This module builds upon the opening module
(The Basic Basics), expanding it from its initial
self-help focus into a full clinical treatment approach
that incorporates what you have learned in each of the subsequent
modules.
It is oriented around a series of practice sessions
rather than interactive questions. For this reason, it would be
particularly valuable to work through this module with a partner. If you
cannot do it with a partner, you can still get a good overview of the
procedures by reading through the instructions, choosing a problem area
to experiment with, and applying the treatment procedures to yourself.
Still, nothing can adequately substitute for hands-on, interactive
experiences in a real or at least simulated clinical situation.
First a review of the basic clinical tasks that
generally precede the introduction of energy interventions: |
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Once: Rapport has been built
Information about the client’s background and
treatment goals gathered
An energy-based approach to the treatment goals
agreed upon
Energy checking methods established
Neurological disorganization corrected
Psychological reversals resolved, and
A target problem has been
identified
accessed
rated, &
locked in . . .
ENERGY INTERVENTIONS may be applied effectively!
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The instructions for the practice session in the
Opening Phases module are repeated in the first session below. If you
have already done this with a partner, your partner is still available
to continue working with you, and the work you did is still fresh, skip
this practice session and jump to the following section, the
Basic
Single-Point-per-Meridian Treatment Protocol. You and your partner
will, within this module, each do an entire session as therapist and an
entire session as client. |
Practice Session on the Opening Phases of
Treatment |
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With a colleague role-playing a client coming in with
a specific problem or using an actual problem, go through each of the
phases of the early part of treatment. The target problem could be a
fear, phobia, anxiety, anger, lack of confidence, grief, worry,
jealousy, guilt, shame, obsession, or any other undesired emotional
response to a specific situation, thought, image, or memory. Please take
care that the problems you target are appropriate given the context of
your practice sessions. The treatment tasks to cover in this practice
session are to:
Return to the
"Opening Phases" module to review these preliminaries.
After this sequence, solicit feedback. Switch roles.
Jump
to the Basic Single-Point-per-Meridian Treatment Protocol
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Basic Single-Point-Per-Meridian Treatment
Protocol |
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With the problem state selected, rated, and locked in
and initial neurological disorganization and psychological reversals
resolved, the remaining steps in a basic "Single-Point-per-Meridian"
treatment protocol are:
- The Basic Treatment Sandwich:
- Subsequent Rounds of the "Sandwich"
Jump
to Practice Session 5
- Anchoring the Gains (Covered
in the "Closing
Phases" module)
IF YOU ARE UNABLE TO
SIGNIFICANTLY LOWER THE LEVEL OF DISTRESS,
you may next want to consider either of two approaches (also, see
"self-help" handout discussing what to do when the interventions do
not produce the desired result). Suppose the issue that is not
responding to treatment involves feelings of intense shame that are
readily evoked in a variety of situations. Two basic next options are:
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MICRO-FOCUS ON THE ASPECTS OF THE PROBLEM.
Gary Craig uses the metaphor of a table to describe the way he
approaches a problem such as generalized anxiety or incessant feelings
of shame. If the presenting problem is the top of the table, the legs
are the aspects of the problem, particularly specific events in the
client’s life that produced similar feelings. By chipping away at the
legs, the table top often falls away spontaneously or with minimal
further intervention. So rather than to begin with the "table top" or
global problem, such as "I feel shame," Craig works with the "legs,"
addressing the problem’s history—specific event by specific
event—until every memory involving shame is cleared (after addressing
several specific events—Craig estimates the typical range as being
between 5 and 20—there is a "generalization effect" so the remainder
become emotionally resolved). Sometimes, to clear a memory, it is
necessary to separate it into smaller aspects still ("the feeling of
ice in my heart," "the look in her eye when she discovered me," "the
sound of his voice," etc.) and treat them one at a time. Craig reports
not only an extremely high success rate when focusing on these
micro-aspects of a problem, but also that the gains are far more
durable than when only using a global (table top) formulation of the
problem. Craig’s website,
www.emofree.com,
has a powerful search engine where you can find discussions of EFT
with hundreds of specific issues.
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ISOLATE AND TREAT THE
MERIDIANS THAT ARE INVOLVED WITH THE PROBLEM.
