Disturbance, and EMDRIA Approved Consultant, Kambria knows what it means to do things efficiently, effectively, and in a learner-centered way.
Whether we like it or not, the past two years have challenged us to design more innovative ways to run our practices and deliver mental health services. Perhaps you've been curious how EMDRIA has had to roll with the punches, too.
I got to sit down with former EMDRIA President, current EMDRIA Board Member, and EMDR Trainer, Carol Miles, to get the inside scoop.
Listen as Carol shares insight about EMDRIA's standardization process for virtual trainings since the start of the pandemic, details about how The Council of Scholars impacts the curriculum used for EMDRIA basic trainings, and EMDRIA's articulation of community values in response to cultural and social climates.
Following in the likeness of Francine Shapiro, EMDRIA strives to be a place where innovation is welcomed, not only in the name of research, but also in the name of serving the populations that need psychotherapy the most.
If we want to keep serving our clients, our community, and ourselves, we need to be building practices that function based on what's happening now, not what was happening then.
You won't want to miss our latest podcast episode to get the inside scoop on EMDRIA's journey with innovation.
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Want to keep learning with us?
Are you ready for an innovative way to get Consultation? Grow your clinical confidence and your business sense in a comprehensive 8-month journey with a cohort of like-minded people. Apply for The Consultation Program. There's nothing like it.
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Learn more about today’s spotlight guest:
Carol Miles MSW, LCSW, a clinical social worker specializing in individual psychotherapy, maintains a private practice with adolescent and adult clients. She also provides EMDR training and consultation under her Three Rivers Training Center. She currently specializes in offering intensive EMDR therapy to address trauma and healing.
A graduate of LSU School of Social Work, Carol specializes in Clinical Social Work, with over 30 years of experience as a social worker in clinical, administration, and marketing with the public and private sectors. Among her areas of expertise are working with clients who have eating disorders and trauma. Carol has often presented at statewide conferences and to general audiences on topics ranging from Eating Disorders, Assertiveness, EMDR Therapy, DBT, and developing a private practice. She taught as an adjunct professor at the Tulane School of Social Work from 1998-2018.
Carol is an EMDRIA Certified Therapist, and an EMDRIA Approved Consultant and Trainer. She's been a member of EMDRIA since 2008, shortly after being trained in EMDR Therapy in New Orleans. As a volunteer for EMDRIA, she served as a member and co-chair of the Conference Committee and chair of the University Special Interest Group. She founded and is the Regional Co-Coordinator of the South Louisiana EMDR Network, stepping down in 2022. In 2017, she was elected to serve on the EMDRIA Board of Directors, 2017-2021. She served a 2-year term as the President of EMDRIA, 2019-2020. She currently serves as the Past-President of EMDRIA, 2021. She was appointed to fulfill a one-year term 2022.
Learn more about Carol at www.carolmiles.com.
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Learn more about Zero Disturbance:
Zero Disturbance offers comprehensive resources for therapists on EMDR-informed clinical reasoning, intensive design, passive income systems, & teaching excellence.
With a Masters in Education from Vanderbilt, Kambria has been creating trainings and teaching adult learners for 20 years. As Director of Education and Quality Improvement at Stanford Medical School, her job was to decomplicate and consolidate complex systems and topics, thereby giving medical trainees successful learning experiences. Now, as a busy mom of fraternal twins, dedicated business owner of Zero Disturbance, and EMDRIA Approved Consultant, Kambria knows what it means to do things efficiently, effectively, and in a learner-centered way.
I sat down with the one and only Dr. Jamie Marich and had the opportunity to hear from a clinician whose transparency about their own identity is the very thing that makes them a great trainer, therapist, and overall human being.
In our conversation, we talk about how the messaging and training many therapists receive about dissociation creates an unfounded fear and misunderstanding about clients with dissociative minds.
Jamie's ability to take a critical look at the therapy community's fears while sharing her own lived experience as a person with a dissociative mind, is the key in helping us understand that our community is better off with a modified approach to dissociation.
