Neuroaffective embodied self therapy (NEST): An integrative approach to case formulation and EMDR treatment planning for complex cases

The NEST approach guides the process of assessment, case formulation, and treatment planning for time-efficient EMDR treatment.

Article Abstract

“In the three decades of Eye Movement Desensitization and Reprocessing’s (EMDR) history, there has been an unfolding of awareness that the standard protocol of EMDR therapy must be modified for safe and effective use with complex trauma and dissociation. There have been a number of modifications suggested to accomplish that end, involving the integration of several therapeutic approaches. The  challenge for clinicians is how, and by what decision process these other methods might be integrated with fidelity to adaptive information processing (AIP) theory and therapy. The NEST approach guides the process of assessment, case formulation, and treatment planning for time-efficient treatment. The acronym stands for Neuroaffective Embodied Self-system Therapy. “N” for Neuroaffective refers to leading edge applications from neuroscience, “E” for Embodiment using somatic therapeutic maneuvers, “S” for Self-System enlistment and de-conflictualizing through ego state interventions, and “T” for Therapies integrated within the eight phases of EMDR and AIP. Although not a cookie cutter because of the unique nature of each complex case, NEST goes a considerable distance to systematizing the process of case formulation and treatment.”

—Description from publisher

Article Access

Open Access

Paulsen, S. L. (2018). Neuroaffective embodied self therapy (NEST): An integrative approach to case formulation and EMDR treatment planning for complex cases. Frontiers in the Psychotherapy of Trauma and Dissociation, 1(2), 125-148. https://doi.org/10.46716/ftpd.2017.0009