Rehab Kids

Trauma-Focused
Tapping Techniques
Over a Dozen Simple Exercises
from EMDR and EFT to Build Your
Client’s Internal Resources
Stacy Ruse, LPC

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 Trauma-Focused
Tapping Techniques
Over a Dozen Simple Exercises
from EMDR and EFT to Build Your
Client’s Internal Resources
Stacy Ruse, LPC

Rehab Kids

ZNM059490
12/23
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Rehab Kids
 MATERIALS PROVIDED BY

Stacy Ruse, LPC, helps individuals to rewrite their narratives,

transcend their traumas, and step into a life imbued with healing
and empowerment. She is an Evergreen EMDR Consultant,
IFS-Institute Consultant and founder of Aglow Counseling.
Stacy’s therapeutic style is characterized by a transpersonal
twist that transcends the conventional boundaries of traditional
therapy. Her holistic approach acknowledges the intercon-
nectedness of mind, body, and spirit, allowing individuals
to tap into their innate resilience and ignite their personal
transformation journey. With a comprehensive background in
trauma therapy, Stacy’s approach is deeply rooted in trauma-
informed methodologies. She is an Evergreen Certified EMDR
Clinician who also draws from her nuanced understanding of
tapping to help clients navigate emotional blockages, reduce
anxiety, and foster emotional regulation.

For speaker disclosures, please see the faculty biography in activity advertising.

Materials that are included in this course may include interventions and modalities that are beyond the
authorized practice of certain professionals. As a licensed professional, you are responsible for reviewing
the scope of practice, including activities that are defined in law as beyond the boundaries of practice in
accordance with and in compliance with your profession’s standards.
 As required by several accrediting boards, speaker and
activity planning committee conflicts of interest
(including financial relationships with ineligible
organizations) were disclosed prior to the start of this
activity. To view disclosure information, please see
activity advertising.

Please note: Following links (including QR code scanning) in this

document may take the user outside of the educational activity.
 TRAUMA-FOCUSED
TAPPING TECHNIQUES

Over a Dozen Simple Exercises from EMDR & EFT

to Build Your Client’s Internal Resources

Stacy Ruse, LPC (she/her). Evergreen EMDR-C. IFS-Institute-C.

TODAY'S
AGENDA

1 Tapping 101 3 Client Readiness

2 How Tapping Works 4 Step by Step Instruction

5 Research, Evidence, & Risks

SECTION 1:
TAPPING 101

Resource Installation, BLS, &

Meridian Tapping for Holistic Healing

1
 TYPES OF BLS: EM'S

Eye Movements

TYPES OF BLS: OTHER

Tapping, Buzzers, Audio Sounds,

& Binaural Music

TYPES OF BLS: MOVEMENT

Bilateral Movements

● Cross Crawl (Donna Eden)

● Hiking & Walking
● Horseback Riding
● Eye/Neck Rolling
● Drumming
● Twisting Poses
● and more…

2
 EMDR

Eye Movement & Desensitization Reprocessing Therapy (EMDR)

● Robust & powerful trauma-informed therapeutic model for licensed mental health

professionals

● Takes in-depth training, commitment, & ongoing consultation, because it can Access

deep trauma & dissociative material

EMDR RESOURCING

EMDR Resourcing

● Created by Francine Shapiro in 1987

● Use of Eye Movements. Science of BLS develops and additional forms of BLS added

● Leeds & Korn adds Resource Development Installation (RDI) to resource, strengthen

positive associations, prep for trauma work, and to close sessions

● Resource Tapping™. Adaptation by Laurel Parnell (2008) for attachment work

RESOURCE TAPPING CONT.

Instilling Resources & Positive Affect

● Prepares client for trauma-processing

● Evidence-based

● Repairs & balances the nervous system

● Safe & gentle

● Professionals & clients (ALL) can use

3
 MERIDIAN ENERGY WORK

Tapping, massaging, or applying needles are

used on the Meridian Points as a energy

medicine that originates from Chinese Medicine.

EFT TAPPING

Emotional Freedom Technique (EFT) is an

evidence-based mind-body-spirit practice that

consists of tapping on specific meridian points

(acupoints) while working through a wide range of

emotions.

EFT TAPPING

Using The Body’s Subtle Energy System

● A network of energy pathways, called meridians

● The primo vascular system has been established in balancing &

integrating the cardiovascular, nervous, immune, & hormonal systems

● Meridian pathways are accessible via specific locations on the body

called acupoints

4
 EFT BACKGROUND

Meridian Tapping & EFT

● 1070's, Roger Callahan working with meridian's & phobias

○ Created Thought Field Therapy (THT)

● His student, Gary Craig created EFT in 1993

● Other big contributors were David Feinstein PhD & Dawson Church, PhD

● 2000 - Harvard researcher Eric Leskowitz found that tapping acupoints signals your

brain’s fear centre (amygdala) to dial down the response to stress and pain.

SETTING CLEAR GOALS

Goals for Safety with Tapping & BLS Resourcing

● Specifically designed for resourcing, preparation, regulation, & positive state changes

● NOT to be used for Trauma Processing

● Does NOT mean you are an EMDR-trained therapist

● Please use these techniques wisely & safely

● Identify existing & needed resources

● Assess clients readiness & willingness

HOLISTIC APPROACH

Trauma-Informed Tapping Techniques (when used correctly) are:

• Resource & strength-based
● Gentle, effective, and compassionate
• Trauma-informed
● Meaningful, purposeful, and spiritual • Attachment-focused
● Brian-wise and Mind-wise

5
 SECTION 2:
HOW TAPPING WORKS

The Science & Mechanisms of Action

HOW DOES TAPPING WORK?

Neurons that fire together, wire together.

-Hebb's Law

*By tapping-in resources, neurons wire & fire together to create new positive and
more adaptive neural pathways.