We examine the value of disclosure and advocacy as an effort to decrease the stigma around this identity so that therapists may actually serve their dissociative clients.
It's time that the trauma-informed community understand the identities of the folks who seek out our help in a way that goes beyond protocol. And our hope is that instead of seeing the dissociative mind as something to be feared, we'll all begin to see it as a super power instead.
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Want to keep learning with us?
Are you ready to get consultation in a way that moves beyond the protocol? Grow your clinical confidence in a comprehensive 8-month journey with a cohort of like-minded people. Apply for The Consultation Program. There's nothing like it.
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Learn more about today’s spotlight guest:
Dr. Jamie Marich (she/they) describes herself as a facilitator of transformative experiences. A clinical trauma specialist, expressive artist, writer, yogini, performer, short filmmaker, Reiki master, TEDx speaker, and recovery advocate, she unites all of these elements in her mission to inspire healing in others. She began her career as a humanitarian aid worker in Bosnia-Hercegovina from 2000-2003, primarily teaching English and music while freelancing with other projects.
Jamie travels internationally teaching on topics related to trauma, EMDR therapy, expressive arts, mindfulness, and yoga, while maintaining a private practice and online education operations in her home base of Warren, OH. Jamie is the author of numerous books on trauma recovery and healing, with many more projects in the works. Marich is the founder of The Institute for Creative Mindfulness.
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Learn more about Zero Disturbance:
Zero Disturbance offers comprehensive resources for therapists on EMDR-informed clinical reasoning, intensive design, passive income systems, & teaching excellence.
With a Masters in Education from Vanderbilt, Kambria has been creating trainings and teaching adult learners for 20 years. As Director of Education and Quality Improvement at Stanford Medical School, her job was to decomplicate and consolidate complex systems and topics, thereby giving medical trainees successful learning experiences. Now, as a busy mom of fraternal twins, dedicated business owner of Zero Disturbance, and EMDRIA Approved Consultant, Kambria knows what it means to do things efficiently, effectively, and in a learner-centered way.
As therapists, we all want to feel that we are helping others and feel secure in our own lives. Especially during a pandemic.
As highly trained, trauma-informed therapists, our mission is to guide our clients in developing secure attachment and healthy relationships. Alongside them, we also seek to develop a security in our private practice that provides us with healthy choices in our careers.
And how we learn about what gives us security depends on who teaches us what real security means.
For many of us, we’ve learned that being on insurance panels gives us security; insurance companies send us lots of clients and requires very little marketing on our part to reach “full.”
But does full feel good? Do low reimbursement rates from insurance companies allow us to feel the type of security we really crave? Why do we find ourselves in arguments with each other and ourselves about taking insurance? Why do many of us find ourselves in unhealthy relationships with insurance companies?
In today’s podcast, we invite five alumni of The Consultation Program to discuss how they developed their relationship with insurance, what they learned in that relationship, and how that lead them to the successful place they are in now. Not only will we invite you to get curious about your relationship with insurance and the stories you’ve told yourself about that relationship, we also invite you to check in with yourself about how your values align or do not align with an insurance-based practice.
If you are a therapist who takes insurance, or is considering going on or off of insurance, you are not going to want to miss this episode! Our hope is that this conversation will leave you feeling full of permission to do what works best for you.
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Want to keep learning with us?
Are you ready to grow your security in a way that separates you from the traditional thinking of the past? Apply for The Consultation Program today to build your clinical confidence in a comprehensive eight month journey.
There’s nothing like it.
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Learn more about today’s spotlight guests:
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Zero Disturbance offers comprehensive resources for therapists on EMDR-informed clinical reasoning, intensive design, passive income systems, & teaching excellence.
