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#1 EMDR can be extremely effective at treating the symptoms of trauma, but it can be difficult to use it with clients who do not have symptoms of acute stress disorder or posttraumatic stress disorder. In these cases, the therapeutic procedures and understandings described in the basic EMDR training program need to be supplemented.
#2 There is not a specific diagnosis for Complex PTSD within the Diagnostic and Statistical Manual, but it is widely believed by therapists that dissociative disorders do, in fact, originate in traumatic events during childhood.
#3 The phenomenon of traumatization for PTSD extends beyond the criteria listed in DSM-IV and DSM-5. Events that are highly impactful, but not necessarily life-threatening, are often the origin of severe emotional problems in both children and adults.
#4 The therapist treating childhood-onset Complex PTSD needs to have additional understandings and procedures beyond those needed for treating single-incident, adult-onset PTSD.
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