PTSD Full Training – Steve Andreas

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PTSD Full Training – Steve Andreas

Video 1:

Demonstration

A demo of the “movie theater” method for distancing from the events in a traumatic memory.

After a brief introduction to the training, and to the key distinction between recalling a memory by being inside it or as an outside observer, I invite Shelley to the front of the room to work with me using the “movie theater” method for distancing from the events in a traumatic memory. This method is also called the NLP phobia cure, or Reconsolidation of Traumatic Memories.

Shelly is a local resident who had been in 8 car accidents in which she was rear-ended.

In a brief phone conversation I learned that as a result she has frequent flashbacks, and also chronic headache pain. When I want to observe her nonverbal behavior during a flashback, I ask her, “If you had a flashback now, what would I see? Think about one of the worst ones.”

Although that is a precise description of what I want, the way it was worded asked Shelley to imagine how she looked from my point of view, rather than simply thinking of a flashback so that I could observe her response.

Realizing my mistake, I shifted to simply asking her to remember a flashback. “What if you were to have a flashback right now? It’s heavy traffic, it’s icy and snowy,” so that I could see her response. Although Shelley confirmed that she felt terrified, that her life flashed before her eyes, and that she would score her feelings as 10 out of a possible 10, her visible responses to reliving an accident were relatively subtle.

This method is also demonstrated with an Iraq vet in the program Releasing PTSD: The Client Sessions.

3-month follow-up:

“I haven’t had ANY flashbacks of the car accidents that I can remember since you worked with me. YAY!! If I deliberately think of one of the accidents, it just doesn’t have the impact that it used to have.”

Video 2 – The Phobic Core of PTSD: Discussion

This question and answer segment of the training immediately follows the demonstration of the process used with the phobic core of PTSD, and focuses on the movie theater process, aka the RTM method or V/K dissociation.

The second phase of the protocol, Creating Alternative Memories, is discussed in the third segment, which follows this one.

Video 3 – Creating Alternative Memories

This segment begins with a repetition of the demonstration of this process, which is also included in the complete demonstration of the process used with the phobic core of PTSD. If you would like to skip this demonstration, fast-forward approximately 6 ½ minutes to reach the discussion segment.

This process creates an alternative to a traumatic memory in which the outcome is improved by the client doing something different that is a realistic possibility within the situation — relaxing, taking some protective action, saying something different, foreknowledge of possibility, a different attitude, or some other behavioral response to the traumatic event that is within the client’s control. It is absolutely essential to not alter external events, or any physical injuries that resulted from those events because that is magical thinking that will conflict with reality.

If a truck rear-ends your car, and you suffered a broken bone or other injury, it is imperative not to try to change those in your new alternative memory.

However, it is OK if your change in behavior results in a change in the behavior of others in a way that improves the outcome. This process can also be useful in other contexts to program a more useful response to a situation that might occur again in the future. 3-month follow-up:

“I haven’t had ANY flashbacks of the car accidents that I can remember since you worked with me. YAY!! If I deliberately think of one of the accidents, it just doesn’t have the impact that it used to have.”

Video 4 – Pain Control

I spoke to Shelley on the phone about being a demonstration subject for PTSD a few days before the seminar, to be sure that her experience was appropriate for the process. At that time she mentioned that she had frontal headache pain as a result of closed head injuries in two of her 8 car accidents, which I assume is the same as, or similar to, mild or moderate traumatic brain injury (TBI). Her headache was always present, so it certainly qualified as chronic.

In this segment, recorded about an hour or so after using the PTSD protocol, we work to alter her pain in a variety of ways. 3-month follow-up:

“I had a headache that day & the pain did lessen somewhat. I’m NOT having headaches EVERY day (which is AWESOME & I’m VERY grateful) but I’m taking 3 tylenol extra strength painkillers daily the rest of the time IF I have a headache — which generally occurs the second I get up.”

I hadn’t made clear to Sherrie that while the movie theater and alternative memory reruns are usually interventions that are effective after doing them in one session, pain control methods often have to be practiced repeatedly whenever necessary so that they become more automatic.

Since she doesn’t have headaches every day now, that is an indication that with some practice it may be possible to lessen them even more, and perhaps even eliminate them. She is going to practice doing the methods, and I will check in with her later.

Video 5 – Eye Movement Integration

A useful alternative method for working with PTSD is to use eye movements to spontaneously alter a memory. The most widely-known and researched version of this process is Eye Movement Desensitization and Reprocessing (EMDR), developed by Francine Shapiro. In this session I demonstrate and discuss a somewhat different, but closely related method, Eye Movement Integration Therapy (EMIT) developed by Connirae and Steve Andreas.