With a Masters in Education from Vanderbilt, Kambria has been creating trainings and teaching adult learners for 20 years. As Director of Education and Quality Improvement at Stanford Medical School, her job was to decomplicate and consolidate complex systems and topics, thereby giving medical trainees successful learning experiences. Now, as a busy mom of fraternal twins, dedicated business owner of Zero Disturbance, and EMDRIA Approved Consultant, Kambria knows what it means to do things efficiently, effectively, and in a learner-centered way.
Our series of innovative thinking continues, and today we are honored to be joined by Thomas Zimmerman, EMDR Consultant & Trainer.
Thomas helps us think about how we resolve traumatic memories, and introduces us to The Four Blinks Version of Flash. What I loved most about talking with Thomas was how he got me thinking about how we translate EMDR and other trauma-informed therapies so they are accessible to clients and clinicians. Healing trauma is a social justice issue, and we are all a part of it.
I'm excited to journey with you this year as we learn about Flash/ Four Blinks, EMDR 2.0, and Brainspotting to expand our abilities beyond EMDR to serve our clients. These other modalities that tax the working memory deepen our understanding of how EMDR works, giving us more clinical reasoning ability.
As we know, there is no perfect product, and what we know will continue to evolve. What an exciting time to be a trauma therapist as we continue to learn more!
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Want to keep learning with us?
Are you ready to grow your clinical reasoning skills in a way that separates you from the traditional thinking of the past? Apply for The Consultation Program today to build your clinical confidence in a comprehensive eight month journey.
There’s nothing like it.
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Learn more about today’s spotlight guest:
Thomas Zimmerman, Ms.Ed., LPCC (he/him) is a highly trained and experienced trauma therapist who has worked with hundreds of severely traumatized clients and is familiar with the wide range of ways that trauma may express. He specializes in attachment wounding and working through problems with resourcing with severely complex trauma. Much of his work is organized around the central “Dip Your Toe In” approach in all phase of working with complex trauma.
Thomas has attended graduate programs at Western Kentucky University, Bowling Green State University, and Youngstown State University.
Thomas was trained in EMDR Therapy by the Institute for Creative Mindfulness and provides consultation to EMDR therapists across the country. He has received advanced trainings and provides consultation in the following topics: dissociation, working with ego states, working with clients at the intersection of trauma and severe and persistent mental illness, working effectively with attachment wounding, and working with high risk clients.
Thomas maintains the popular EMDR therapy blog for therapists: GoWithThat.wordpress.com and administers the largest global group of EMDR therapists on Facebook at: https://www.facebook.com/groups/EMDRResources. Thomas also produces a podcast for EMDR therapists that focuses on solutions to the difficulties of working with complex trauma using EMDR therapy: http://EmdrPodcast.com. Thomas is active in developing the Flash Technique (originally developed by Philip Manfield) into a fully conceptualized psychotherapy to easily and reliably metabolize trauma for the most severely traumatized clients. Thomas’ Flash work is available at: https://FourBlinks.com
Thomas is the owner of the practice EMDR Cleveland, LLC and lives in Cleveland with his girlfriend, Sophia (service dog), and his 14-year old nephew.
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Zero Disturbance offers comprehensive resources for therapists on EMDR-informed clinical reasoning, intensive design, passive income systems, & teaching excellence.
With a Masters in Education from Vanderbilt, Kambria has been creating trainings and teaching adult learners for 20 years. As Director of Education and Quality Improvement at Stanford Medical School, her job was to decomplicate and consolidate complex systems and topics, thereby giving medical trainees successful learning experiences. Now, as a busy mom of fraternal twins, dedicated business owner of Zero Disturbance, and EMDRIA Approved Consultant, Kambria knows what it means to do things efficiently, effectively, and in a learner-centered way.
I've been offering intensive therapy programs for my EMDR clients for 5 years now and I've learned a lot about about how to design successful intensive models. And I've made it my mission to share my experience so that other clinicians may benefit in their own private practices.
And, now, because I've now had the opportunity to support clinicians as they launch their own intensive models, I've been able to learn more about what helps and hinders clinicians when it comes to designing their intensive models. And, as always, I want to share that with you.
