Bottom-Up Intervention

substance abuse as a form of coping with the trauma. Although, it is noted that substance dependence takes into account physical factors that require extensive treatment and the use of medication, CPT can help with the cognitive aspect of sobriety and educate Perry as to why numbing his pain away is a form of maladaptive coping (Zaleski, 2015). Bottom-up Intervention: Eye Movement Desensitization and Reprocessing
A Bottom-up intervention like Eye Movement Desensitization and Reprocessing (EMDR) can be useful in alleviating PTSD symptoms by addressing distressing memories and trauma (Leeds, 2016). Developed by Francine Shapiro, EMDR as a bottom –down, evidenced based intervention, relies on engaging the brain's natural adaptive information
Traditionally, the first phase will consist of gathering ample information that will help develop the treatment plan along with with identifying goals. In this phase, the assessment will focus on the bio-psychosocial background as well as the chief complaints of the client with the added purpose of forming a therapeutic alliance in the process (Leeds, 2016). As a result, the primary objective of the first phase will focus on obtaining a structure history along with outlining the symptomology of the client, and current triggers, (Leeds, 2016). The next phase is the preparation phase in where suitable candidates are confirmed or exclude if they don’t meet the criteria for this intervention. Psycho-education and as well as consent is emphasize in this phase along with reinforcing the therapeutic alliance formed in the phase. The objectives of the second phase will rely on establishing self-control methods and orienting the client how EMDR addresses the trauma they present with (Leeds, 2016). The third phase of EMDR is known as the actual assessment of the intervention in where a baseline for the severity of the trauma is accounted for. This phase is also design to identify the primary targets for reprocessing. It consists of eliciting
This phase is known as the desensitization portion of the intervention. The instillation and fifth phase, will continue with reprocessing of the targeted experience and add a preferred belief into the client’s memory network (Leeds, 2016). Psychically, the bilateral stimulation is taking place while the client is consciously aware of the inclusion of the preferred belief (Leeds, 2016). Phase six of the intervention is known as the body scan, in where any residual psychical sensations associated with the targeted experience are engaged and reprocess until positives ones are achieved. The next phase is design to confirm closure and client stability after each reprocessing session. A clinician will typically encourage the client to rely on the self control measures develop in treatment as well as document and explain the effects of treatment to the client. The eight and final phase will be used to assess treatment goals and is the reevaluation phase of the intervention (Leeds,