What is EMDR Therapy?

Melody Diehl Licensed Professional Therapist EMDR trauma therapy and play therapy
Melody Diehl, LPC, RPT
Virginia Beach, VA
In our human experience, memories linger, some soothing like gentle melodies and others piercing like shards of glass. Traumas, whether overt or subtle, leave their imprints, not just on the conscious mind but deep within our cellular memories. 

Traditional modalities of psychotherapy have long sought to explore these dark corners of our psyche with talk and reflection. However, there’s another therapeutic approach that draws on your body's intrinsic wisdom and capacity for healing: EMDR, or Eye Movement Desensitization and Reprocessing.

Having observed the intricate connection between mind and body throughout my career, I've come to appreciate therapies that address not only the cognitive and emotional realities but also tap into deeper, somatic layers of experience. EMDR, in its elegance, does precisely this. 

I see EMDR as a vessel for profound healing, integration, and transformative understanding. The outcomes, while deeply personal, underscore the universal longing for healing and wholeness that resides within each of us.

Why EMDR Works

EMDR taps into the brain's natural capacity to heal. When trauma strikes, our normal processing can be disrupted. EMDR, with its bilateral stimulation like guided eye movements, aids the brain in reprocessing these painful memories. By establishing new neural connections, it diminishes the emotional sting attached to these memories, fostering genuine healing. It's a testament to our innate ability to recover when given the right conditions.

The outcomes, while deeply personal, underscore the universal longing for healing and wholeness that resides within each of us. Internal shifts might include:
  • Neurological Integration: By stimulating both brain hemispheres through bilateral processes, EMDR can enhance neural integration, fostering a more harmonized mind-body connection.
  • Holistic Healing: Beyond addressing specific traumas, EMDR often leads to broader insights about patterns and behaviors, nurturing a holistic sense of healing and understanding.
  • Less Intrusive Thoughts: Those undergoing EMDR frequently report a decline in distressing, recurrent thoughts, allowing them to cultivate a more peaceful mental space.
  • More Emotional Regulation: As unprocessed memories find resolution, many experience a newfound ability to manage and express their emotions with greater clarity and balance.
  • Alleviated Physical Symptoms: Emotional pain and trauma often manifest somatically. EMDR can lead to a reduction in physical symptoms, such as tension, fatigue, or even chronic pain linked to emotional distress.
  • Improved Relationships: By understanding and healing personal traumas, many find their relationships enriched, characterized by deeper empathy, understanding, and connection.
  • Greater Presence: Liberated from the chains of past traumas, individuals often report a heightened ability to remain present, cherishing life's moments without the persistent shadows of the past.
  • Boosted Self-Esteem: As individuals process and reframe traumatic memories, a renewed sense of self-worth and confidence often emerges.
  • Renewed Sense of Purpose: Beyond healing, EMDR can usher in a newfound clarity of purpose, guiding individuals to realign with their life's passion and direction.

What does EMDR stand for and what is the primary purpose of this therapy?

EMDR, standing for Eye Movement Desensitization and Reprocessing, dives deep into the psyche to assist individuals in processing and navigating traumas. This modality helps the individual find solace, release emotional pain, and understand past distressing memories.

How does EMDR differ from other forms of talk therapy or psychotherapy?

While traditional talk therapies often engage the conscious mind through conversation, EMDR builds on resonance within the mind, tapping into the body's natural ability to process traumatic events, often without the need for extensive verbal processing.

What is the scientific evidence supporting the effectiveness of EMDR for trauma and other issues?

Numerous studies have recognized EMDR's efficacy, particularly in the realm of trauma and PTSD. Its capacity to facilitate healing resonates deeply with my understanding of the body's intrinsic ability to mend itself when given the right environment.

Addressing a spectrum of afflictions, from anxiety and depression to the burdens of OCD, chronic pain, and the chains of addictions, EMDR brings hope to people suffering from unresolved traumas. Intriguingly, results show an efficacy that surpasses even established treatments like Prozac, particularly in addressing trauma.

How do traumatic memories impact the brain?

Let’s picture the brain as a bustling metropolis. Within this city of synapses and neurons, the amygdala sounds alarms like sirens, ever-alert during moments of distress. The hippocampus, this city's dedicated librarian, diligently catalogs areas of safety and threat. And overseeing things, the prefrontal cortex functions much like the city hall, directing our emotional responses and actions.

Sometimes, traumatic memories can manifest as traffic jams in this city. EMDR helps clear the congestion, allowing life in the brain city to flow smoothly again. The memory stays, but the gridlock eases.

Can EMDR be used to treat conditions other than trauma, such as anxiety or depression?

Yes, the core principles of EMDR, grounded in healing and understanding, can be extended to address other psychological challenges like anxiety and depression. It's about unearthing the roots of these emotions and helping the brain to process them.