POLYVAGAL 101

The Autonomic Nervous System:

● Regulates the body & organs

● Mediates emotional expression & response

● Supports digestion, sleep, & immune system

6
 NERVOUS SYSTEM

Sympathetic Nervous System Parasympathetic Nervous System

● Prepares your body for action & regulates ● Helps you unwind, reorganize, & rejuvenate

arousal after activity or threat

● Vigilance, flight, & fight ● Rest & digest

● Releases cortisol & adrenaline ● In threat, it shuts down

VAGUS NERVE

Ventral Vagal Dorsal Vagal

● Causes shut down, shock, & depressive

Supports relaxation, social engagement,
responses in threat
bonding, & overall wellbeing

● Tapping Resources are strategically Sympathetic Chain

accessing the Ventral Vagal Response
● Causes arousal & action in threat

NEUROCEPTION

The process of using the nervous system to determine whether the environment is

SAFE or DANGEROUS

These tapping/BLS techniques help the nervous system sense into SAFETY (Ventral Vagal)

7
 SENSING INTO SAFETY

Activation of the front side (Ventral Vagal) of the vagus nerve helps you feel
safe-enough & activates social engagement.

● Self-energy: Calm, Curious, Compassion, Connection, Courage, & Clarity

● Language and Connection

● Empathy and Intimacy

VAGAL TONING

Tapping Techniques Tone & Gently Stimulate the Ventral Vagal Response to
Create More Ease.

● Lowers anxiety. Releasing fight & flight energies from the body

● Helps your nervous system & brain realize “I am SAFE-Enough”

● Alert and relaxed

BILATERAL STIMULATION: BLS

BILATERAL movements, beats, sounds, or sensations

BLS connects the nerve tracks from one side of the brain to the other

= Integration

= Communication of the 2-hemispheres

= Engages the whole brain

8
 BLS & THE BRAIN

The two sides of the brain are joined at the bottom by the corpus callosum.

Where attention goes energy flows. - James Redfield

REPAIRS DISORGANIZATION

When the 2 hemispheres are not integrating, DISORGANIZATION occurs, making it

difficult to be mindful and present enough to process emotional experiences.

BLS CONNECTIONS

When the left (language) & right (attention/memory) hemispheres CROSSOVER,

CONNECT, & INTEGRATE, we can reflect and process emotionally-related information to

bring forth adaptive insight & resolution

9
 MERIDIAN TAPPING

“Acupoint tapping sends signals directly to the stress centers of the

midbrain, not mediated by the frontal lobes (the thinking part, active in
talk therapy.”
-Dr. Dawson Church

EMOTIONAL FREEDOM (EFT)

Tapping ENERGY PSYCHOLOGY interventions can:

● Provide immediate relief & stabilization

● Extinguish conditioned responses & patterns

● Promote optimal functioning

● Help in healing complex psychological problems

TAPPING MERIDIAN POINTS

● Self-help therapeutic technique that is

evidence-based

● Tapping on Acupressure points that are

the end point of the Meridians

10
THE MERIDIANS

HOW DOES IT HELP?

Tapping & BLS

● Builds confidence & resiliency ● Enables healing

● Reduces pain & suffering ● Wires in positive affect

● Enhances coping ● Fills in developmental deficits

● Regulates the nervous system ● Prepares for deeper trauma work

● Decreases sympathetic NS activation

SECTION 3:
CLIENT READINESS

Readiness Factors for

Tapping & Resource BLS

11
 READINESS FACTORS

Take time to connect, attune, and build rapport.

● Client can maintain dual-awareness

● Physical health: Client can tolerate activation from tapping

● Assess for Pathological Dissociation that may interfere

● Identify existing & needed (missing) resources

● Consider readiness, willingness, & comfort level to bring in more safety

IMPORTANT OF PRESENCE

The Therapist’s Presence provides a safe-enough foundation.

● Grounded: calm, centered, clear

● Spacious: open, nonjudgmental, compassionate, ‘not taking it on’

● Relational: connectedness, body language, soft eyes, caring, attuned

● Transcendent: no agenda, wisdom, non judgemental, clarity, Intuitive

SECTION 4:
Cultivating Calm, Connection, & Empowerment

Tapping for Emotional Balance

12
 ROLE OF RESOURCE TAPPING
In Trauma Work

Makes the Healing Journey Feel Safer.

● Addresses attachment wounds & developmental deficits, improving emotion regulation

● Moves client toward the reality of what happened, rather than internally denying,

rejecting, and exiling wounds and pain

● Provides an internal experience of child parts getting comfort and support

IDENTIFY NEEDED RESOURCES

Phase 1 = History-taking. Set Goals, Determine Fit, and Connect.

● Assess current coping skills, ability to tolerate distress, and to regulate emotions

● Assess developmental traumas and early trauma history

● Assess primary attachment style

Phase 2 = Stabilize, Resource, Preparation, Assess Further, and Attune.

● Focus on stabilization, if needed. Safety 1st

THERAPEUTIC ENVIRONMENT

Essential Ingredients:

● Therapist’s SELF-energy

● Building a sacred and unhurried space that allows for Safety & Trust

● Stay present and Track client. Tune into the

Essential language of the body, energy, & mind
Ingredients

● Please use these and all techniques wisely & safely

13
PRESENCE
Therapist

COMPREHENSIVE MODEL

Integrate Tapping Techniques & Resourcing into a Comprehensive Model

● Build coping skills & distress tolerance early in treatment

● Develop emotional regulation & calm the nervous system throughout treatment

● Prepare for in-depth work & trauma processing

● Close sessions with a resource

● Improve integration of therapy

● Build confidence & esteem

INTEGRATIVE

Tapping Techniques & Resourcing Beautifully Integrate

● CBT, DBT, & ACT. Use as prep for Exposure therapies

● Parts work & IFS therapy

● Already a crucial part of EMDR therapy

● Integrate w/ attachment & somatic psychology

● Integrate w/ spiritual, existential, narrative, & transpersonal therapies

● Use in medical environments and much more…

14
 AN AMAZING WAY TO WORK
Envision a Comprehensive Integrated Model

Learn to use Tapping & Bilateral Stimulation (BLS) methods combined with

Polyvagal Theory, attachment theory, & transpersonal psychology to effectively,

creatively, and intuitively resource clients through a trauma-informed lens.

