Laurie Pryor, MA, LPCC

ACKNOWLEDGMENT AND CONSENT FOR EMDR

I have been advised and understand that Eye Movement Desensitization and Reprocessing (EMDR) is a treatment approach that to date has been widely validated by research only in the treatment of Post Traumatic Stress Disorder. Research is currently being conducted on the application of EMDR for the treatment of other mental health conditions.

 I have also been specifically advised of the following:

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

 2.     Some clients have experienced reactions during the treatment sessions that neither they nor the administering clinician may have anticipated, including a high level of emotion or physical sensations.

 3.     Subsequent to the treatment sessions, the processing of incidents and associated material may continue, and other dreams, memories, flashbacks, feelings, etc. may surface. If you have concerns about symptoms you are experiencing between sessions please call me. I will try to help you over the phone or work you in for an appointment.

 4.     Memories can fade or disappear. Some clients no longer experience high levels of emotion when recounting incidents and associated material.

 Before commencing EMDR treatment, I have thoroughly considered all of the above. I have obtained any additional counsel or professional advice I deemed necessary or appropriate prior to receiving EMDR treatment.

 By my signature below I hereby consent to receiving EMDR treatment. My signature on this Acknowledgment and Consent is without pressure or influence from any person or entity.