The demonstration I attempted with a participant in the group soon resulted in very strong feelings of aversion to any eye movements in the left half of her visual field. (In some 20 years of using this process in trainings and with clients, this is the first time this has happened.) After some attempts to proceed, and after learning that this seemed to be related to unresolved grief over a special friend’s death many years earlier, I decided to stop the demonstration. I explained to the group that I didn’t want to force her, and wanted to know more before proceeding.

In the days that followed, I talked with her several times, and made some suggestions for things she could try on her own to explore this further. On the fourth day of the training, she described what she had discovered, providing us with at least some understanding of what was going on. This section is included here, where it is directly relevant to the discussion about my decision to stop the process. For a sample of how an EMIT session usually goes, see the excerpts from my 1993 demonstration with a Vietnam Veteran.

Andrew T. Austin has developed a streamlined version of EMIT, Integral Eye Movement Therapy (IEMT), which can be easily integrated with other therapeutic approaches. I did not demonstrate this method; Austin demonstrates this method clearly in a YouTube video.

Video 6 – Eye Movement Integration: Further Discussion

Further discussion after the exercise is followed by a report from Michelle on her continued exploration of her experience recorded on the last day of the training.

3-month follow-up:

No change.

Video 7 – The Decision Destroyer: Demonstration

The morning of the second day begins with almost 18 minutes of a variety of questions from the previous day’s training. The demonstration begins at about 17:30.

In this process, we build a life-changing experience that occurs before a traumatic period or event, so that it prepares them for what happens later, making it easier to deal with. This process is particularly useful for abuse or other difficulties that occurred repeatedly over a period of time (in contrast to a single event).

This new life-changing experience has four important criteria:

It occurs at a specific time and place before the traumatic event or period.

The content is chosen by the client, and may be positive or negative when it happened, but is positive in its results when remembered. It has lots and lots of detail, to make it as similar as possible to other remembered experiences in the client’s life. When the memory is complete, it is represented in the same submodalities as a positive imprint experience in the client’s life.

When this memory is complete, the client is asked to bring the memory with them as they travel rapidly up through time to the present, allowing the memory to change all relevant subsequent events, and then to see themselves traveling on into the future with this memory as a part of them. 3-month follow-up:

“The anxiety that I felt about financial issues used to keep me awake at night; sometimes I would get a racing heart in the middle of the night. Since going through the treatment I have not experienced even mild anxiety and that has generalized into other areas; I still have everyday mild concerns, but it doesn’t have a hold on me anymore and I don’t experience the physical component of feeling anxious. My husband and daughter have both noticed a big difference. I really feel like a different (and happier) person; so many things that used to have a ‘hook’ on me are simply gone.”

Video 8 – The Decision Destroyer: Discussion

Following the demonstration, there is considerable discussion of the many different elements in this process, and how they all contribute to maximizing its effectiveness.

Video 9 – Personal Boundaries

We all have an internal mental personal boundary that protects us from unwanted intrusions from others. Our boundaries are learned and created unconsciously, and few of us have examined them to find out how well they function. By experimenting with alternatives, in the contexts in which we need protection, we can discover improvements, and these improvements will result in spontaneous changes in our experience in the real world.

For instance, someone who has spent a lot of time in a very dangerous situation like war will usually develop a boundary that results in a lightning fast response to any threat, which is entirely appropriate in that context. When they return to civilian life, this hair-trigger boundary is no longer functional, and this may result in frequent episodes of rage and violence that are “all out of proportion” to the triggers.

The handout also explores how to identify and change any internal boundaries inside the body. We did not have time to demonstrate this in the training, but the instructions are clear, and more discussion can be found in the book, Transforming Yourself, chapter 13. (This method is also demonstrated with an Iraq vet in the program Releasing PTSD: The Client Sessions.)

Follow-up:

Soon after the demonstration, Ronit reported confirmation of a change in her response to someone she had difficulties with. Three months later, she reported, “The boundaries process really helped, it’s an inner anchor now, that I carry with me.”

Video 10 – Resolving Grief

Don was part of a march protesting the Ku Klux Klan in Greensboro North Carolina in 1979 when the Klan appeared and started shooting protestors. Don was shot, and several of his friends were killed. He had previously used the movie theater process on the incident as a whole, but he hadn’t resolved the grief over the loss of his friends, so I took him through the grief resolution process.