BASIC ASSUMPTIONS

● We all have natural innate healing & a drive to heal

● We are human & need caring support

● We can access reserves of resources

● We can enhance SELF-energy by tapping into: curiosity, compassion, courage,

confidence, centeredness, connection, creativity, & clarity

● We ALL have an inner consciousness that is WHOLE

SECTION 5:
STEP BY STEP INSTRUCTIONS

Using Tapping Techniques in

Trauma Treatment

15
 WHEN TO DO TAPPING?

● Phase 2 = Stabilize, Assess, Resource, Prep, & Connect

○ Build tolerance & coping skills

● Phase 3 = Use to strengthen existing resources

○ Build-in needed resources and prep for trauma work

● Phase 4 = Trauma, attachment, & long-term work

○ Close sessions, tolerate trauma processing, and build confidence

WHO TO DO TAPPING WITH?

Most Clients Can Do Tapping & Resource BLS Techniques

● As with all therapies, it may not be or work for everyone

○ Always honor, respect & empower your client with choice

● Use cultural humility & competency; adapt as needed

● Complex trauma, dissociative disorders, or high acuity may need to stabilize first

● Seek consultation and more specific trainings

RESOURCE-BASED BLS

General Instructions

1. ‘LIGHT UP’ the identified "Resource"

● Imagine feelings & sensations to strengthen the connection = Neuroception

● Deepen the felt sense of the resources

● Begin Tapping/BLS (6-12 passes)

2. Ask client to notice & describe what is Positive. Tap/BLS added only with positive

● Add Tapping/BLS (6- 12 passes)

16
 EYES OPEN OR CLOSED

Choosing the Optimal Visual Focus

● If client’s comfortable closing their eyes it may help connect more; but it is not

necessary

● Empower your client to decide what is best for them

THE RESOURCES

BINAURAL BEATS & MUSIC

Gentle & Easily Accessible for In- & Out- of Session.

● Research shows that binaural beats (bilateral sounds) reduce anxiety, stress, & negative

mental states

● Improves clarity and focus of mind

● Draws on research that BLS supports nervous system relaxation (Vagal Toning) by crossing

over the brain hemispheres

17
 SACRED HEALING SPACE
Simple Instructions

Creating a Safe Haven for Inner Retreat & Healing.

IMAGE. “Imagine a sacred healing space for you to go to. It can be somewhere you have

been before, or create a new space from your imagination. Take your time, and when you

have the image in your mind's eye nod or let me know in another way that works for you”.

“What image represents your scared healing space? Describe what you see.”

● Add TAPPING/BLS with positive associations only (6-12 passes)

SACRED SPACE CONT.

Simple Instructions

Creating a Safe Haven for Inner Retreat & Healing.

Feelings & Sensations. "As you think of your own sacred place, what feelings come up for you?

What sensations do you have in your body?

● Add Tapping/BLS with positive associations (6-12 passes)

Enhance. "Focus on your sacred place-it’s sights, sounds, smells, and sensations. Describe what

you are experiencing."

● Add Tapping/BLS w/ positive associations (6-12 passes)

SACRED SPACE CONT.

Simple Instructions

Creating a Safe Haven for Inner Retreat & Healing.

REPEAT. Continue as long as positive associations come up and it is helpful.

● If negative comes up, DO NOT use Tapping/BLS. Guide client back to positive

before you continue.

● Stop the exercise, explore, and debrief

18
 ATTACHMENT RESOURCING

Drawing Strength from Inner Archetypes.

● Addresses existential loneliness

● Promotes inner connection and communication

● Promotes inward compassion and heals attachment deficits

● Close sessions more safely

● Decreases decompensation and ‘backlash’

ATTACHMENT FIGURES

Core Figures/Archetypes: Other Figures/Archetypes:

● Nurturing Figures ● Healthy Adult Self, Highest Self, or Future self

● Protective Figures ● Ideal or good-enough parents

● Spiritual/Wise Figures ● Ideal friend

● Caring Grandparents

● Loving Beings, Symbols, or Figures

INSTILLING FIGURES
General Instructions

Identify Nurturing, Protective, & Spiritual Figures/objects to resource-in.

Image. Felt-sense in body, feelings, & emotions

Enhancement. See. hear. smell. taste. sense

Tapping-in. Tap/BLS of choice (5-15 passes) Check in. “What do you notice now?”

Repeat. If positive
*See Training Worksheets

19
 NURTURING QUALITIES

QUALITIES

Trust. Kindness. Empathy. Loving. Understanding. Compassionate.

*A basic trust in others is the foundation on which all other traits rest.

SIGNIFICANCE OF NURTURANCE

Opposite of Traumatized = Nurtured

● All humans need nurturance. When we do not receive nurturance in and after
overwhelming situations we can become traumatized.

● Building the inner capacity to nurture ourselves

is core to healing

NURTURING RESOURCES

Some Fun Examples:

● Blankets and pillows ● Gentle loving touch or stroking hand

● Stuffed animals or toys ● Native figures, Deity, Angel, Goddess

● Nature, window, trees etc. ● Source, God, Universe etc.

● Cozy room or space ● Dalai Lama; Divine Feminine

● Mother Earth ● Dogs, horses, panda bear etc.

● Santa Clause

20
 PROTECTIVE QUALITIES

QUALITIES

Trust. Strength. Powerful. Courage. Confident. Sharp. Loyal.

*Allies that can be summoned in your clients' imagination

to give them courage, strength, & to help them feel
protected.

PROTECTIVE RESOURCES

Some Examples.

● Big shield or wall

● Deities, God, Goddesses
● Magic bubble or magic wand
● Bears, Lions, Tigers etc.
● Superhero: Batman, Spiderman, Thor
● Imaginary figures
● Ideal father or adult self
● Figures from books, movies, TV, or
● People from childhood/present
dreams
● Warrior, Samurai, Officer, Swat team, Navy Seal

SPIRITUAL FIGURES

Types

Inner Sage. Inner Guide. Inner Mentor. Wise Figure. Spiritual Guide.

Qualities

Wisdom. Presence. Compassionate. Truthful. Unconditionally Loving.

