REGISTRATION DOCUMENTS

Thank you for registering. On the right are all the necessary documents you will need for your upcoming session. Please click the icons to download the associated documents.

Participant Agreement

EMDR Institute, Inc. and Connect EMDR Training and Consulting
Please read, sign, and submit the following

  • Participant Agreement for EMDR Therapy Basic Training EMDR Institute, Inc. And Connect EMDR Training and Consulting

    The undersigned participant acknowledges that s/he has thoroughly and carefully read, understands, and agrees to the following:
    1. EMDR is widely recognized as an empirically supported treatment for PTSD and Acute Stress Disorder. Its safety and efficacy for other clinical applications have yet to be adequately evaluated by controlled research. The cautions described in the published literature and in the training are based primarily on anecdotal reports by trained clinicians. The latest research can be found at www.EMDRIA.org.
    2. All participants must meet EMDRIA clinician requirements. Participant must be licensed to independently practice psychotherapy in a discipline recognized by EMDRIA. An exception will be made if: 1) the participant is not licensed but is enrolled in an accredited graduate program in a mental health or related discipline recognized by EMDRIA and is in the final internship; or 2) has completed masters level coursework and is currently in a licensing track. In either case, the participant must be supervised by a licensed clinician with the appropriate letter(s) on file in the training office. The letter from the licensed, supervising clinician must indicate that you have clinical privileges to practice psychotherapy under supervision, and should endorse you to participate in EMDR training.
    3. A significant component of the training involves clinicians practicing EMDR and related procedures in small groups under the supervision of the instructor or a qualified staff member. These practice experiences are for training purposes only and not for personal therapy, though many trainees report adaptive therapeutic outcomes. All participants should be prepared to address disturbing real-life experiences as part of this training program to appreciate the subjective experience of EMDR as a client would, and to provide valid training experiences for other participants. It is not unusual for a target memory to be linked to other, unexpected, disturbing material or memories that might surface during or after the practice sessions. Trauma-related case material presented didactically, in consultation sessions, or on video may be disturbing to those with unresolved personal issues. By submitting your application for training, you are affirming that you have developed appropriate self-soothing and affect/arousal management skills to cope with exposure to this type of material and will be able to use these skills as necessary during and following EMDR training, practice and consultation sessions.
    4. Further, with reference to number 3 above: a) If you are presently engaged in personal therapy and/or psychiatric treatment, you should inform your therapist and/or psychiatrist about all aspects of this training including the experiential component and secure your therapist’s and/or psychiatrist’s support to participate before beginning this training. b) If you have limiting or special medical conditions (pregnancy, seizure disorder, heart condition, eye problems, etc.), you should consult your medical professional(s) before participating in this training and should discuss your condition(s) with the training director before submitting their application to participate in the training. c) If you presently have a dissociative disorder, acute or chronic PTSD, GAD, panic disorder, substance use disorder, personality disorder, or affective disorder, you should not participate without special arrangements being made with the training director as part of the application for registration. Failure to advise the training director of such issues in advance could place you at risk, negatively impact other participants, and result in dismissal from the training without refund. Participants who are disruptive to the training will be given one warning by the training director and will be dismissed without refund if there is a recurrence. You are expected to maintain a spirit of cooperation and mutual support for all in the training. Disruptive behavior will not be tolerated. You agree that the training director has the right to dismiss anyone who is disruptive from the training at any time without refund.
    5. The reprocessing of targeted incidents during practicum sessions may continue and result in other disturbing memories surfacing during and after the practicum. It is your responsibility to seek, obtain and pay for appropriate professional assistance if needed. Providing such assistance is not part of the training and will not be provided by the training director or staff. We will provide referrals to clinicians who elect to do personal EMDR work. Lists of EMDR trained clinicians are also available through www.EMDRIA.org.
    6. This experiential training is intended to prepare clinicians to apply EMDR for clinical purposes only and will not qualify the participant to train others in EMDR. Attempts to train others in EMDR without meeting the standards as defined by the EMDR International Association would represent a violation of professional ethics and standards.
    7. In order to assure confidentiality of personal and clinical information, audio/video recording by participants is not allowed. All participants are expected to maintain the highest ethical standards of confidentiality regarding all personal and clinical information shared by others in this training. Failure to maintain confidentiality will be treated as a professional ethics issue and may result in immediate dismissal from the training program with no refund. Confidentiality applies to all consultation sessions and practicum experiences: specifics may be discussed only with members of the immediate consultation or practice group, the participant’s group consultant, practicum supervisor and trainer(s). In addition, you may share your own emerging material as you choose.
    8. Participants agree to read Shapiro, F., Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols and Procedures (3rd ed.). New York: Guilford Publications (2017). The cost of this study material is in addition to the course tuition fee. You will be provided one copy of the course manual. A fee of approximately $25 will be charged for replacement copies of the course manual.
    9. A Certificate of Completion will be issued to all participants who satisfactorily complete the entire training, complete the assigned readings, and demonstrate through group discussion, practice exercises and consultation, an understanding of the EMDR treatment approach.
    10. Attendance Policy: Participant must attend all training days and actively participate in all supervised practice exercises and group consultation sessions in order to receive a certificate of completion for this training. Those who attend this workshop in full and complete all the appropriate evaluation forms will receive CE credits. Those arriving more than 15 minutes after the start time or leaving more than 15 minutes before the workshop is completed will not receive CE credits.
    11. Weather Policy: There might be times when there is severe weather near the training setting, such as flooding. Except under the most severe of weather conditions, we will hold the training. It is the responsibility of participants in this EMDR training, including those who travel from out of state, to plan ahead and make appropriate travel arrangements, including the use of nearby hotels so that you can be available for the training.
    If not licensed, I agree to practice EMDR only under the supervision of a licensed mental health clinician. I certify that the registration information that I have submitted online and on this form is accurate.
Connect EMDR Training & Consulting Consultation Information
10 HOURS OF CONSULTATION via phone/videoconference is included in your registration fee and is necessary for completion of EMDR Basic Training. Goal: To deepen your understanding of EMDR Therapy and help you integrate EMDR Therapy into your practice. Specifics:

