Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapy approach that is primarily used to help individuals process and heal from traumatic or distressing experiences. It was developed by Francine Shapiro in the late 1980s and has gained recognition as an effective treatment for Post-Traumatic Stress Disorder (PTSD) and other trauma-related conditions. Numerous studies have demonstrated EMDR’s effectiveness in treating trauma-related disorders, leading to its recognition by organizations such as the American Psychological Association (APA) and the World Health Organization (WHO) as a recommended treatment for PTSD. EMDR offers a structured and effective approach to healing trauma, providing clients with relief from distressing symptoms and fostering psychological resilience. EMDR is widely used for:
PTSD: Helping clients process and heal from traumatic experiences.
Anxiety and Panic Disorders: Reducing symptoms by addressing underlying traumatic memories.
Depression: Alleviating symptoms through reprocessing distressing events.
Phobias: Reducing fear responses linked to specific traumatic incidents.
Grief and Loss: Assisting in processing complex emotions related to loss.
Addictions: Addressing trauma-related triggers that contribute to addictive behaviors.
While the exact mechanism is still not fully understood, it is believed that EMDR works by facilitating neural processing, helping the brain reprocess and integrate traumatic memories more effectively. This reduces emotional distress by altering the way memories are stored. EMDR also encourages the development of positive beliefs and coping strategies. Many clients find EMDR to be beneficial because they often experience significant improvement in fewer sessions compared to traditional therapies, and it is less invasive since EMDR does not require detailed verbal recounting of traumatic events. EMDR can also be adapted to address a wide range of psychological issues beyond trauma.
Here’s a more detailed look at what EMDR is and how it works:
-
Adaptive Information Processing Model (AIP):
EMDR is based on the idea that traumatic memories are improperly stored in the brain, which can cause ongoing psychological distress.
These memories may become "frozen" and can be triggered by similar experiences, leading to symptoms like anxiety, flashbacks, and emotional distress.
Bilateral Stimulation (BLS):
EMDR therapy involves using bilateral stimulation, such as guided eye movements, taps, or auditory tones.
BLS is believed to facilitate the reprocessing of traumatic memories, helping the brain to integrate and resolve them more adaptively.
Reprocessing:
The goal is to help the client reprocess distressing memories so that they no longer have a debilitating effect.
Through reprocessing, the client can develop more adaptive beliefs and emotions associated with the memories.
-
EMDR therapy consists of eight distinct phases that guide the treatment process:
History Taking and Treatment Planning:
The therapist collects a comprehensive history of the client’s experiences and symptoms.
Together, they identify the specific memories and issues to target during therapy.
Preparation:
The therapist explains the EMDR process and helps the client develop coping mechanisms and relaxation techniques.
Building a strong therapeutic alliance is crucial for client safety and comfort.
Assessment:
The client identifies specific negative images, beliefs, and physical sensations associated with the traumatic memory.
The therapist assesses the intensity of the distress and identifies positive beliefs to replace the negative ones.
Desensitization:
The client focuses on the traumatic memory while simultaneously engaging in bilateral stimulation.
The aim is to reduce the emotional intensity of the memory, allowing the client to process it more adaptively.
Installation:
The therapist helps the client strengthen positive beliefs that can replace the negative ones.
This phase reinforces adaptive thinking and self-perception.
Body Scan:
The client is guided to observe any lingering physical sensations associated with the memory.
The therapist addresses any residual distress or tension to promote complete healing.
Closure:
Each session ends with the client returning to a state of equilibrium.
The therapist ensures the client has tools to manage any distress that may arise between sessions.
Reevaluation:
At the beginning of subsequent sessions, the therapist evaluates progress and determines any further targets.
The process is repeated until the client experiences relief and healing.
-
Debriefing Handout for EMDR Clients: Useful advice for before and after sessions.
About EMDR Therapy: EMDR International Association
*Currently the Heal ATL therapists that offer EMDR are Maddi Jones, Shambria Stoll, Heather Romero, and Scott McCormick.