21
 WISE RESOURCES

Some Examples:

● Old oak trees, owls, Dumbledore, Lincoln, Yoda, library/books, Native American elders,

grandparents, aunts/uncles, fairies, wise women, waterfalls, elves, wizards, Buddha,

Jesus, hawks, snakes, Gods & Goddesses, Higher SELF or future you

MORE POSSIBILITIES
Attachment Resourcing

More Possible Resourcing Ideas...

● Imaginal womb, birth, or nurturing attachment through the developmental stages using

felt-sense of ‘ideal mothering/feminine energy’

● Clients experiences of nurturing and loving their children, children they know, or pets

● “If you had a child what would you do to give him/her love?” - include loving eye gazing,

interest, facial expressions of adoration, smell, touch, etc.

*Taps in new neural-pathways of the FELT-SENSE

RADIATE LOVE & LIGHT

General Instructions

Tapping Into The Transformative Energy of Love & Compassion.

Set-up.
Gently place your hand over your heart, and say to yourself, ‘I Love You.’ Let love and light fill your
heart center. Then use a loving word or phrase for yourself and say it again:

Statement. statement in clients words. Tap in. if positive

Tap in Stages: Infant | Toddler | Child | Teen | Young Adult | Adult

Integrate. “Can you imagine doing this in the morning or before you go to bed?”

*See Training Worksheets

22
 RADIATE LOVE & LIGHT
Exercise Modifications

Modifications for Complex Trauma & DID Clients.

● Modify, as needed, by doing this with the separate parts (using the client’s language), “the

angry kid, the one who doesn’t talk, the ‘manager’, or named alters, etc”.

● Lessens distress. Gives a greater sense of “us” vs. “them”

● Helps your client find exiles, shadowed, and repressed feelings & parts to reconnect with

SAFE ENOUGH NOW

General Instructions

Cultivating a Sense of Safety & Resilience.

Target Set-up. body sensations, feelings, & emotions. Felt-sense.

Enhance. See. hear. smell. sense. body. notice.

Tapping in. Tapping or BLS of choice. Check in: “What do you notice now?”

Repeat. if positive.

Integration. “Imagine doing this in the morning, before you go to bed, or another helpful time?”

*See Training Worksheets

AWAKEN SELF-ENERGY
General Instructions

Unleashing Personal Empowerment With SELF-energy.

Tap in. Felt sense of Self-Qualities.

Compassion. Clarity. Curiosity. Courage. Calmness. Confidence. Connection. Creativity.

Enhance. Body sensations, images, feelings, & emotions that arise

Tap-in. Tapping or BLS of choice with positive

Repeat. as needed

*See Training Worksheets

23
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MERIDIAN TAPPING
General Instructions Cont.

Basic Technique.

Identify target = negative emotion/issue

• a fear, anxiety, or bad memory

• an unresolved problem or anything that’s bothering you

Maintain focus on the target, while using your fingertips to tap 5-10 times

on each meridian point

*See Training Worksheets

MERIDIAN TAPPING
General Instructions Cont.

EFT Strategies to Restore Balance & Release Emotional Blocks.

● While Tapping on the meridian points bring intention and attention on accepting and

resolving any negative emotions

● Tapping can access your body’s energy, helping to restore it to a balanced state

*See Training Worksheets

24
 MERIDIAN TAPPING
General Instructions Cont.

EFT Strategies to Restore Balance & Release Emotional Blocks.

Identify. Problem, negative emotion, or experience that is bothering client

SUD Intensity. “From 0-10 how upsetting is it?”

Statement. "Even though I____________ (issue), I completely love & accept myself."

Phrase. “Even though I _______________(issue.)

*See Training Worksheets

EFT STATEMENT TIPS

Make Statements Specific, Meaningful & Somewhat Believable.

● Affirm using words like “choose,” “time,” “allow,” or “willing” to imply it’s your decision

● Affirm using only positive words—no negative connotations - like illness, stress, etc.

● Use clients words, or therapist instructed words, to deepen associated networks and release

● Be creative and change the phrase as you tap to enhance and deepen

PITFALLS & CHALLENGES

to Resource Tapping

If Anything Negative or Unpleasant Comes Up:

● Stop TAPPING/BLS

● ‘Light up’ a different resource that is positive - if they can then TAP/BLS (6-12 passes)

If Still Negative or Unpleasant, Try a Container.

● Imagine a container or space that can hold the distress until you are ready to come

back to it (a cozy space or room, a treasure chest, a safe, a basket, a vase, etc).

25
 RED-FLAGS

● Difficulty developing rapport ● Physical health: Neurological conditions

● High level of distrust (epilepsy). Consult medical provider

● Active high-risk coping skills ● Heavy substance abuse

● Contamination of sacred place ● Active mania or psychosis

● Unstable life conditions. Lacks support ● Pathological dissociation: amnesia & high

internal conflict

SECTION 6:
RESEARCH & LIMITATIONS

Evidence, Research Limitations

& Treatment Risks

STUDIES & META-ANALYSES

Use of BLS has Robust Research EFT Research

• 100+ Meta Analysis & Systematic Reviews • 100+ research studies, reviews, &

• 40+ Randomized Clinical Trials meta analysis

• 23+ Non-Randomized Studies • and more...

• 24+ Mechanism of Actions

• and more...

26
 EXAMINING THE RESEARCH

Research on BLS & Meridian Tapping has shown to:

● Significant decrease in anxiety & depression ● Helps most feel calmer & more relaxed

● Significant reduction in PTSD symptoms & ● Reduces symptoms of complex PTSD

pain levels ● Restores happiness and positive affect

● Improves heart rate and blood pressure

● Decreases stress hormone cortisol

CHALLENGES & LIMITATIONS

These tapping techniques are generally very safe when done carefully &
correctly, yet possible risks & limitations may include:

● Associated risks in using tapping with actively violent clients or couples

● Clients with obsessive & compulsive disorders may use these compulsively

● Uncomfortable emotions and feelings may arise

LIMITATIONS

The tapping techniques taught in this training are designed to be used for resourcing

and preparing clients, with a focus on positive affect and state changes, and are not

meant for deeper work and/or trauma processing.