Although this was successful, Don was still haunted by the image of one of his friends, Sandy, with a hole in her forehead, lying dead in a pool of blood. So we used the movie theater process again on this image. This example highlights how someone’s experience can be a mixture of different aspects, and the importance of teasing them apart so that each can be resolved using the appropriate process. (The Resolving Grief method is also demonstrated with an Iraq vet in the program Releasing PTSD: The Client Sessions.)

3-month follow-up:

“When I think of Sandy now I see her see her life-size and animated, in her kitchen cooking dinner and talking with my wife and me. There is no sadness in that picture, just a warm and pleasant memory.

“Before working with Steve, I had dealt with that incident by walling it off, keeping in a place where I didn’t have to think about it. Now I can recall it and talk about it without experiencing that terrible sadness, not only around Sandy but also the other four who were killed that day (actually, I was closer to a couple of them than I was to Sandy). Steve had me take that picture that I was seeing, make it dim and black-and-white, move it far away, and ‘stick it there with Velcro.’ It has remained there; I can still see it if I want to, but if I do it doesn’t bother me.”

Video 11 – Resolving Anxiety: Spinning Feelings

This method, originally discovered by Richard Bandler, is very useful for anxiety, or any other strong feeling, making it useful as part of reaching a wide variety of change work outcomes. It is one of the simplest and most dependable processes. (This method is also demonstrated with anger and rage with an Iraq vet in the program Releasing PTSD: The Client Sessions.)

3-month follow-up with Jane:

“The changes we made to release anxiety are still in place and working well. If that feeling does come up, I continue to see the sparkling blue spiral and calm down immediately.”

After the demonstration with Jane, I used the same method with a career army veteran who had not slept well for the previous 22 years; he would stay awake for 3 or 4 days and finally get so exhausted he would fall into a fitful sleep, and sometimes wake up in a sweat, imagining someone at the foot of his bed. Sometimes he would be awake for longer and take an Ambien. Although he would go into a deep sleep, his wife said that he would yell and scream all night.

Since he did not want to appear on video, we recorded his
session on audio only, and recorded his report the following day,
in which he said that he had used the method twice and slept well, getting
up to go to the bathroom once at 3:20 and then going back to sleep for the rest of the night.

3-month follow-up with vet:

Normal deep sleep lasted until about two weeks after the training, when he was faced with two stressful emergencies; his mother was hospitalized with heart issues, and a son-in-law was diagnosed with a brain tumor. He reports that “my brain is going a hundred miles an hour; it’s all scatter, all kinds of issues coming together and it’s hard to have deep sleep. I am using meds and self-medicating when I get really tired.”

That is what I call “overwhelm” and is typical of many people who have difficulty sleeping. I have a blog post on “overcoming overwhelm” that offers some methods for this. In conjunction with the slowing tempo method for anxiety, I think that will probably take care of it. I will be following up with him to find out what we can do so that he can sleep well again.

Video 12 – Transforming a Troublesome Internal Voice

Internal critical voices are triggers for all sorts of problems, from low self-esteem to depression and addictions, and are also a main feature of Schizophrenia. Most people try to avoid listening to a voice, or try to shut up the “chattering monkey mind,” but that is seldom useful, and seldom lasting.

In contrast, if you listen to the voice carefully and learn more about it, you can make friends with it and transform it into a supportive ally. The process demonstrated here is a comprehensive way to accomplish this. (This method is also demonstrated with an Iraq vet in the program Releasing PTSD: The Client Sessions.)

3-month follow-up:

“I have noticed a big change in what used to be an inner critical voice.  I feel much more self-accepting and self-loving. I have especially noticed that my body image has changed and for the first time since I can remember I have an inner peace about my body exactly as it is. I really feel like a different (and happier) person; so many things that used to have a ‘hook’ on me are simply gone.”

Video 13: Resolving Anxiety Temp Shift

Video 14 – Clarifying Relationships: Aligning Perceptual Positions

Aligning Perceptual Positions is a process for sorting out our experience and clarifying relationships.

There are three fundamental viewpoints that we can take in any interaction with someone else. We can be in Self position, looking out of our own eyes, we can take an objective Observer position, as if viewing both ourselves and the other person from an outside point of view, or we can take the position of the Other person we are relating to. Each of these positions is valuable in different ways.

In Self position, we are fully aware of our own needs, in Observer position we can dispassionately learn how we appear from the outside, and in Other position we can become much more aware of what someone else’s experience is. If we can shift positions quickly, we can reap the information that we get from each one, and have a balanced response to whatever is going on at the moment.

