Free Support to Emergency Personnel

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Free Support for Emergency Personnel with CID and A-TIP

This free service is

  • to support emergency services personnel
  • after an acute crisis up to a few hours, or recent crisis up to a few days
  • up to 5 hours of professional service a month, not cumulative
  • call me at 805-667-0955 to arrange the time
  • services are via telehealth, via therapynotes,com, or zoom
  • The intervention utilizes a form of bilateral stimulation derived from eye movement desensitization reprocessing therapy: Critical Incident Desensitization (CID) and  Acute Traumatic Incident Processing (A-TIP)


Critical Incident Desensitization (CID) and

Acute Traumatic Incident Processing (A-TIP)

CID and A-TIP involve two protocols of bilateral stimulation intervention (brief bursts of rapid eye movements). CID and A-TIP have been developed by Roy Kiessling, LISW, Founder of EMDR Consulting (please see to effectively and efficiently treat emergency service personnel as well as general population immediately after being affected by natural and man- made disasters.  I am certified by, Roy Kiessling, LISW, to offer these interventions.  I am also an EMDR Certified Therapist and Consultant in Training.

More on the timing of treatment

Acute trauma, if left untreated, increases the risk of developing into PTSD.  These interventions are designed to be used several hours/days after a crisis to prevent this from happening. Neither CID nor A-TIP require a personal history or talk therapy but consist of a brief description of the incident followed by the intervention – bilateral stimulation. The bilateral stimulation consists of brief bursts of rapid eye movements. There is robust and significant research that bilateral stimulation has been shown to reduce the vividness of images and decrease distress in EMDR. CID and A-TIP, though derived from EMDR, have not yet been subjected to research. Please refer to for the research on bilateral stimulation.

According to Roy Kiessling, LISW, there is an effective manner of treating a free standing stressor, unrelated to chronic stressors:

Treating recent traumatic incidents

1. Moments/hours after a traumatic incident: CID (Critical Incident Desensitization). It is common that moments or hours after a traumatic event an individual would still be so overwhelmed that they cannot see beyond the recent traumatic incident. In these situations immediate crisis desensitization will help ground the individual and allow them to begin to see beyond the traumatic incident. In these cases CID will often be the most effective “first” intervention.

2. Hours/Days after a traumatic incident: A-TIP (Acute Traumatic incident Protocols). In some cases, an individual may be seen hours or days after an event. They are able to look back at the experience but are still under acute stress. In these situations, a brief, stress desensitization intervention may help the person become stable enough to look beyond the experience. In some cases, follow up with therapy is recommended.

3. Weeks or months after a traumatic incident: Please find an EMDR certified therapist (at or a cognitive behavioral therapist. Both EMDR and CBTC (cognitive behavioral therapy) have research evidence that supports their effectiveness in the treatment of trauma.  Therapy is recommended because if weeks or months after a traumatic incident the individual is still experiencing intense feelings and sensations secondary to the traumatic incident, they may be developing chronic stress symptoms.  Often, once in therapy, the traumatic incident is identified as part of a chronic network of previous traumas that went unprocessed. In EMDR, a plan is developed to address the different traumatic events throughout several sessions.


Elisa A. Gottheil, PhD

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EMDR Certified Therapist

805-308-4568 ; [email protected]