CAUTION:
BLS sets that are longer than instructed in this course, or that focus on traumatic

material, may open up trauma process and dissociative material

27
 CONTRAINDICATIONS

● Active suicidality intent & or recent actions

● Experiencing acute psychosis or mania

● Severe Dissociative Disorders (get consultation)

● Unstable Substance abuse

● Ongoing exposure to a severe threat to the child's safety

● Seizures & neurological disorders

● Recent crack cocaine & heavy amphetamine users

OTHER CONSIDERATIONS

● Cultural considerations & competency

● Age, developmental stage, or understanding and ability

● Client’s willingness, informed-consent, empowerment, & choice

● Use in performance enhancement, pain management, weight loss, & other promising

areas

Changing the World Together!

28
PESI Trauma-focused Tapping Techniques - Handouts

Sacred Space
Creating a Safe Haven for Inner Retreat & Healing

SET UP. you can use this anytime as a preparation or on its own
Find a comfortable seat where you feel relaxed, and close or soften your eyes. Bring your
awareness to your body and consciously breathe into any tension and areas of contact.

Inhale, and imagine bringing energy up from the Earth and into your body. Exhale all the air out.
Inhale again, bringing earth energy into your legs, belly, chest, and throat. Hold a moment if you
can, and then exhale slowly. Do this several times.

IMAGE. add tapping or BLS

Now, create an inner sacred sanctuary just for you. It can be real, imaginary, or a combination.
Be creative and when you have it captured in your mind's eye, just nod or let me know in
another way. Describe the image and how it makes you feel?

______________________________________________________________________________
*If positive, add tapping/BLS (6-12 passes)

INTEGRATION.
● Ask, “Notice any sensory experiences that you are enjoying in your inner sanctuary, what
do you hear, see, feel, smell, etc?
● Track and ask how your client is doing, if it is positive, keep using tapping/BLS..
● If negative comes in, STOP the tapping or BLS.

REINFORCEMENT.
If positive, continue several more times taking in more of the positive feelings, images, and
sensations they are experiencing and adding tapping/BLS (6-12).

If the client is really doing well with it, luxuriating in it, you can lengthen the sets. Use good
clinical judgment and your intuition.

PROBLEMS.
If intrusive negative memories, associations, or feelings arise, STOP Tapping/BLS. Try using a
Container for the distressing material. If possible, go back to the sacred space and see if it
remains positive, OR create a new sacred space, OR go to a different exercise altogether.

Adapted by Stacy Ruse, LPC.

29
PESI Trauma-focused Tapping Techniques - Handouts

Nurturing Figure Resource Worksheet

Nurturing figure.
Imagine a person, animal, entity, object, or symbol that carries nurturing qualities, it can be real,
imagined, or a combination of both.

Image: ___________________________________________________________________

___________________________________________________________________________

Soak in the sensory experience of receiving nurturance, how does it feel in your body? What
positive emotions do you notice?
__________________________________________________________________________

__________________________________________________________________________

Enhance.
Let’s enhance this image as strongly as you can.

What do you see? ____________________________________________________________

What do you hear?____________________________________________________________

What do you smell? ___________________________________________________________

What do you feel in your body?" _________________________________________________

Instill with Tapping or BLS.

Let me know when you have a strong sense of the nurturing qualities.

● Now let’s begin Tapping or BLS (6-12).

Check in.
"How was that?”; “How do you feel now?”; “What do you notice now?”

____________________________________________________________________________

Adapted by Stacy Ruse, LPC.

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More Notes.
● If positive is strengthening, continue Tapping/BLS (6-12)
○ Continue the BLS as long as your client feels the nurturing qualities strengthening
and integrating
● If there is more than 1 nurturing resource, have the client bring up the next nurturing
figure and tap in next
● Have the client imagine being held by the nurturing figure or figures. Add Tapping/BLS to
deepen the felt sense of being fully nurtured
● If negative comes in, DO NOT proceed with Tapping/BLS. Explore concerns and return
when after concerns are addressed

Adapted by Stacy Ruse, LPC.

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PESI Trauma-focused Tapping Techniques - Handouts

Protective Figure Resource Worksheet

Protective figure.
Imagine a real or imaginary person, animal, entity, or symbol that carries protective qualities.
You can pull ideas from experiences, movies, books, or imagination.

Image: ______________________________________________________________________

______________________________________________________________________________

Soak in the sensory experience of receiving protection, how does it feel in your body? What
positive emotions do you notice?

______________________________________________________________________________

______________________________________________________________________________

Enhance.
Let’s enhance this image as strongly as you can.

What do you see? ____________________________________________________________

What do you hear?____________________________________________________________

What do you smell? ___________________________________________________________

What do you feel in your body?" _________________________________________________

Instill with Tapping or BLS.

Let me know when you have a strong sense of the protective qualities from this figure.
● Now let’s begin tapping or BLS (5-12).

Check in.
"How was that?”; “How do you feel now?”; “What do you notice now?”

____________________________________________________________________________

Adapted by Stacy Ruse, LPC.

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More Notes.
● If positive is strengthening, continue Tapping or BLS (5-12 passes)
○ Continue the BLS as long as your client feels the figure and the protective
qualities strengthening and integrating
● If there is more than 1 protective resource, have the client bring up the next protective
figure and tap in next
● Have the client imagine being completely protected. Add tapping or BLS to deepen the
felt sense of being fully protected
● If negative comes in, DO NOT proceed with Tapping or BLS. Explore concerns and return
when after concerns are addressed

Adapted by Stacy Ruse, LPC.

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PESI Trauma-focused Tapping Techniques - Handouts

Wise Figure Resource Worksheet

Wise figure.
Imagine a person, animal, entity, or symbol that you consider to represent deep wisdom (or
spiritual qualities).

Image: ___________________________________________________________________

_________________________________________________________________________

Now, soak in the sensory experience of receiving deep wisdom, how does it feel in your body?
What positive emotions do you notice?
_________________________________________________________________________

_________________________________________________________________________

Enhance.
Let’s enhance this image as strongly as you can.