Today, I explore the 7 most common myths that I hear in consultation about why clinicians feel stuck when it comes to offering intensive therapy in their private practices. And the good news? I'm here to encourage you (with data of course) on how we can shift our mindset to better understand how possible it is to design an intensive model of therapy.
Learn about why you're already trained and set up to do this, how intensive therapy actually takes less energy, that intensive therapy doesn't mean 6-8 hours of therapy, and much more in today's podcast episode.
You are a precious resource who has the ability to offer high-value services to their clients. And it's my mission to help you understand that.
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Timestamps:
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Zero Disturbance offers comprehensive resources for therapists on EMDR-informed clinical reasoning, intensive design, passive income systems, & teaching excellence.
With a Masters in Education from Vanderbilt, Kambria has been creating trainings and teaching adult learners for 20 years. As Director of Education and Quality Improvement at Stanford Medical School, her job was to decomplicate and consolidate complex systems and topics, thereby giving medical trainees successful learning experiences. Now, as a busy mom of fraternal twins, dedicated business owner of Zero Disturbance, and EMDRIA Approved Consultant, Kambria knows what it means to do things efficiently, effectively, and in a learner-centered way.
We know that work as a trauma therapist can often leave clinicians feeling burnt out. And when we live and work through a globally altering experience, like the COVID-19 pandemic, that burnout gets amplified and can push folks to leave the field entirely.
So, can you imagine what life would look like if you had three times the amount of clients in your practice?
Y’all, for life as a child therapist, that’s what reality can look like.
I sat down with my friend and colleague, Nicole Symcox, to talk about what private practice self-care should look like while working as a virtual EMDR therapist with kids.
Listen as Nicole shares her own iron-clad systems that keep her safe so that she may continue to do the same for her clients. We unpack what it’s like to create boundaries with kids and their parents, the secret to protecting your time, and how to design a practice that works within your self-care container.
Your business is a precious resource for the folks in your community, so don’t spend your time overextending yourself for pennies on the dollar.
Let us help you create a business that reflects your worth.
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Nicole Symcox is a Licensed Psychotherapist, Mental Health Educator, and Podcast Host for the popular show, Mental Health Remix. In her private practice in California, she provides holistic healing for kids and teens, and is a Certified EMDR clinician and CIT.
Using her framework for treating trauma and anxiety, she's helped thousands of clients gain freedom, peace, and an empowered sense of living. Through her coaching platform, she offers business coaching and EMDR consultation to clinicians who want to build a profitable private practice, while offering clinical excellence utilizing EMDR for kids.
Learn more about Nicole at www.nicolesymcox.com/consultation
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Looking for more business self-care encouragement?
If your private practice is leaving you burnt out and feeling desperate for change, it's probably because you're in need of self-care that's built into your business model. As Nicole and I discuss, we're not taught how to run a business as we come up in our training and it's time for us to break that cycle.
The Consultation Program addresses this gap in our education by offering clinicians practice design support along side clinical consultation. Apply today to embark on an eight month journey in the only comprehensive consultation program out there.
I promise you, there's nothing like it!
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Zero Disturbance offers comprehensive resources for therapists on EMDR-informed clinical reasoning, intensive design, passive income systems, & teaching excellence.
With a Masters in Education from Vanderbilt, Kambria has been creating trainings and teaching adult learners for 20 years. As Director of Education and Quality Improvement at Stanford Medical School, her job was to decomplicate and consolidate complex systems and topics, thereby giving medical trainees successful learning experiences. Now, as a busy mom of fraternal twins, dedicated business owner of Zero Disturbance, and EMDRIA Approved Consultant, Kambria knows what it means to do things efficiently, effectively, and in a learner-centered way.
Today, we’re talking money.
And, believe me, I know that this is a hard thing for many therapists to talk about. I’ve had to work through my own stuff with this, coached many consultees, and now, I'm here to offer you some insight on the frameworks that we traditionally use to determine our rates and what we can try to do instead.
