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EMDR Therapy

Eye Movement Desensitization and Reprocessing for trauma and emotional healing

Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based psychotherapy for PTSD that helps people heal from trauma and other distressing life experiences. Developed by Dr. Francine Shapiro, EMDR has been extensively researched and is recognized by major mental health organizations as an effective treatment for PTSD and trauma.

EMDR therapy is based on the idea that when traumatic experiences happen, they can get "stuck" in the brain and continue to cause distress. Through bilateral stimulation (typically eye movements), EMDR helps the brain process these experiences naturally, reducing their emotional charge and allowing healing to occur.

How It Works: EMDR combines attention to a traumatic memory with a guided task, such as following eye movements. Researchers are still studying how its different elements contribute to improvement.

The Eight-Phase EMDR Process

1

Phases 1-2: Preparation

History Taking & Preparation

Building safety and readiness for processing

What happens:

Comprehensive trauma history assessment
Identifying target memories for processing
Teaching self-regulation techniques
Building therapeutic relationship and trust
Establishing safety and stabilization
Preparing for the processing work ahead
2

Phases 3-6: Processing

Assessment & Desensitization

Active processing of traumatic memories

What happens:

Accessing target memory and associated elements
Bilateral stimulation (eye movements or other methods)
Processing disturbing images, emotions, and sensations
Installing positive beliefs about oneself
Checking for remaining disturbance in the body
Ensuring complete processing of the memory
3

Phases 7-8: Integration

Closure & Reevaluation

Ensuring stability and lasting change

What happens:

Returning to calm state after processing
Using self-calming techniques as needed
Monitoring between sessions for any activation
Checking processed memories for lasting change
Identifying any remaining targets to address
Evaluating overall treatment progress

EMDR and Related Concerns

Post-Traumatic Stress Disorder (PTSD)

EMDR is recognized as a first-line treatment for PTSD by major health organizations

Common symptoms addressed:

Intrusive memories and flashbacks
Nightmares and sleep disturbances
Avoidance of trauma reminders
Hypervigilance and startle response
Emotional numbing or detachment
Negative beliefs about self or world

Complex Trauma

A clinician can assess trauma symptoms and whether EMDR is an appropriate option

Common symptoms addressed:

Difficulty regulating emotions
Negative self-concept and shame
Problems with relationships and trust
Dissociation or feeling disconnected
Physical symptoms without medical cause
Difficulty with memory and concentration

Anxiety Disorders

Evidence is strongest for PTSD; anxiety symptoms need an individual assessment

Common symptoms addressed:

Panic attacks and intense fear
Specific phobias and avoidance
Social anxiety and performance fears
Generalized worry and tension
Physical symptoms of anxiety
Anticipatory anxiety about future events

Depression with Trauma History

Depression and trauma may occur together; treatment should address each person’s needs

Common symptoms addressed:

Persistent sadness and hopelessness
Negative beliefs about self-worth
Loss of interest in activities
Guilt, shame, and self-blame
Fatigue and low energy
Difficulty concentrating and deciding

Types of Bilateral Stimulation

EMDR uses guided eye movements or other forms of alternating stimulation during parts of treatment. There are several methods, and your therapist will help determine what works best for you:

Eye Movements

The original and most common form of bilateral stimulation

Process:

Following therapist's finger or light bar with eyes while processing memory

Benefits:

  • Well-researched and proven effective
  • Natural and non-invasive
  • Can be adjusted for comfort

Tactile Stimulation

Alternating touch or vibration between left and right sides of body

Process:

Holding devices that alternate gentle vibrations in each hand

Benefits:

  • Good for those who prefer not to use eye movements
  • Can be done with eyes closed
  • Feels soothing to many people

Auditory Stimulation

Alternating sounds between left and right ears

Process:

Listening to tones or music that alternates between ears

Benefits:

  • Works well with headphones
  • Can be combined with other methods
  • Less visually distracting

What to Expect During EMDR Therapy

During Processing:

  • • You may experience various sensations, images, or emotions
  • • Some sessions may feel intense, others lighter
  • • You remain in control and can stop at any time
  • • Processing may continue between sessions
  • • Dreams or memories may surface temporarily
  • • Physical sensations may shift during processing

After Sessions:

  • • You may feel tired as your brain processes
  • • Memories may feel less emotionally charged
  • • Positive insights about yourself may emerge
  • • Sleep patterns may temporarily change
  • • Old triggers may lose their power
  • • Overall sense of relief and empowerment

Important to Know:

EMDR is generally very safe, but it's important to work with a trained therapist. Some people may experience temporary increases in distress as memories are processed, which is why proper preparation and support are essential.

Timeline: While some people notice improvements after just a few sessions, fully processing trauma typically takes several sessions over several months.

Common Myths About EMDR

There are several misconceptions about EMDR. Here are the facts:

MYTH

EMDR erases memories

FACT

EMDR doesn't erase memories. Instead, it helps process them so they become less emotionally disturbing and no longer interfere with daily life.

MYTH

You have to relive the trauma in detail

FACT

You don't need to describe traumatic events in detail. EMDR can work with just bringing the memory to mind without verbal processing.

MYTH

EMDR is hypnosis

FACT

EMDR is not hypnosis. You remain fully conscious and in control throughout the process. You can stop at any time.

MYTH

Eye movements are just a distraction

FACT

Eye movements are part of the EMDR treatment protocol. Research continues into how the treatment works; describing it as simply activating both brain hemispheres is an oversimplification.

MYTH

EMDR works instantly

FACT

While some people notice improvements quickly, EMDR typically requires several sessions to fully process traumatic memories.

Questions About EMDR in Auburn?

If you are interested in EMDR, contact our practice to discuss current treatment options and availability. Ask about relevant training, how readiness for trauma-focused work is assessed, and which approaches may fit your needs.

A consultation can help you explore next steps. Learning about EMDR does not mean it will be the right treatment for every concern.

Ready to Begin Healing from Trauma?

EMDR therapy can help you process difficult experiences and reclaim your life. Let's discuss whether EMDR might be right for your healing journey.

Schedule a Consultation

Sources and Further Reading

VA National Center for PTSD: EMDR for PTSD

Updated .