How does the process of bilateral stimulation (like eye movements) in EMDR help in processing traumatic memories?

Bilateral stimulation, such as guided eye movements, is believed to activate both hemispheres of the brain, potentially facilitating a form of "neural dialogue". This can help individuals integrate and reprocess traumatic memories, aligning with the notion that the body and mind inherently seek balance and harmony.

How long does a typical EMDR session last, and how many sessions might one need?

Intense emotions and memories may require a longer session, especially with EMDR, so you can expect your session to last from 50 to 90 minutes. As for the number of sessions, it's as unique as one's journey of healing — some find resolution in a few sessions, while others may delve deeper over a longer span.

Are there any potential risks or side effects associated with EMDR therapy?

Like all therapeutic processes, EMDR can lead to intense emotional or even physical reactions as deep-seated memories surface. It's a testament to the depth of one's experience. But with a trained guide and a supportive environment, these moments can be transformative.

How do I know if EMDR is the right therapy for me or my specific issues?

Healing is deeply personal. I always advocate for introspection and consultation with certified professionals. If EMDR aligns with your intuitive sense of healing, explore it further. EMDR can be effective for a variety of conditions:
  • Post-Traumatic Stress Disorder (PTSD)
  • Anxiety and panic disorders
  • Complex trauma and dissociative disorders
  • Depression
  • Grief and loss
  • Phobias
  • Childhood trauma and abuse
  • Sexual assault trauma
  • Physical abuse or assault trauma
  • Traumatic accidents (e.g., car accidents)
  • Natural disaster-related trauma
  • Combat-related trauma
  • Substance abuse and addiction (when related to traumatic events)
  • Obsessive-Compulsive Disorder (OCD) – especially when related to trauma
  • Chronic pain
  • Performance anxiety (e.g., public speaking, athletic performance)
  • Body dysmorphic disorders
  • Attachment disorders (related to early life trauma)
  • Sleep disturbances related to trauma
  • Relationship issues stemming from past trauma
It's essential to note that while EMDR has shown effectiveness for these conditions, individual results can vary. A trained and certified EMDR therapist can provide guidance on its potential benefits for specific cases.

What qualifications should I look for in a therapist if I'm considering EMDR?

Seek out a professional certified by EMDRIA, ensuring they've undergone rigorous training. Beyond credentials, trust your instinct. Therapeutic rapport and understanding are as essential as expertise. Nonetheless, there are some tangible qualifications and factors to consider:
  • Certification in EMDR: Look for a therapist who has undergone specialized training in EMDR. A certified therapist will have a foundational understanding of the technique and its implementation.
  • Experience: While academic qualifications provide a basis, real-world experience in applying EMDR is invaluable. Ask potential therapists about their experience with different populations and trauma types.
  • Continuous Learning: Healing and therapeutic modalities are constantly evolving. A good therapist will be committed to ongoing training and learning to refine their skills.
  • Personal Qualities: Trauma and its healing journey are deeply personal. Seek a therapist who emanates empathy, compassion, and patience. Their genuine care for your well-being should be palpable.
  • Holistic Approach: Understanding the interconnectedness of mind, body, and the environment is crucial. A therapist who sees beyond symptoms and recognizes underlying traumas, and how they manifest in your life, is invaluable.
  • Flexibility: Healing doesn't follow a linear path. Find a therapist who can adapt the process to meet your individual needs, even if it means diverging from the standard EMDR protocol at times.
  • Comfort and Safety: You should feel safe and comfortable expressing yourself with your therapist. The therapeutic alliance, which is the relationship you build with your therapist, is a significant factor in healing.
  • Understanding of Attachment Theory: Much of trauma and our responses to it can be traced back to early attachments. A therapist familiar with attachment theory can offer deeper insights into your experiences.
Remember, therapy is as much about the journey as it is about the method. While EMDR can be a powerful modality for many, the therapist's genuine connection and understanding of your unique life experience are equally, if not more, important. Listen to your intuition, and trust yourself in selecting the therapist that feels right for you.

Are there any contraindications or particular situations where EMDR might not be advised?

While EMDR holds profound potential, certain conditions, like severe dissociative disorders, may require careful consideration and perhaps a different or complementary approach. A seasoned therapist would provide the best guidance on this.

Can I do EMDR without a trained EMDR therapist?

Expert guidance is paramount and healing happens in relationship (including your relationship with a therapist!). Just as you'd seek skilled hands to tend to a physical ailment, the nuances of EMDR demand the expertise of certified mental health professionals. While EMDR is a powerful intervention in mental health, it's crucial to have a complete understanding of its depth and scope. Professionals certified by EMDRIA undergo a rigorous training process, ensuring they're equipped with both the knowledge and sensitivity to navigate this with you. As we strive for holistic healing, it's important to prioritize the expertise and experience that certified professionals bring to the table.