Formulating Energy Interventions

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:


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!

*  *  *

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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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:

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 Build rapport
 

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Gather information about the client’s background and treatment goals
 

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Explain and obtain informed consent about using an energy-based approach
 

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Establish a familiarity and some success with energy checking
 

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Check for and correct neurological disorganization
 

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Check for and resolve any global psychological reversals
 

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Formulate an appropriate target problem
 

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Check for and resolve specific-context psychological reversals involved with the problem
 

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Access the problem state, rate it, and "lock it" in (alternately, use a "reminder phrase" as described in the Basic Basics module).


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

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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:

  1. The Basic Treatment Sandwich:
  a. Treatment point sequence Jump to Practice Session 2  
  b. Bridging techniques Jump to Practice Session 3  
  c. Treatment point sequence (again) Jump to Practice Session 4  
  1. Subsequent Rounds of the "Sandwich"             Jump to Practice Session 5
     
  2. 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:

  1. 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.
     

  2. 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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Practice Session 2: The Treatment Point Sequence

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The First Part of the Sandwich

 
You have some choices here. Beginning with the simplest:
  1. Tap each of the 8 treatment points from the "Basic Basics" module between five and nine times.  Click to View Video  Review this tapping sequence.
    or

  2. Use a treatment point sequence you have learned elsewhere " (TFT, TEST, BSFF, a different set of EFT points, etc.).
    or

  3. 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.  Click to View Video  Review this treatment sequence.
    or

  4. 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

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Practice Session 3: Bridging Techniques

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Practice Session 3: Bridging Techniques

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The Middle of the Sandwich

 

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

4 Bridging Techniques

  9 Gamut Describe  
  Blow-Out/Zip-Up/Hook-In Describe  
  Elaborated Cross-Crawl Describe  
  Connecting Heaven and Earth Describe  


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

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 The 9 Gamut Treatment Procedure

 

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
 6.  Rotate eyes counter-clockwise 360
      degrees
 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.

The 9 Gamut Treatment


Variations:

  1. 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.

  2. 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.

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Blow-Out Zip-Up Hook-In

 
 


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.
 

 
 


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.
 

 
 


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.
 

 

Return to list of Bridging Techniques

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Elaborated Cross-Crawl

 

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:

 
 

1. March in place, touching right hand to left knee and left hand
    to right knee.

 
 

2. Continuing the cross-crawl, "hum-count-hum," for about 5
    seconds each.

 
  3. When completed, circle the eyes in each direction or make
    figure eight patterns with the eyes.
 


Return to list of Bridging Techniques

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Connecting Heaven and Earth

 

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."

 

  1. Rub your hands together and shake them out.
     

  2. Stand with your hands on your thighs and fingers spread.
     

  3. With a deep inhalation, circle your arms out.
     

  4. On the exhalation, bring your hands together in a prayerful position.
     

  5. 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.

Connecting Heaven and Earth
  1. 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.
     

  2. Release your breath through your mouth, returning your hands to the prayerful position.
     

  3. Repeat, switching the arm that raises and the arm that lowers. Do one or more additional lifts on each side.
     

  4. 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.

 
Return to list of Bridging Techniques
 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Practice Session 4: The Treatment Point Sequence (Again)

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Practice Session 4: The Treatment Point Sequence (Again)

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The Last Part of the Sandwich

 

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.

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Practice Session 5: Subsequent Rounds

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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:

  1. Neurological Disorganization Considerations  
  2. Psychological Reversals Considerations  
  3. Another SUD rating Considerations  


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

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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:

  Decreased but is still above 2 Next Step  
  Stopped decreasing and is still above 2 Next Step  
  As above, but no PRs or ND are present Next Step  
  Gets down to 2 or Less Next Step  
  Reaches 0 or Near 0 Next Step  


Return to "Subsequent Rounds" Practice Session

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Decreased but is still above 2:
 
bullet Do another round of the acupoint stimulation sandwich.


Return to SUD Possibilities

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Stopped decreasing and is still above 2:
 
bullet

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.


 Jump to List Summarizing Psychological Reversal and Neurological
    Disorganization Checks and Treatments.

Return to SUD Possibilities

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Stopped decreasing, is still above 2, and no psychological reversals or neurological disorganization is present:

bullet

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.


Is it always necessary to get the SUD down to 0?

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Gets Down to 2 or Less:
 
bullet

Once this threshold has been reached, another bridging technique or the Eye Roll will often bring it all the way down.
 

bullet

If the SUD is still above zero after doing one or more of these techniques, do another round of the "sandwich."


Return to SUD Possibilities

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 The Eye Roll Technique

 

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):
 

  1. Slowly and steadily roll the eyes upward from the floor to the ceiling.

  2. During this "sweep," send the energy from the eyes outward.

  3. Hold the eyes in the raised position for a few seconds.
     

  4. Reevaluate the SUD level.

Tapping the Gamut Spot


Return to instructions for when SUD gets down to 2
    or
View Instructions For An Alternative To The Eye Roll Procedure

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 The Elaborated Eye Roll Technique

 

 This elaboration of the eye roll technique is taught by Fred Gallo, Ph.D.

bullet

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.
 

bullet

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.
 

bullet

A relaxing, floating feeling is often experienced and is encouraged by suggestions such as "Go with the flow."
 

bullet

The SUD level is then reevaluated.


Return to instructions for when SUD gets down to 2.

 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Reaches 0 or Near 0:

The additional steps presented in the "Closing Phases" module will:

bullet anchor in the new response
 
bullet project the positive state into the future
 
bullet fix the gains into the person’s life


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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