What Is Eye Movement Desensitization & Reprocessing (EMDR)?

EMDR Therapy is a treatment method created by Francine Shapiro, PhD to help people recover from trauma, post-traumatic stress disorder (PTSD), anxiety, and depression. Unlike many forms of therapy, EMDR Therapy does not require talking in detail about distressing issues. Instead, EMDR allows an individual to access their right brain functions to resolve unprocessed traumatic memories using Bilateral Stimulation (BLS). Processing will take the form of re-wiring the brain by discarding negative associations to the trauma and strengthening a positive belief network. EMDR International Association (EMDRIA) noted, “experiences that are causing problems will be stored appropriately in your brain. That means that what is useful to you from an experience will be learned, and stored with appropriate emotions in your brain, and be able to guide you in positive ways in the future.” The goal of EMDR is to leave an individual with emotions, understanding, and perspectives that will lead to healthy behaviors and interactions. 

How Does EMDR Therapy Seattle Work?

In EMDR Therapy, the therapist guides the client in processing trauma by stimulating both right and left hemispheres of the brain using Bilateral Stimulation (BLS). Treatment usually begins with the therapist taking a history and helping prepare the client by building safety and trust in the therapeutic relationship, as well as identifying resources and coping to manage distress. In the treatment phase of therapy, the therapist supports the client to focus on a distressing memory and identifying a negative belief associated with the memory (ex. “I’m not good enough”). The therapist then supports the client to identify a more adaptive/positive belief (ex. “I am worthy regardless”), as well as identify any physical sensations and emotions associated with the memory. The therapist then guides the client in bilateral-eye-movement (BLS), which is usually achieved by tapping opposite sides of the body or tracking the therapist’s finger/hand with their eyes. After each round of BLS, the therapist will check-in with the client to measure their current level of distress and progress. This process continues until the client achieved significant reduction of distress and/or when the memory is no longer disturbing. Each EMDR session lasts about 60-90 minutes and often results in the client feeling more peaceful and calm in mind and body.

Can EMDR be done through Telehealth (by video or phone)?

Covid-19 has moved most mental health services online, which has prompted many challenges for therapists who regularly utilize EMDR in therapy. EMDR is typically done in person with BLS tools, such as a light wand, light bar, or electronic paddles. However, EMDR has adapted to effectively allow BLS through Telehealth by the therapist screen sharing and offering verbal cues for tapping. The therapist and client will work together to identify a BLS method that feels both comfortable and effective.