1. Severe psychotic symptoms:
EMDR is not recommended for patients with severe psychotic symptoms as it could worsen their condition.
2. Recent history of substance abuse:
The use of drugs and/or alcohol can impair cognitive functioning, making it difficult to effectively engage in EMDR therapy.
3. Self-harming behavior or suicide ideation:
If a patient has a history of self-harming or suicidal thoughts, other therapeutic approaches should be considered due to the potential risks associated with EMDR treatment.
4. Lack of insight into current problems:
Without a proper understanding of the reasons that led to their distress, patients may find it difficult to benefit from EMDR therapy.
5. Dissociative Identity Disorder:
Patients suffering from Dissociative Identity Disorder may experience difficulty in dissociating memories during EMDR treatment, making it an unsuitable approach.
6. History of adverse reactions to psychotropic medication:
If the patient has had a bad response to medication in the past it is advised to look into alternative treatments.
7. Severely impaired insight and judgment:
A lack of insight or poor judgment can be damaging for patients undergoing EMDR therapy as they may not be able to accurately assess their progress.
8. Severe organic brain syndrome:
Conditions that impair cognitive functioning can potentially interfere with successful EMDR sessions and should be assessed before treatment.