What do you see? ____________________________________________________________

What do you hear?____________________________________________________________

What do you smell? ___________________________________________________________

What do you feel in your body?" _________________________________________________

Instill with Tapping or BLS.

Let me know when you have a strong sense of the wise qualities from this figure.
● Now let’s begin tapping or BLS (5-12).

Check in.
"How was that?”; “How do you feel now?”; “What do you notice now?”

____________________________________________________________________________

Adapted by Stacy Ruse, LPC.

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PESI Trauma-focused Tapping Techniques - Handouts

Internal Support Team Worksheet

Internal Team.
Imagine all of your figures together as a TEAM. Observe how it feels to have them as an internal
team, backing you up when you need it. __________________________________________

____________________________________________________________________________

Instill a Circle of Love & Support.

"Go inside, you can close your eyes if that feels good to you. Take a few conscious breaths, in
and out. Relax and let go on the exhale. Bring yourself to a quiet place inside. When you feel
more relaxed, imagine yourself being surrounded by your nurturing, protective, and wise
figures, your INTERNAL TEAM.

Now take a moment to look around the circle, take it in. Look at each team member, one at a
time. Feel all of their love and protection for you.

Enhance.
Soak up the details with your imagination and your senses. Sense into the love and protection
you receive. Take you time and signal me when you have a strong sense of the love, support,
and protection from them, and we will begin Tapping/BLS (6-12)

Check in.
"How was that?”; “How do you feel now?”; “What do you notice now?”

____________________________________________________________________________

● If positive is strengthening, continue Tapping or BLS (5-12 passes)

○ Continue the BLS as long as your client feels the Team strengthening and
integrating
● If negative comes in, DO NOT proceed with Tapping or BLS. Explore concerns and return
when after concerns are addressed

Adapted by Stacy Ruse, LPC.

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PESI Trauma-focused Tapping Techniques - Handouts

Love & Light Exercise

Set-up.
Gently place your hand over your heart, and say to yourself, ‘I Love You.’ Let love and light fill
your heart center. Then use a loving word or phrase for yourself and say it again:

“I Love You, Sweetheart”; “I Love You, little ________(name).”

OR make your own phrase: _______________________________________________________

● If positive, you can add Tapping/BLS (5-12)

Statement. modify as desired

“Gently place your hand over your heart and say “I love you, and you always deserved love and
protection.” If positive, you can add Tapping or BLS (5-12)

Infant self.
See and/or feel your little one(s) and say “I love you so much, and you always deserve love and
protection.” If positive, you can add Tapping or BLS (5-12)

Toddler Self.
See and/or feel your toddler part or parts and say “I love you too, and you also deeply deserve
love and protection.” If positive, you can add Tapping or BLS (5-12)

Child Self.
See and/or feel your child part(s) and say “I love you too, and you also deeply deserve love and
protection.” If positive, you can add Tapping or BLS (5-12)

Teen Self.
See and/or feel your teen part(s) and say “I love you too, and you also deeply deserve love and
protection.” If positive, you can add Tapping or BLS (5-12)

Young Adult Self.

See and/or feel your young adult part(s) and say “I love you too, and you also deeply deserve
love and protection.” If positive, you can add Tapping or BLS (5-12)

Adapted by Stacy Ruse, LPC.

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PESI Trauma-focused Tapping Techniques - Handouts

Adult Self.
See and/or feel your adult part(s) and say “I love you, and you still deserve love and protection
too.” If positive, you can add Tapping or BLS (5-12)

For Complex Trauma & DID Clients.

Modify by doing this with the separate parts (using the client’s language), “the angry kid, the
one who doesn’t talk, the ‘manager’, or named alters, etc”. This exercise can help the client feel
less distress, giving a greater sense of “us” vs. “them”. It may help your client find exiled,
shadowed, and repressed feelings and parts to reconnect with.

Integration.
“Can you imagine doing this in the morning or before you go to bed?”

*This exercise is adapted from Robin Sharpiro’s work

Adapted by Stacy Ruse, LPC.

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Safe Enough Now Exercise

Target Set-up.
Imagine feeling a Felt-sense of feeling safe enough right now. Take in what might be safe
enough at the moment.

Soak in the sensory experience feeling ‘Safe Enough Now’, how does it feel in your body? What
positive feelings or emotions do you notice?
__________________________________________________________________________

__________________________________________________________________________
Is there an image that might represent this felt-sense of ‘Safe Enough Now’?

__________________________________________________________________________

Enhance.
Let’s enhance these sensations, feelings, and the image as strongly as you can.

What do you see? ____________________________________________________________

What do you hear?____________________________________________________________

What do you smell or sense? ____________________________________________________

What do you feel in your body now_______________________________________________

Instill with Tapping or BLS.

Let me know, by nodding or other preferred way, when you have a felt-sense of being ‘Safe
Enough Now’

● Now let’s begin Tapping or BLS (6-12).

Check in.
"How was that?”; “How do you feel now?”; “What do you notice now?”

____________________________________________________________________________

Adapted by Stacy Ruse, LPC.

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____________________________________________________________________________

More Notes.
● If positive is strengthening, continue Tapping or BLS (6-12)
○ Continue the BLS as long as your client feels ‘Safe Enough Now’ qualities
strengthening and integrating
● If negative comes in, DO NOT proceed with Tapping or BLS. Explore concerns and return
when after concerns are addressed

For Complex Trauma & DID Clients.

Modify by doing this with the separate parts (using the client’s language).

Integration.
“Can you imagine doing this in the morning, before you go to bed, or another helpful time?”

Adapted by Stacy Ruse, LPC.

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PESI Trauma-focused Tapping Techniques - Handouts

Meridian Tapping & Emotional Freedom Technique (EFT)

Subtle electro-magnetic energy flows through the meridian pathways. Each ‘Tapping Point’ is
the end-point of one or several meridians. A negative emotion or pain can stop the energy flow
of a meridian and create a blockage. When you ‘Tap’ on meridian points, blockages are
removed, so energy can flow again.

THE SETUP.

Brings the issue into awareness, so you can unwire and untangle the neurological pathways of
associated distress. It sets the stage for positive energy to bring in adaptive information.