Others will next identify the
specific meridians that are involved with the problem and focus the
energy interventions on those meridians (frequently doing muscle-based
energy checks as sometimes after one meridian becomes balanced another
that had been balanced goes into a disturbed state). You continue
until the problem can be mentally accessed with no disturbances in any
of the 14 meridians. The specifics of this method are taught in the
following module.
Jump to next module:
Advanced
Meridian Treatments
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Practice Session 2: The
Treatment Point Sequence |
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The First Part of the Sandwich |
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You have some choices here.
Beginning with the simplest:
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Tap each of the 8 treatment points
from the "Basic Basics" module between
five and nine times.
Review
this tapping sequence.
or
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Use a treatment point sequence you have learned
elsewhere " (TFT, TEST, BSFF, a different set of EFT points, etc.).
or
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Stimulate each of the 14 points
from the "Meridian Treatment Basics" module
by tapping the first 12 points between five and nine
times each and then hooking up central and governing.
Review
this treatment sequence.
or
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Same as numbers 1, 2, or 3, but tap each of the
points for the length of an inhalation and exhalation, stop for the
length of an inhalation and exhalation, and tap again.
Research is not available about which sequence is
likely to be most effective. It might seem that using all 14 points
would be more potent for balancing the associated meridians and that the
longer tapping sequence would be more effective in more situations. This
might, however, be more intervention than is necessary, and a tremendous
amount of anecdotal evidence suggests that simpler sequences are
effective a good deal of the time. The 14-point protocol was, in fact,
introduced primarily so you would know at least one point for each
meridian by the time you are learning the more advanced approaches in
the following module, not because it is necessarily used that frequently
in clinical practice. Stimulating a subset of the meridians will usually
suffice.
In one sense, it does not matter which set of points
you use: If the sequence is not effective in bringing down the client’s
distress level (SUD) while the problem state is activated, you would
then move to the procedures taught in following module. It is truly
dealer’s choice.
Select a treatment sequence that you will use for the
remainder of this module and, with the problem state locked in, show
your "client" how to stimulate the points. As soon as the SUD decreases,
even slightly, it is often reassuring for clients to realize that they are
responsive to this method. Even if the SUD moves down slowly, the fact
that it is moving at all means the indications are good for obtaining
the desired results by applying the technique persistently while
remaining alert for any neurological disorganization, psychological
reversals, or unresolved aspects of the problem. A small proportion of
people, however, apparently do not respond to meridian tapping, and in
these cases, other techniques may be employed, such as the
Touch and Breathe method of meridian stimulation or working with
other energy systems, such as the
chakras or the
radiant circuits.
It is better now to go through the remainder of the
treatment sequence with one of you in the therapist role and the other
in the client role. Switch roles at the end of the treatment session.
Return
to the Basic Treatment Protocol
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Practice
Session 3: Bridging Techniques |
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The Middle of the Sandwich |
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The 9 Gamut, which you learned in the Basic
Basics module, has become a standard within energy psychology. Other
techniques, loosely called bridging techniques
because they are performed between procedures that specifically focus on
the designated problem, can also be used as the
middle of the "treatment sandwich." These techniques
enhance the effects of the interventions they bridge. Four bridging
techniques are listed and described below. On subsequent rounds through
the treatment, experiment with any of these—they are easy to do and
require only a minute or two each. The techniques include the 9 Gamut
Procedure, the Blow-out/Zip-up/Hook-in, the Elaborated Cross-crawl, and
Connecting Heaven and Earth. Experiment with each of them.
4 Bridging Techniques

You can use any one of these bridging techniques
between rounds of tapping. Most practitioners find a favorite and use it
most of the time, introducing others as intuition dictates.
Choose one, review it, practice it, and show your
"client" how to do it.
