Eye-Movement Desensitization and Reprocessing (EMDR) is a powerful form of psychotherapy developed to alleviate distress associated with traumatic memories. It works by utilizing bilateral stimulation, engaging both sides of the brain, to help “reprocess” traumatic experiences, lessening their emotional impact over time. Traditionally, EMDR involves eye movements similar to those observed during REM sleep, a phase where the mind processes and organizes memories.
However, the traditional method of following a therapist’s hand movements can be challenging in a telehealth environment, as it necessitates eye movements wider than the dimensions of a screen. I’ve adapted the method for telehealth by asking clients to tap alternately on their own knees, which is another method of bilateral stimulation. This adaptation has proven effective in facilitating the same reprocessing benefits as traditional EMDR.
EMDR can be used to process and “install” more positive narratives about past events, but also may be applied to “pre-process” future events that cause anxiety, as well as general experiences for which no one single memory stands out (daily microaggressions, for example). EMDR can even be used for traumas in which there is no verbal memory, but only somatic sensations to explore.
Please be aware that EMDR is a potent therapy and requires careful application to avoid overwhelming emotions or re-traumatization. It’s essential that clients can maintain a “dual awareness” of their past and present selves, able to withdraw from intense traumatic memories if they become too overwhelming.
The initial phase of EMDR focuses on building and practicing coping skills. The bilateral stimulation or reprocessing phase may not start until several months of successful coping have been demonstrated.
Due to the intensive nature of EMDR, weekly sessions are required unless I have a strong sense of your successful ability to draw upon extensive internal and external support resources. Typically, I would consider this less frequent approach only if we’ve been working together for at least six months prior to starting EMDR.
While EMDR is challenging, its effectiveness for trauma and anxiety make it a worthwhile endeavor. As your therapist, I’m committed to providing a safe and supportive environment, guiding you every step of the way towards healing and growth.
If you’re considering EMDR therapy or have any questions about it, please don’t hesitate to get in touch. I’m here to help.