Listen as I dive into the notion that the information we’re using to generate our rates is, in most cases, distorted and riddled in generational trauma passed down by therapists before us. The unfortunate truth is that the data we’re using to keep our heads above water is dangerously devaluing the work that we do.
We are highly-trained, trauma-informed, brain-based therapists whose value goes far beyond what insurance and directory companies are telling us. I want all of us to make informed decisions when it comes to our rates because, as we're starting to learn, no one else is going to do it for us.
Understand how to define your therapy rates in a way that reflects the transformations you facilitate. And leave the frameworks of the past behind you.
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Looking to learn more about designing your rates? We're on a mission to help clinicians see the value in their transformative services and we want you there!
The Consultation Program offers practice design coaching along side clinical consultation to help clinicians understand that they're highly-trained specialists who deserve rates that reflect their services.
Apply today to embark on an eight month journey in the only comprehensive consultation program out there.
I promise you, there's nothing like it.
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Zero Disturbance offers comprehensive resources for therapists on EMDR-informed clinical reasoning, intensive design, passive income systems, & teaching excellence.
With a Masters in Education from Vanderbilt, Kambria has been creating trainings and teaching adult learners for 20 years. As Director of Education and Quality Improvement at Stanford Medical School, her job was to decomplicate and consolidate complex systems and topics, thereby giving medical trainees successful learning experiences. Now, as a busy mom of fraternal twins, dedicated business owner of Zero Disturbance, and EMDRIA Approved Consultant, Kambria knows what it means to do things efficiently, effectively, and in a learner-centered way.
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Reference for number of mental health care professionals in the United States
When we hear the word imagination, a variety of things may come to mind. Maybe it’s two kids playing a pretend game or maybe it's a fantasy television show or maybe it’s even a comic book with some creative characters.
What we don’t typically think about is EMDR therapy. In fact, when we think about imagination and EMDR, our training might even tell us that what we’re looking at is dissociation.
That's why today, I want to open up a conversation about the relationship that we, as clinicians, have with imagination.
We know that, for children, imagination holds the key to so much of what we know to be human development. Imagination is what kids use to play, and to learn, and to try on different identities and cognitions. It’s a powerful tool that so many children use to process their day to day life.
So, y’all, when our adult clients are reprocessing childhood trauma and a cartoon character or some other imaginative figure comes in, I want you to pause before you write this off as dissociation. Take a moment to recognize that you may actually be exactly where you need to be: in their childhood neural networks and narratives. Then take a moment to recognize that your client may be doing exactly what they need to be doing in Phase 4: connecting those childhood narratives to the present, adult narratives.
We put so much pressure on ourselves to identify when our clients are dissociating in Phase 4 that we’re quick to react with the assumption that we need to bring them back to target or back to the present. But what if, instead, we were to take some time to let imagination do the job it was meant to do?
I imagine we’d be offering a resource to our clients that we didn’t even know they had.
Listen to this podcast episode to learn more about imagination and EMDR therapy.
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Are you ready to re-imagine your private practice?
If you're looking to re-imagine your private practice but don't know where to start, you're probably in need of a community of business-minded clinicians. Enrollment in The Consultation Program encourages clinicians to think outside the box to create business models that work for them. Apply today to embark on an eight month journey in the only comprehensive consultation program out there.
I promise you, there's nothing like it.
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Zero Disturbance offers comprehensive resources for therapists on EMDR-informed clinical reasoning, intensive design, passive income systems, & teaching excellence.
With a Masters in Education from Vanderbilt, Kambria has been creating trainings and teaching adult learners for 20 years. As Director of Education and Quality Improvement at Stanford Medical School, her job was to decomplicate and consolidate complex systems and topics, thereby giving medical trainees successful learning experiences. Now, as a busy mom of fraternal twins, dedicated business owner of Zero Disturbance, and EMDRIA Approved Consultant, Kambria knows what it means to do things efficiently, effectively, and in a learner-centered way.
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