● Notice something that is bothering you. It might be a feeling in your body, a specific
thought, or an issue you are dealing with:

● Describe:________________________________________________________________

_______________________________________________________________________

● Rate the intensity on a scale of 0-10 (10 is the worst)__________________________

STATEMENT. Core examples.

Modify to make it believable and relatable. See below (Tips for Effective Statements) for more
.
● “Even though I _________________ (phrase), I am fine and I accept myself.”

● "Even though I __________________ (phrase), I completely love and accept myself."

● “Even though I __________________ (phrase), anything is possible and miracles are

happening now.”

Your Full Statement

“Even though I __________________________________________,_____________________

____________________________________________________________________.”

Your Reminder Phrase

Adapted by Stacy Ruse, LPC.

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PESI Trauma-focused Tapping Techniques - Handouts

“Even though ____________________________________________.

SEQUENCE.
Feel free to vent your emotions around the statement and reminder phrase. Stay present and
take conscious breaths in-between.

1. Side of Hand Point

a. Soft fleshy part of the side of hand; below the pinky finger
b. Repeat the ‘Full Statement’ 3 times while tapping this point

2. Remaining Points, Starting at the Top of the Head

a. Gently tap the following points 7-10 times while saying the ‘Reminder Phrase’
i. Top of Head. Eyebrow. Side of Eye. Under Eye. Under Nose. Chin.
Collarbone. Underarm.
3. Check in & Measure
a. Reaccess Intensity (1-10)
b. If more than 0, continue

REPEAT SEQUENCE.
1. Change wording to:
a. “Even though I still have some of this ___________________________________,
I deeply and completely accept myself”
b. “This remaining _____________________________.
2. Repeat the whole sequence again (above) with modified statement or phrase
3. Repeat until it is a 0, or as low as it will go

Important Notes
● As you go through this several times, you may NOTICE new ‘aspects’ (emotions, feelings,
thoughts, beliefs, issues etc) coming up. When you are done with this target. Then do a
NEW set-up for these NEW Aspects.
● Feelings can become more intense as you work through it and the numbness moves out.
● If too much, break the issue down into smaller. Keep it manageable and gentle.
● Add imagery, visualization, or somatic awareness when helpful.

Adapted by Stacy Ruse, LPC.

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PESI Trauma-focused Tapping Techniques - Handouts

The Core Tapping Points

1. The Side of Hand Point

The side of the hand point is at the outer edge of the pinky side in the fleshy area. I use
the index, middle, and ring fingers together on the opposite hand, to tap this area.
● Emotion: Agitation. Meridian: Small intestine
● Releases grief and feelings of being stuck
● Connects to letting go, being content, and feeling joy

2. Top of Head Point

The top of the head point is located at the crown center. I use the index, middle, ring, &
pinky fingers together, with both hands, to tap the area in the center of the 2 brain
hemispheres on the top of the head.
● Emotion: Burdened. Meridian: Governing Vessel. Chakra: Crown

Adapted by Stacy Ruse, LPC.

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● Releases inner critic, lack of focus, and over-thinking

● Connects to Self-energy, intuition, wisdom and spiritual connectedness

3. The Eyebrow Points

The eyebrow points are located at the beginning, or inner edge, of the eyebrow on the
brow bone, near the center of the face. I use the index and middle fingers together, on
both hands, to tap the two eyebrow points.
● Emotion: Fear. Meridian: Bladder
● Releases trauma, hurt, sadness, dread, & restlessness
● Connects to emotional healing & presence

4. The Side of Eye Points

The side of the eye points are located on the bone at the side of the eye. Note: it is not
at the temple. Using the index and middle fingers together, tap on both sides of the eye
points at the same time.

Adapted by Stacy Ruse, LPC.

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PESI Trauma-focused Tapping Techniques - Handouts

● Emotion: Anger. Meridian: Gallbladder

● Releases anger, irritability, rage, & resentment
● Connects to compassion, flexibility, & clarity

5. The Under the Eye Points

The under the eye points are on the bone under the eye, even with the pupils. Using the
fingertips of the index and middle fingers, gently tap this spot under both eyes.
● Emotion: Anxiety. Meridian: Stomach
● Releases fear, emptiness, disappointment, & worry
● Connects to contentment, calm, groundedness, & safety

6. The Under the Nose Point

Now tap under the nose with the index and middle finger of one hand. The spot is
roughly midway between the bottom of the nose and the top of the lip.
● Emotion: Shame. Meridian: Governing vessel

Adapted by Stacy Ruse, LPC.

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PESI Trauma-focused Tapping Techniques - Handouts

● Releases shame, grief, & feelings of powerlessness

● Connects to self-acceptance, courage, & compassion

7. The Chin Point

The chin point is not really on the chin; it is mid-way between the bottom of the lower
lip and the chin, in that indentation area.
● Emotion: Confusion. Meridian: Central Vessel
● Releases confusion, disconnection, & uncertainty
● Connects to confidence, trust, & self-acceptance

8. The Collarbone Points

The collarbone spots are located about one inch down and over towards the outside of
where a man would tie his tie. I use four fingers together on each hand to tap the
collarbone spots.

Adapted by Stacy Ruse, LPC.

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● Emotion: Shock. Meridian: Kidney

● Releases the feelings of being stuck, indecisive, & insecure
● Connects to confidence, energy, & the ability to move forward

9. Under the Arm Points

The under the arm point is located about 4 inches below the armpit. I lift my left arm
and use the four fingers of my right hand to tap under my left arm. Tap, tap, tap, tap,
tap, tap, tap. Repeat the words “constricted breathing”.
● Emotion: Guilt. Meridian: Spleen
● Releases guilt, worry, obsessing, & poor esteem
● Connects to relaxation, confidence, & compassion

Adapted by Stacy Ruse, LPC.

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PESI Trauma-focused Tapping Techniques - Handouts

Tips for Effective Statements

● The more specific you are about the target the better
● Affirm words like “choose,” “time,” “allow,” and “willing” to imply it’s a decision
● Affirm only positive words—no negative connotations - like illness, stress, etc.
● Make them believable to you at some level

Example Statements

The Target. First half of statement

Even though ____________________(target), I completely love and accept myself (affirmation).