Return
to the Basic Treatment Protocol
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The 9 Gamut Treatment
Procedure |
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The 9 Gamut Procedure: While steadily
tapping the gamut spot
(the point on the back of the left hand that is
just below the knuckles and between the ring finger and the little
finger),
have the client do each of the
following:
1. Close
eyes. |
2. Open eyes. |
3. Move eyes
to lower left. |
4. Move eyes
to lower right. |
5. Rotate
eyes clockwise 360 degrees
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6. Rotate eyes counter-clockwise 360
degrees
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7. Hum a tune
for a few seconds (e.g.,
"Happy Birthday," "Row, Row
Your Boat,"
"Zipadee Doo Dah"). |
8. Count to
five. |
9. Hum again. |
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Variations:
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Instead of the fifth and sixth steps, move the eyes in a
horizontal figure-8 (the therapist might draw an infinity sign in the
air), first in one direction, then the other.
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End by bringing the eyes down to the floor and then slowly
bringing them up to the ceiling, projecting sight out into the distance
as the eyes move up the arc.
Return
to list of Bridging Techniques.
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Blow-Out Zip-Up
Hook-In |
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Blow Out: Make fists and put arms in front of you with your
fists facing up. Take a deep inhalation and swing your arms above your
head. With the fists facing toward you, bring your arms down swiftly to
the sides, opening your hands, exhaling and releasing the energy charge.
Repeat several times.
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Zip Up: Place hands at groin and drag them slowly straight
up the front of the body on an inhalation, leaving the body at the lower
lip and continuing up and over your head. Repeat 3 times.
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Hook In: Place middle finger of one hand at third eye and
of the other hand at navel. Press in and pull up. Hold for 15 to 20
seconds.
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Return to list
of Bridging Techniques
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Elaborated
Cross-Crawl |
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Elaborated Cross Crawl.
A good preliminary
before the elaborated cross crawl is to briskly tap the shoulders and
neck while breathing deeply. Alternate the tapping between the left and
right sides. Then: |
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1. March in place, touching right
hand to left knee and left hand
to right knee.
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2. Continuing the cross-crawl, "hum-count-hum," for about 5
seconds each.
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3.
When completed, circle the eyes in each direction or make
figure eight
patterns with the eyes. |
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Return to list
of Bridging Techniques
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Connecting
Heaven and Earth |
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You learned this technique as part of the
3-Part/3-Minute generic correction for neurological
disorganization. It is also an excellent bridging technique. To
review: stretch is one of the most natural ways to keep the body’s
energies moving, which is in turn one of the best ways to keep the
mind clear. From watching cats and dogs upon waking to practicing
disciplines that have made stretch into a science, such as yoga,
many models are available. Versions of the following exercise have
been found in numerous cultures, and it is not only an excellent
way to get energy flowing throughout the body, it is formulated to
help integrate the left and right brain hemispheres and activate
the energy system know as the
radiant circuits. Here are the instructions you would use to
guide a client in "Connecting Heaven and Earth." |
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Rub your hands together and shake
them out.
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Stand with your
hands on your thighs and fingers
spread.
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With a deep inhalation,
circle your arms out.
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On the exhalation,
bring your hands together in a prayerful
position.
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Again with a deep
inhalation, separate your arms from
one another, stretching one high
above your head and flattening your
hand back, as if pushing something
above you.
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Stretch the
other arm down, again flattening your hand as if
pushing something toward the earth. Stay in this position for as long as
is comfortable.
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Release your
breath through your mouth, returning your hands to
the prayerful position.
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Repeat, switching the arm that raises and the arm that lowers. Do
one or more additional lifts on each side.
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Coming out of
this pose the final time, bring your arms down and allow
your body to fold over at the waist. Hang there with your knees
slightly bent as you take two deep breaths. Slowly return to a standing
position with a backward roll of the shoulders.
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Return to list of
Bridging Techniques |
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Practice Session
4: The Treatment Point Sequence (Again) |
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The Last Part of the Sandwich |
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Repeat the treatment point sequence exactly as you
did in the first part of the sandwich.
When you have completed the sandwich (treatment
point sequence, bridging procedure, treatment point sequence),
again assess the intensity of the problem. Clients may be able to focus
more easily on the problem if they close their eyes. Have them tune into
the problem, bring the original problem or memory to mind, and give it a
rating from 0 to 10 on the amount of distress it causes them now, as
they think about it.
If no trace of the previous emotional intensity
remains, then you are done with the sandwich and ready to move on to anchor the gains. If, on the other
hand, the SUD goes down, lets say, to a 4, perform subsequent rounds
until 0 is reached or until you can reduce the number no further.