Although each of us can naturally take all three different positions, we may be unbalanced in how much time we use each one. If we spend too much time in Self position, we may become arrogant and insensitive. If we spend too much time in Observer position, we may lose touch with feelings, and become robotic. And if we spend too much time in Other position, we may become over involved with the other person’s feelings and needs, and lose touch with our own — what has sometimes been called co-dependent or enmeshed with someone else.

Even worse, we may become somewhat mixed up, for instance including others’ feelings in self position, becoming judgmental in observer position, or hearing a self voice in other position. When our experience is even a little bit scrambled in this way, it becomes very hard to resolve conflicts and disagreements or deal with everyday events.

Aligning Perceptual Positions is a process for sorting out our experience in order to clarify who is who, and clarifying relationships.

3-Month Follow-up

“After the procedure, I find that I am more likely to step back and view my interactions with others from observer position. I am less likely to get embroiled in my own stuff when interacting with others and the distortions, as I described in the session, are fewer.  Along with the lack of distortions, or comparative lack, I am more likely to imagine encountering people eye to eye. Although I have had few interactions with my brother, his image is no longer inflated and I am more likely to remember that that’s just who he is. Thanks for a great experience.”

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Aligning Perceptual Positions

Video 15 – Forgiveness: Resolving Anger

The process for resolving anger is much the same as for resolving grief. When the image of what provokes anger is moved into the location of an experience of forgiveness, the person will have a full-body experience of forgiveness. However, since most people have many — and sometimes very strong — objections to doing this, the major task is to satisfy these objections.

Anger is a response that protects from a repetition of the harm that was done. Objections always involve the need for some kind of protection if they were to give up the anger. Objections are always some variation on consequences (“If I forgave him, then he could hurt me again.”) or meaning (“If I forgave her, that would mean that I’m a wimp, or that I condone what she did.”)

Sometimes it is very difficult to satisfy these objections, and sometimes it may be impossible, but it has to be done if someone is to reach forgiveness. For a detailed article about the process, including how to satisfy objections, you can read this free article on forgiveness.

Video 16 – Resolving Shame: Discussion

I had scheduled a woman who had shame about childhood sexual abuse as a demonstration subject. We had talked briefly on the phone, where I had made it clear that we would be working in front of the group and that we would be videotaped. However, it soon became apparent that she hadn’t anticipated how being publicly observed like this would elicit the very shame we would be working with. (Afterward someone told me how appalled she looked when she entered the room at the back, even before coming up to the front to work with me.)

I worked with her for about 23 minutes, before agreeing to her second request to stop, realizing that the public context made it impossible to continue. I have demonstrated the shame process publicly before without difficulty, but in this case her feelings were too intense. She had not signed a release form, so I can’t include this portion of the video record. As an alternative, there is a video on YouTube of excerpts from a public demonstration and a free article on my website has a verbatim transcript of a session with long-term follow-up. The video from which this transcript was made is also available.

After this, I discussed what had happened with the group.

Video 17 – Resolving Guilt

Guilt results from violating your own values in a way that harms someone else. (In contrast, regret is when you violate your own values in a way that harms yourself.)

When you make a mistake, it is important to notice it, so that you can take corrective action to avoid harming others in the future. However many people get stuck in the bad feelings and dwell on the past, instead of learning from it so that they can do better next time.

Resolving guilt can also be described as self-forgiveness. Realizing that any moment in time everyone always makes the best choice available to them (no matter how badly that choice turns out) can build a foundation of balance and acceptance to commit to taking corrective action in the future.

During this session there was mention of The Brooklyn Project, a detailed program developed by Rick Gray for working with drug and alcohol abuse. To receive a free copy of this program, email [email protected].

Video 18 – Balancing Regret

Whenever you choose between alternatives, there is an opportunity to regret the choice not made, so it is impossible to live without regret. And no matter how satisfying a choice turns out to be, you can always imagine how a different choice might have been even more wonderful. Some people torment themselves with regret, while others are usually comfortable with the results of their choices.

Regret can be about something that you did do, or about something that you didn’t do. Regret about what you did do is usually very specific, because the consequences are known.

However, regret about what you didn’t do is more likely to be less specific, because the consequences are much more uncertain and speculative.

Whenever you choose one alternative, you have to forego another, so every regret is actually about both what you did do and didn’t do. Even when we focus on one, the other is always in the shadow of our attention. Attending to the consequences of both what you did do and didn’t do brings balance.

3-month follow up:

“The decision process was a good process, but I had other issues I needed to solve before I could follow through. Thanks for everything, I really enjoyed the seminar.”

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