● Even though I feel scared or insecure right now

● Even though I am anxious about my interview
● Even though I'm feeling this anxiety about my financial situation
● Even though I panic when I think about ______,
● Even though I'm worried about how to approach my boss
● Even though I'm having trouble breathing
● Even though I am so angry about _________,

Affirmations. Second half of statement

Even though I _____________________(target), …________________________(affirmation).

● I am willing to believe in my ability to create healing and happiness

● I allow myself to believe that I deserve to heal
● I am willing to love and forgive myself
● I allow my body to become an environment for wellbeing & healing
● I can process, metabolize, and release emotions (beliefs) that do not serve me
● It’s time to heal
● I choose to be in alignment with my body’s way of healing
● I am able to see the good in myself
● My health (or life) is moving in the right direction
● I have everything I need
● I have faith in my ability to change
● I am joyful about these positive changes
● I enjoy the calm and peace that I have
● I love the person that I am

Adapted by Stacy Ruse, LPC.

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 Considerations for Tapping
Therapeutic Relationship, Empathy, & Relational Attunement are Always Key

● Designed for resourcing, preparation, regulation, & positive state change

● Take the time to connect, track, & hold presence with your client

● Identify both existing and needed coping skills & resources

● Assess your client’s readiness & willingness

● Telehealth - discuss planning for virtual issues

● Ensure client has a comfortable & private space

● Do not rush the process; give time for the client to build trust

● Assess and watch for red-flags & contraindications

● Stay abreast on cultural considerations & competencies

● Consider client’s age, development stage, understanding, & ability

● Be creative with adding things of comfort, grounding, or connection

● Ensure client feels connected to your voice, eye contact, & presence

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 Mechanics & Setup
TAPPING & BLS

Stabilization & Resources

● Slower taps or BLS
● Rule of Thumb: 6-12 passes

Sitting Position
● Comfort
● Distance
● Staying attuned whether in person or Telehealth

Tapping, Tactile, or Auditory

● "A pass = 1 on each side (round trip) | Speed | Intensity

Eye Movement Mechanics

● “A pass” = one round-trip, centerline to centerline

49
 Breathe Practices
PRACTICES FOR CONSCIOUS AWARENESS & HEALING PRESENCE

CONSCIOUS NOSTRIL BREATHING

1. Begin by becoming aware of your breath
2. As you're ready, take an inhale through your nose. Next, exhale and release
stagnant energy out of your nose
3. Gently close your mouth and continue to be conscious of your breath, in
through the nose, and out through the nose
4. Use often, for 1 to 10 breath cycles, or until client feels calmer

ALTERNATE EYE ROLL BREATHING

1. Initiate a slow eye movement (w/out moving head) to look at the right
shoulder with a slow inhale and then a slow exhale
2. Initiate a slow eye movement (w/out moving head) to look at the left shoulder
with a slow inhale and slow exhale
3. Continue until client feels calmer
4. Alternative breath: Could also do Figure 8’s

ALTERNATE NOSTRIL BREATHING

1. Find a comfortable seat with your heart open
2. With the right hand, rest your pointer and middle finger between the eyebrows
3. Close the left nostril with the right thumb. Slowly inhale into the right nostril
4. Now, close the left nostril with the ring finger and exhale out the right nostril
5. Keep the right nostril open and slowly inhale, switch to the open left nostril and
slowly exhale. Repeat 5-10 cycles

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 Movement Practices
BILATERAL PRACTICES TO BALANCE THE NERVOUS SYSTEM

NECK ROLLS
● Slowly (gently) roll your neck with conscious breathing
and awareness
● Roll counterclockwise and then clockwise
○ If no neck issues, roll in a complete circle including
rolling the head frontwards and backwards - in a
complete circle
○ For neck issues, roll front only from shoulder to
shoulder
● Repeat both directions, 5-10 times

OTHER BILATERAL MOVEMENTS. Be Creative

● Cross Crawl Exercises

● Hiking & walking

● Horseback riding
● Drumming
● Jumping jacks, bicycle crunches, leg lifts
● Eye & Jaw Rolls
● Twisting pose
● And more…

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 Grounding Overarousal
POLYVAGAL TONING PRACTICES

Release Hyper Arousal Sympathetic State

● Intense Sensations (ice, warheads, lemon/lime slice, cold
shower) Cross crawl, jumping jacks, jog in place (30-60
seconds)
● Shake off energies (arms, upper body, hips, legs, & feet)
● Smell essential oils (olfactory)

Invite in Parasympathetic
● Paired Muscle Relaxation
● Body Scan or other guided meditation
● Breathing (alternate nostril, slow-deep breathing w/ longer
exhale etc.) Yin yoga poses
● Slow neck or eye rolls with conscious breath
● Watch something that makes you laugh
● Connect with a pet or someone that feels safe and calming

Self - Soothing
● Foot massage with oil
● Massage shoulders, neck, and other areas of body
● Soothing music, essential oils, candles, etc.

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 Grounding Overarousal
POLYVAGAL TONING PRACTICES

Reoriente to the Therapist's Face & Voice

● “Come back to me. I’m right here with you. Notice that you’re in _______
space and that you are safe right now."
● "Notice the familiarity of this space. Can you see me here with you? Can you
feel me here with you? Look around and remember that you’re here with me,
safe, and sound. Notice it’s only a memory now."

Comparison of Textures
● Ask the client to feel the surface of the couch or chair, and describe; or feel
his/her feet on the floor, key ring, or clothing, and describe the differences in
textures.

Pillow Toss
● Play “catch” with a soft object, such as a small pillow, stuffed animal, or
balled-up tissue. If on Telehealth, have the client softly do this in 1 hand, or
from hand to hand.

Cross-Crawl Exercise (Donna Eden)

● Ask the client to stand (or stay seated) and take their elbow and opposite
knee and bring them together, alternating between the right and left sides
of their body for 1 to 2 minutes. This Applied Kinesiology exercise helps
regulate the nervous system.

53
NOTES
NOTES