 

  • Participants will be discussing real active cases and receive feedback to support on their growth.
  • Small focused study projects will also facilitate greater learning in the consultation process.
  • Because these sessions will occur via the internet, minimal office time will be lost.
  • The group sessions for all 10 hours will be scheduled during the first two days of the course.
  • These sessions will occur M-F between 8-5pm. There will be a chance for 1 make-up consultation session. If more are required, the training participant will be responsible for paying an additional fee of $120 for each hour of make-up consultation.
Eligibility Requirements for EMDR Basic Training

as defined by the EMDR International Association

Licensed Mental Health Professionals

  • Qualifying Medical Doctors must have a medical specialty in Psychiatry and must also be licensed to practice in their state or province.

  • Qualifying Nurses must have a Master of Science in Nursing (or higher) with a specialization in psychiatric nursing and must also be licensed to practice in their state or province.
  • Qualifying Mental Health Clinicians must have a Master’s or Doctoral degree in the mental health field (Counseling, Marriage Family Therapy, Psychology, Psychotherapy, Psychiatry, Social Work) or related mental health discipline considered appropriate by EMDRIA and must also be licensed to practice in their state or province.
  • Mental Health Clinicians who have a Master’s degree in one of the following fields may be asked to submit their graduate transcript to EMDRIA to determine their eligibility: Art Therapy, Christian/Pastoral Counseling, Drug/Alcohol Counseling, and Music Therapy. These clinicians will also need to submit a copy of their license to practice in their state or province in order to determine their eligibility. Interns & Students; An active caseload is needed to make the most of this training. Without the capacity to practice the EMDR therapy, mastery will not be possible.
  • Qualifying graduate students must be enrolled in a Master’s or Doctoral program in the mental health field (Counseling, Marriage Family Therapy, Psychology, Psychotherapy, Psychiatry, Psychiatric Nursing, Social Work) or related mental health discipline considered appropriate by EMDRIA. Students must have completed their core graduate academic coursework and must be in the practicum/internship portion of their graduate program. First year graduate students are not eligible. Graduate students must be on a licensing track and working under the supervision of a fully licensed mental health clinician.
  • Graduate students who are enrolled in a Master’s program in one of the following fields must submit their graduate course transcript to EMDRIA to determine their eligibility: Art Therapy, Christian/Pastoral Counseling, Drug/ Alcohol Counseling, and Music Therapy.
  • Students who would like to take the an EMDR Training will need to submit the following documentation to determine eligibility for registering for an EMDRIA Approved EMDR Training: graduate transcript, practicum or internship hours, curriculum vita, and a letter from their current supervisor which includes the supervisor’s degree information, licensure information and license number. (Acceptance of graduate students will be determined by Connect EMDR after verification of eligibility has been received.)

EMDRIA reserves the right to refuse those individuals who do not meet the required guidelines for consideration.

PART 1 LEARNING OBJECTIVES
  • 10 hours of didactic + 10 hours of supervised practice
  • Identify 3 components of the EMDR Approach designed to provide effective treatment with clients
  • Describe 3 important existing research studies
  • Name the 8 phases of EMDR therapy for comprehensive treatment and how to implement the phases with clients
  • Identify the parameters treatable with EMDR therapy to safely and effectively implement EMDR therapy with clients
  • Describe 3 aspects of the AIP Model for effective case conceptualization and treatment planning
  • List 6 types of client complaints treatable with EMDR therapy
  • Describe the criteria for client selection and how to apply to client cases
  • Describe 3 safety measures for effective and safe use of EMDR therapy
PART 2 LEARNING OBJECTIVES
  • 10 hours of didactic + 10 hours of supervised practice
  • Describe 3 strategies to identify and effectively resolve problem areas in the utilization of EMDR therapy
  • Describe protocols for closing down incomplete sessions
  • Describe 3 resources to use with difficult or resistant clients
  • Describe a treatment plan to choose and prioritize targets appropriate for EMDR treatment
  • Describe strategies for dealing with highly emotional responses
  • Describe strategies for dealing with dissociative symptoms and phobias
  • Describe strategies to treat more complex trauma-related disorders