Online EMDR

 
 
 
Rebecca Hogg and I really put our heads together to bring you the instructions you'll need to offer EMDR and visual BLS (eye movements) and therapist-guided/client-administered tapping online. In this free video, we demonstrate creative ways to use RemotEMDR, Easy EMDR and video BLS applications through screen share functions, as well as the option of tactile BLS. I just want to reiterate that remotEMDR was NOT designed to be used with screen share. Although when we tested its use in this way, it worked fine and it allowed us to skirt around the issue of it not being officially HIPAA-complaint (through the screen share function and no data running through remotEMDR).HOWEVER, HIPAA-complaint regulations are temporarily loosened so this opens up the use of RemotEMDR for those struggling to find a platform that allows you to meet the needs of your clients. Here is the link about loosened regulations: https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html?fbclid=IwAR0IZ-dy5opCuAxP3uJY4dURTtcGTZiA_ZP0ksEMuA796Lu1vNuYCZ1gIko Here is the link on using remotEMDR the way it was designed to be used (by Neta Gazit) with an invitation link: https://youtu.be/lxtnBBOw-vA And here is why Neta Gazit recommends using the invitation link instead of screen share: 1. When sharing a screen the movement of the ball is less smooth. 2. When sharing a screen, the BLS and the client's eye movements are not synced 3. When sharing screen in some platforms there is no option for the patient to receive the sound stimulation. I hope that offers more clarity on the options available to you! This video is only to guide mental health professionals who are fully trained in EMDR, and especially for those offering services online in response to the pandemic.
 

Are you interested in starting online therapy on the “right (digital) foot”? Are you interested in co-creating a safe and stable virtual meeting space for your sessions?


Browser

Generally Chrome is a more reliable browser because of the security protocols they use and it is less “buggy”.  Try to have the latest versions installed.


Video Platforms

All of the following are HIPAA-compliant, have a high level of encryption for security, and you can share your screen:

  • GSuite’s Meet-Basic Plan (must request a BAA & follow a process to be HIPAA compliant)

  • GoToMeeting-Professional Plan (includes a BAA)

  • Doxy.me-Professional Plan (includes a BAA)


Safety Plan for Emergencies or Technology Failure

  • Have a sheet for each client with their name, location, phone numbers, emergency contacts, diagnoses, etc

  • Have a phone next to your computer (on mute) to call immediately in the case of disconnection (Plan B) 

  • In the preparation phase, have your client identify someone they can contact in their immediate area in the event that reconnection is not possible (friend, loved one, professional), and ensure that the client speaks to this support person about being available during session times in case of emergency (Plan C)

  • In the preparation phase, identify emergency numbers, suicide hotlines and other crisis services that the client can access any time (if possible, practice calling one of the lines together briefly to ask a question such as “Are you still open, and what are your hours in case I need to call?” so they have a positive experience of accessing the service and being attended to by a human on the other end)