Focused EMDR Case Consultation

Consultation offers collaborative clinical reflection—not directives that transfer responsibility for the client. The scope is agreed before we begin, and client treatment remains your responsibility.

• Using the Adaptive Information Processing (AIP) model to consider connections between presenting concerns and memory networks
• Organizing past experiences, present triggers, and future responses
• Prioritizing targets and explaining the rationale for sequencing
• Identifying blocks, incomplete information, and competing treatment needs
• Using EMDR as a guiding clinical framework rather than an isolated technique

• Assessing readiness for trauma reprocessing
• Preparation, stabilization, regulation, and closure
• Dissociation and stabilization questions within my competence, including decisions about pacing or referral
• Working with avoidance, overcontrol, shutdown, or rapid compliance
• Considering the Flash Technique within an EMDR treatment plan when clinically appropriate, while preserving private target identification and no required trauma narrative
• Recognizing when another treatment need must come first

• Complex and developmental trauma
• Childhood sexual abuse and adult sexual trauma
• Attachment injury, chronic shame, and disrupted self-trust
• Burnout, moral injury, grief, cumulative exposure, and systemic role pressure
• Trauma patterns connected with substance use, relapse risk, or overfunctioning
• High-functioning professionals, helping professionals, and cases that remain emotionally present for the treating therapist

• Moving from external reassurance toward internally grounded clinical judgment
• Examining clinician reactions, bias, and countertransference while clarifying the reasoning behind a clinical choice
• Normalizing uncertainty without bypassing accountability
• Recognizing limits of competence and identifying training, collaboration, or referral needs
• Examining how self-doubt, overresponsibility, or imposter feelings affect the clinical work

Consultation may address how the therapist’s responses affect clinical decisions. This reflection is not personal psychotherapy for the clinician or treatment of the clinician’s client.

• Sexual trauma and erotic agency
• Intimacy, attachment, boundaries, betrayal, rupture, and repair
• Kink/BDSM, D/s, and consensual power exchange
• Consensual non-monogamy (CNM), polyamory, and alternative relationship systems
• Consent, capacity, coercion, autonomy, relational impact, and accountability
• Nonpathologizing, culturally responsive case conceptualization

Use de-identified information whenever possible. Approved consultation documents use the secure SimplePractice process after the scope and sharing arrangements have been agreed.

Secure transmission does not replace required consent or authorization. Do not send records or identifiable material before acceptance and completion of the necessary documentation.

Video review is considered only when it is clinically and professionally appropriate, within my scope, accepted in advance, and covered by the written consultation agreement.

1. All required written disclosures, releases, and authorizations must be complete.
2. Consent and authorization must be documented for every identifiable party.
3. The required documentation must be completed before I receive the recording.
4. The accepted recording must be transmitted through the approved secure process.

Removing names does not replace permissions for identifiable people. Sending material does not guarantee review.