What is EMDR Therapy?

From EMDR.com

EMDR (Eye Movement Desensitization and Reprocessing) is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences.  Repeated studies show that by using EMDR therapy people can experience the benefits of psychotherapy that once took years to make a difference. It is widely assumed that severe emotional pain requires a long time to heal.  EMDR therapy shows that the mind can in fact heal from psychological trauma much as the body recovers from physical trauma.  When you cut your hand, your body works to close the wound.  If a foreign object or repeated injury irritates the wound, it festers and causes pain.  Once the block is removed, healing resumes.  EMDR therapy demonstrates that a similar sequence of events occurs with mental processes.  The brain’s information processing system naturally moves toward mental health.  If the system is blocked or imbalanced by the impact of a disturbing event, the emotional wound festers and can cause intense suffering.  Once the block is removed, healing resumes.  Using the detailed protocols and procedures learned in EMDR therapy training sessions, clinicians help clients activate their natural healing processes.

More than 30 positive controlled outcome studies have been done on EMDR therapy.  Some of the studies show that 84%-90% of single-trauma victims no longer have post-traumatic stress disorder after only three 90-minute sessions.  Another study, funded by the HMO Kaiser Permanente, found that 100% of the single-trauma victims and 77% of multiple trauma victims no longer were diagnosed with PTSD after only six 50-minute sessions. In another study, 77% of combat veterans were free of PTSD in 12 sessions. There has been so much research on EMDR therapy that it is now recognized as an effective form of treatment for trauma and other disturbing experiences by organizations such as the American Psychiatric Association, the World Health Organization and the Department of Defense. Given the worldwide recognition as an effective treatment of trauma, you can easily see how EMDR therapy would be effective in treating the “everyday” memories that are the reason people have low self-esteem, feelings of powerlessness, and all the myriad problems that bring them in for therapy. Over 100,000 clinicians throughout the world use the therapy.  Millions of people have been treated successfully over the past 25 years.

EMDR therapy is an eight-phase treatment.  Eye movements (or other bilateral stimulation) are used during one part of the session.  After the clinician has determined which memory to target first, he asks the client to hold different aspects of that event or thought in mind and to use his eyes to track the therapist’s hand as it moves back and forth across the client’s field of vision.  As this happens, for reasons believed by a Harvard researcher to be connected with the biological mechanisms involved in Rapid Eye Movement (REM) sleep, internal associations arise and the clients begin to process the memory and disturbing feelings. In successful EMDR therapy, the meaning of painful events is transformed on an emotional level.  For instance, a rape victim shifts from feeling horror and self-disgust to holding the firm belief that, “I survived it and I am strong.”  Unlike talk therapy, the insights clients gain in EMDR therapy result not so much from clinician interpretation, but from the client’s own accelerated intellectual and emotional processes.  The net effect is that clients conclude EMDR therapy feeling empowered by the very experiences that once debased them.  Their wounds have not just closed, they have transformed. As a natural outcome of the EMDR therapeutic process, the clients’ thoughts, feelings and behavior are all robust indicators of emotional health and resolution—all without speaking in detail or doing homework used in other therapies.

FAQs

  • EMDR is mostly known for treating Post-Traumatic Stress Disorder (PTSD) and has over thirty studies supporting its use with individuals suffering from trauma. EMDR has also been used to treat depression, anxiety and panic attacks. One study in 2017 suggests that EMDR may also have benefit for those suffering from bipolar disorder, depression, psychosis, anxiety disorders, substance use disorders as well as back pain.

  • EMDR therapy is based on an eight phase model and treatment consists of 6-12 sessions, however more sessions are recommended for complex presentations. EMDR Intensives are another way to participate in EMDR therapy where

  • Bilateral Stimulation is the use of alternating right, left stimulation such as tapping on the knees, legs or shoulders, tapping toes or feet on the floor, or eye movements. Bilateral stimulation is used to activate and integrate information from the brain’s two hemispheres.

  • Absolutely. There are over 15 peer-reviewed articles about doing EMDR virtually. Freedom Counseling Group also uses HIPAA-Approved software to hold virtual sessions and can accomodate technical considerations.