Return
to the Basic Treatment Protocol.
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Practice Session
5: Subsequent Rounds |
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Sometimes a problem will be resolved after a single
round of treatment. More often, only partial relief is obtained and
additional rounds are necessary.
Between rounds, discuss anything about the treatment
that concerns the client or does not seem to be going as planned. Three
areas to consider checking for between rounds are:
Before returning to the next round of treatment, also
be sure the problem is still locked in (the indicator muscle still goes
weak during an in-the-clear energy check), particularly following
periods of dialogue or intense emotion.
For this practice session, go through the following
guidelines and apply them with your partner as appropriate.
Return
to the Basic Treatment Protocol
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Considerations about NEUROLOGICAL
DISORGANIZATION between
rounds of acupoint stimulation.
Simply accessing the problem may introduce subtle
disruptions within the client’s neurological system. The bridging
procedures done within each round tend to counteract this tendency, but
they are not always enough. While it is not necessary to frequently test
for neurological disorganization, stay alert for signs of confusion,
jumbled words, or loss of mental acuity.
If these appear, consider introducing the
3-part/3-minute correction for neurological disorganization (Crown
Pull, Connecting Heaven and Earth, Wayne Cook Posture). This will
usually correct the problem for the purposes of treatment. If it does
not, do the five tests described in the "Neurological
Disorganization" module (all five require only one minute) and use
the correction techniques shown there as appropriate.
Any of the procedures in the
5 Minute Energy Routine can also be introduced between rounds of
treatment, as well as other exercises for keeping the energy system
clear and flowing.
Return to
"Subsequent Rounds" Practice Session
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Considerations about
PSYCHOLOGICAL REVERSALS
between rounds of acupoint
stimulation.
Psychological reversals may emerge at any point
during the treatment, and when they do, they can inhibit further
progress. Psychological reversals that emerge
during treatment are called intervening psychological
reversals.
The check for an intervening psychological reversal
might be worded something like, "I want to be
completely over this problem" [or describe problem].
"Completely" is the element that distinguishes an intervening
psychological reversal. Like other PRs, intervening PRs might also be
organized around specific criteria. The wording to check for a
criteria-related intervening PR,
might be "I deserve to be completely over this problem" [or: "It
is safe to . . ."; "It is safe for others if I . . ."; "It is possible
for me to . . .", etc.].
Jump to the
"Psychological
Reversals"
module for more details on working with
psychological reversals.
Return to
"Subsequent Rounds" Practice Session
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Considerations about
SUD RATINGS
between rounds of acupoint stimulation:Brief
Review: The SUD rating is a subjective verbal estimate, on a scale from
0 to 10. It can be corroborated with an energy check (e.g.,
client says "It’s a 3," followed by checking an indicator muscle).
The energy check to corroborate a SUD rating is called a MUD (muscular
units of distress) rating.
Periodic assessments of the distress still experienced in association
with the problem (SUD and MUD) may be taken regularly. They provide a
gauge on the effects of the acupoint treatments. Each assessment also
leads to a choice point. Since you are in the middle of a practice
session, simply click the "Next Step" instructions for what you need to
know for the purposes of the practice session. You can return later to
study the options for each of the five possible conditions.
IF THE SUD HAS:
Return
to "Subsequent Rounds" Practice Session
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Decreased but is still
above 2:
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Do another
round of the acupoint stimulation sandwich. |
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Return to
SUD Possibilities
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Stopped decreasing and is still above 2:
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Check for any
intervening psychological reversals (e.g., "I want to be
completely
over this problem") and their variants based on specific
criteria (e.g., "It is safe to be completely . . .," etc.).
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Resolve any that are
found and return to the next round of the sandwich.
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If there were no PRs,
check for neurological disorganization, correct if detected,
and return to the next round of the sandwich. |
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Jump
to List Summarizing Psychological Reversal and Neurological
Disorganization Checks and Treatments.
Return to
SUD Possibilities
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Stopped decreasing, is still above 2, and no
psychological reversals or neurological disorganization is present:
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Explore
whether another
aspect of
the problem requires attention before further
progress can be made, and if so, shift the
focus of treatment to that aspect.
