What is EMDR?

I was first trained in Eye Movement Desensitization and Reprocessing (EMDR) in 2016 by the Humanitarian Assistance Program (HAP). I didn’t know much about the therapy, other than that it was found to be a faster and more efficient way to help people process their trauma. I was skeptical when I first heard about it but decided to take the plunge and check it out since the community mental health center I was at was willing to pay for half of the training. Since then, I was certified in EMDR in 2018 and I am not almost done with my training to be a consultant for EMDR. Needless to say, I was hooked and now it is the primary modality and approach I use in my current practice

You might be wondering what it is, how it works, and whether it's right for you. This post aims to answer those questions and provide you with a clear understanding of EMDR.

What is EMDR?

EMDR, which stands for Eye Movement Desensitization and Reprocessing, is a form of psychotherapy designed to help people heal from trauma and distressing life experiences. Developed by Francine Shapiro in the late 1980s, EMDR has gained recognition worldwide for its effectiveness in treating PTSD (Post-Traumatic Stress Disorder) and other trauma-related issues. Although, initially, Shapiro was mocked by many of her colleagues at the thought that eye movements and other bilateral stimulation (stimulation that alternates between both sides of your body), activated a psychic healing process.

How Does EMDR Work?

The core of EMDR therapy involves a process called bilateral stimulation (BLS) or sometimes referred to as Dual Attention Stimulus (DAS). BLS/DAS is typically through guided eye movements but can also be achieved through alternating tapping on either side of the body or using “buzzers” (a device held in your hands that alternates vibrations). This process helps the brain reprocess traumatic memories and reduces the emotional charge associated with them.

EMDR is based on the Adaptive Information Process (AIP) theory. This theory states that the mind is like any other part of the body and can heal naturally, it just may need some support. Much like if we break a bone, it will try to heal on it’s own even if it isn’t placed. It will just heal maladaptively. Think of the therapist and the BLS/DAS as the doctor placing the broken bone so the wound heals adaptively. Another analogy could be seeing trauma as a wound that has become infected. The mind cannot heal fully until it is disinfected and cleaned out, which EMDR can provide. EMDR trusts your own internal wisdom and healing process.

Here's a simplified breakdown of what happens during EMDR therapy:

1. Assessment and Preparation: Your therapist will take the time to understand your history and specific issues. They'll also explain the EMDR process, ensuring you're comfortable and prepared for the therapy. Preparation consists of building internal resources and developing skills to observe thoughts, emotions, and body sensations.

2. Identifying Target Memories: Together with your therapist, you'll identify specific memories, experiences, or emotions that cause distress. These are the focus for the EMDR process.

3. BLS/DAS: While you focus on the distress, your therapist will guide you through BLS/DAS (usually eye movements, but sometimes tapping or auditory tones). This process helps to unlock the brain's natural healing processes (AIP system).

4. Reprocessing: As the BLS/DAS continues, you'll notice changes in how you perceive the traumatic memory. The goal is to transform the negative emotions and beliefs associated with the memory into more positive, adaptive ones.

5. Integration: Finally, your therapist will help you integrate these new, healthier perspectives into your daily life.

Benefits of EMDR

EMDR has been extensively researched and is considered an evidence-based treatment for trauma. Here are some key benefits:

- Effective for trauma, anxiety, depression and most mental health conditions: EMDR is recognized by organizations like the American Psychological Association (APA) and the World Health Organization (WHO) as an effective treatment for PTSD and treatment for several other mental health conditions.

- Quick Results: Compared to traditional talk therapy, EMDR often produces faster results. Think of each set of BLS/DAS as 1 talk therapy session. In that 60 to 90 seconds, you may experience several emotions and insights because your brain is rapidly reprocessing the distressing material.

- Long-Lasting Healing: EMDR doesn't just provide temporary relief; it aims to create lasting changes by reprocessing and desensitizing traumatic memories. The nervous system and brain are being recalibrated and restructuring your internal working model

- Non-Invasive: Unlike medication, EMDR is a non-invasive treatment that works with your brain's natural healing abilities. You are fully aware of what is happening and do not enter an altered state of consciousness. The resources and therapist help with grounding and keeping you in your window of tolerance throughout treatment.

Is EMDR Right for You?

While EMDR has helped countless individuals, it's important to determine if it's the right fit for you. EMDR International Association (EMDRIA) oversees the certification process and training of EMDR therapists and has a lot of helpful information to help you further consider if this is a good fit for you.

Here are a few considerations:

- Open Mindset: EMDR involves unconventional techniques like eye movements. This therapy is different and can feel very weird at first, but being open to and trusting this process is crucial to ensure results.

- Therapist Match: Finding a certified EMDR therapist you trust and feel comfortable with is essential for effective treatment. You can search for trained and certified EMDR therapists with EMDRIA’s find a therapist tool

- Commitment: Like any therapy, EMDR requires commitment and active participation. Regular sessions and follow-through are key to success.

Final Thoughts

Choosing to seek help for trauma is a courageous step. EMDR offers a powerful and efficient way to heal from past wounds and move forward with a renewed sense of well-being. If you're considering EMDR, take the time to research, find a trained therapist, and discuss your options. Remember, healing is a journey, and you deserve to find the path that works best for you.