  • No. EMDRIA guidelines specifically prohibit EMDR therapy from being self-administered. However, this does not stop some therapists and psychologists from recommending

How EMDR Therapy is Structured

Phase 1: History and Treatment Planning

  • Your therapist will send intake forms and questionnaires prior to your first session to help understanding and mapping out your personal history

Phase 2: Preparation and Stabilization

  • Your therapist will teach you a number of techniques to help you cope with emotional stress (or triggers) between reprocessing sessions. This phase can vary significantly in length, but is essential to complete before moving to the next phases.

Phase 3: Target Assessment

  • This is a short phase to help identify the parts of a specific memory including negative or unwanted self-beliefs, intrusive images as well as painful emotions or physical sensations immediately before moving into the next phases.

Phases 4-7: EMDR Reprocessing

  • Desensitization: You’ll focus on that negative thought, memory, or image. At the same time, you’ll be guided through bilateral stimulation (BLS), which might involve making specific eye movements, tapping, audio tones or blinking lights. Then, you’ll let your mind go blank and notice any thoughts and feelings that come up spontaneously. After you identify these thoughts, your therapist may have you refocus on that traumatic memory or move on to another, if that memory no longer triggers unwanted emotions.

  • Installation. You’ll “install” a positive self-belief or image to replace the inaccurate one you identified in phase 3. You’ll focus on this belief through another repetition of BLS.

  • Body scan. Your therapist will ask if the targeted memory prompts any uncomfortable physical pain or sensations. If it does, they’ll lead you through another repetition of BLS.

  • Closure. After each session, your therapist will explore your progress and suggest relaxation techniques and other coping strategies that can help you maintain improvements.

Phase 8: Reevaluation

  • During the reevaluation phase, which begins the next session after reprocessing, your therapist will ask about the memories and feelings you addressed in the previous session and may continue the reprocessing or moving on to new targets as appropriate.

EMDR Therapy Intensives

EMDR Intensives are a way to participate in treatment in an intense, short period of time, typically a week or weekend. Research demonstrates that intensive therapy for stress and trauma can be extremely effective.

Pros to participating in Intensive Therapy

  • Process more information in a shorter amount of time

  • Cost effective

  • No weekly appointments

  • Make lasting change

Benefits:

  • Clients completing intensives can make as much progress in the condensed format as in normal weekly sessions. This helps to eliminate months or years of living with trauma and the impact that trauma has on individuals and their families.

  • Sessions are typically completed over two to four days, which reduces lost work time.

  • Sessions have a larger upfront cost, however the overall treatment duration is shorter which can save money.

  • Intensives typically have shorter waiting times.

  • Services are more accessible to those who live out of state, have transportation or childcare concerns.

Frequently Asked Questions:

  • Are EMDR Intensives more effective than participating in weekly therapy sessions?

    • EMDR can be offered intensively or weekly. The benefit to participating in EMDR intensively is that you progress more quickly. EMDR is just as effective if you meet weekly, intensively or even virtually.

  • How long are EMDR Intensives?

    • This depends on the individual. Typically this takes between one to three days with breaks. Sessions typically range from 8-5.

Get Started with EMDR Therapy

1. Get matched with the right therapist for you.

First, complete the quiz by clicking the button below. We will ask a few questions to help match you to the therapist we think will be the best fit for your concerns.

2. Start with a consultation call.

We know how important it is to find someone you feel comfortable with, all of our therapists offer a free 20-minute phone consultation where you can ask as many questions as you may like.

3. Begin EMDR Therapy.

Your therapist will send a link to our client portal where you can complete intake paperwork and schedule your first appointment.

Therapists at Freedom Counseling who offer EMDR

Kevin Anderson, MA, CCTP, LMFT, TLHT

Peyton Baldinger, MS, AMFT

Dr. Ashley Harrinauth, PsyD, MDA, LMFT

Allie Aristizabal, MSW, Associate Clinical Social Worker

Jaymie Pond, MA, AMFT

Gina Brown, MA, AMFT