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If
the SUD is still above zero after doing one or more of these
techniques, and you are quite certain that PRs, neurological
disorganization, and other aspects of the problem are not
interfering, do another round of the sandwich. |
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Is it always
necessary to get the SUD down to 0?
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Discussion of "ASPECTS"
from the Basic Basics Module:
The most common reason a distress rating will not go
down to 0, if you follow the instructions precisely, is that another
aspect of the problem, not focused upon in the energy intervention,
may have been involved. If the initial target problem was the fear of
dogs, rated say at 9, the tapping methods might have reduced it a bit,
but it is not likely it would have been very effective until the
experience with Rocky had been resolved. Chances are, however, that in
doing the tapping, memories of having been bitten by Rocky would emerge
and the focus could be shifted to them. Having been bitten by Rocky was
an aspect of "fear of dogs" and it needed attention before "fear
of dogs" could be successfully addressed.
The aspects might include earlier experiences that
are involved in the current problem, but they may also slice in from
different angles. An aspect might be a particular feeling or sensory
experience that is involved with the problem. Perhaps during the dog
bite, the feeling of having been humiliated was an aspect of the memory
that requires attention. Perhaps he blamed himself for being bitten.
Seeing his own blood might be an aspect of the problem. A precise memory
of how Rocky smelled may linger as an aspect of the problem, or the
helplessness of seeing Rocky baring his teeth, about to attack. This
might then tie into other memories of feeling helpless that must have
their emotional charge neutralized before the original problem can be
fully resolved. Most complex psychological goals and problems have
numerous aspects and identifying the most relevant aspect to focus upon
is part of the art of energy psychology.
Return
to Discussion
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Sometimes the SUD will go down to 2 or 1 but
will not reduce any further. This is not necessarily a bad outcome. Some
clients cannot conceive of the SUD going down to 0, so a 1 or a 2 is
essentially a 0 in their subjective world. In some circumstances, such
as taking a test, a small measure of anxiety increases a person’s
ability to function. So while 0 might be thought of as a kind of ideal,
it is not always realistic or necessary. In addition, it is often still
possible to get the "positive belief" rating (see Closing Phases module)
up to the desired 8 or above even with the SUD at 1 or 2.
However, if the SUD still will not go down to 0, the
techniques in the following module, Advanced Meridian Treatments, may
also be applied. You may
jump there now to continue this session, or . . .
Return to
SUD Possibilities
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Gets Down to 2 or Less:
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Once this threshold
has been reached, another bridging technique or the
Eye Roll will often bring it all the way down.
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If the SUD is still
above zero after doing one or more of these techniques, do another
round of the "sandwich." |
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Return to
SUD Possibilities
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The Eye Roll Technique
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While steadily tapping the gamut spot
(the point between and just below the
knuckles of the little finger and the ring finger on the
back of either hand):
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The
Elaborated Eye Roll Technique |
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This elaboration of the eye roll technique is
taught by Fred Gallo, Ph.D.
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Tap the gamut spot
(the point on the back of the left hand that is just below the
knuckles and between the ring finger and the little finger),
or the points at the outside edges of the eyebrows, while
slowly and steadily rolling your eyes upward from the floor to
the ceiling.
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Partially lower
your eyelids while keeping the eyeballs in the raised position
and take a deep breath.
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Stop tapping and
exhale while lowering the eyeballs to a horizontal position,
allowing the eyes to completely close.
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A relaxing,
floating feeling is often experienced and is encouraged by
suggestions such as "Go with the flow."
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The SUD level is
then reevaluated. |
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Return to instructions
for when SUD gets down to 2.
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Reaches 0 or Near 0:The additional steps
presented in the "Closing Phases" module will:
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anchor in the new
response
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project the
positive state into the future
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fix the gains into
the person’s life |
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After the SUD has reached 0 or near 0, you will complete the
treatment in the first practice session of the "Closing
Phases" module. If you are already at or near 0, you may wish to:
Jump directly to the "Closing
Phases" module now
and
Return later to the Next Module: Advanced
Meridian Treatments
Return to "Subsequent
Rounds" Practice Session
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