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:
Distressing unresolved memories may surface through the use of the EMDR procedure.
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.