Jodi Province Counseling Services, PLLC
I have been advised and understand that Eye Movement Desensitization and Reprocessing (EMDR) is a treatment approach that has been widely validated by research only with PTSD. Research on other applications of EMDR is now in progress. I have also been specifically advised of the following:
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Distressing unresolved memories may surface through the use of the EMDR procedure.
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Some clients have experienced reactions during the treatment sessions that neither they nor
the administering clinician may have anticipated, including a high level of emotional or physical
sensations. Subsequent to the treatment, session, the processing of incidents/material may
continue, and other dreams, memories, flashbacks, feelings, etc., may surface.
Before commencing EDMR treatment, I have thoroughly considered all of the above, I have obtained whatever additional input and/or professional advice I deem necessary or appropriate to having EDMR treatment, and by my signature below I hereby consent to receiving EDMR treatment. My signature on the acknowledgment and consent is free from pressure or influence from any person or entity.