Quick Reference Table
A scannable clinical lookup mapping common presenting concerns to evidence-based tools and interventions. Designed for use during active sessions.
Suspected psychosis vs. genuine experience
Rule out psychosis first. Genuine experiencers show dysregulated nervous systems, tactile defensiveness, and PTSD-like markers — not disorganized thinking.
MMPI/16PF with validity scales (L, F); somatic footprint assessment
Acute PTSD symptoms (night terrors, intrusive thoughts, tactile defensiveness)
Affects 15–20% of experiencers with severe negative impact. Therapist need not believe the literal content of the experience to apply bilateral stimulation or cognitive processing.
EMDR (Eye Movement Desensitization and Reprocessing); CPT (Cognitive Processing Therapy)
Obsessive research / social isolation
Do not authenticate or debunk. Acknowledge validity of the search for truth while noting that prolonged exposure to threatening material keeps the body in a stress state.
Validate the search; redirect to somatic grounding and nervous system regulation
Fear of entity communication
Ask: "Is this communication helpful or loving?" Restore the client's sense of agency. Teach internal boundary-setting and grounding.
Compassionate non-interference; boundary-setting skills
Identity fused with victim narrative ("helpless abductee")
Shift from "I am a victim of this experience" to "I am the aware presence that contains this experience." Decouple identity from event.
Self-as-context work (ACT framework)
Long-term meaning-making and integration
Track post-traumatic growth markers: increased compassion, ecological sensitivity, reduced materialism and fear of death. Frame goal as growth, not baseline return.
ACT integration (4 pivots); Life Changes Inventory (LCI)