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How Energy Psychology Changes Deep Emotional Learnings

39 The Neuropsychotherapist The Treatment Sequence The early phases of energy psychology treatments generally parallel other therapeutic approaches in that the focus is on establishing rapport, discussing the clinical framework, and identifying the presenting problem(s). The clinician remains particularly alert for emotional, cognitive, and behavioral responses implicated in each presenting problem and the cues, contexts, or memories that trigger them. Once a salient trigger–response pair has been identified for the initial round of tapping, typically in collaboration with the client, the amount of distress the client experiences when bringing that trigger–response pair to mind is given a 0 to 10 rating on a Subjective Units of Distress (SUD) scale (after Wolpe, 1958). An “acceptance statement” is then formulated (e.g., “Even though I have all this anger toward my father, I deeply love and accept myself”). It is repeated several times while tapping or massaging certain acupoints or other prescribed energy spots on the surface of the skin that are believed to facilitate a somatic implanting of the affirmation. The first tapping sequence involves between 4 and 14 predetermined acupoints. The tapping is usually self-administered by the client, who firmly taps each point with the forefinger and middle finger while stating a “reminder phrase” that keeps the emotional response active. (The therapist may also shift the wording during this process to target different aspects of the problem.) After going through the tapping points, an “integration sequence” is often used which involves a variety of physical procedures, all believed to integrate leftand right-hemisphere activity while helping process the emotions activated by the treatment. This is followed by another tapping sequence using the same points as previously. The steps from the initial acceptance statement to this second tapping sequence are sometimes referred to as a “round”. After each round, another SUD rating is taken, often followed by discussion. The therapist may pose questions such as “How do you know it is still at an 8?” or “What sensations are you aware of when you bring the situation to mind?” The therapist also stays alert for internal objections to overcoming the distress (called “psychological reversals”) or for pertinent aspects of the problem that have not been addressed. Any of this may shift the focus of what is targeted for mental activation during the next round. The process is repeated until the SUD rating is down to 0 or near 0. At that point, another dimension of the presenting problem may be addressed.