Eye Movement Desensitization Reprocessing (EMDR)

What is EMDR Therapy?

EMDR stands for Eye Movement Desensitization Reprocessing. It was developed in the 1980’s by Dr. Francine Shapiro after she noticed that side to side eye movement seemed to help her to process some challenging memories. Since that time, EMDR has become a highly structured, gold-standard therapy for helping people address and heal from trauma.

EMDR is considered a non-traditional psychotherapy in that the client is not required to discuss their wounding in detail. For some, this makes it an appealing choice.

Is EMDR effective?

EMDR is considered a gold-standard treatment for helping people address symptoms of post-traumatic stress disorder or PTSD. According to decades of research, most people suffering from PTSD will experience significant symptom relief through EMDR (de Jongh et al., 2024). Additionally, EMDR tends to work faster than other approaches making it a more cost-effective approach to healing trauma than traditional talk therapies. Since it’s development, EMDR has been found to be effective at treating a variety of other mental health concerns including addiction, phobias, anxiety, despression, and childhood trauma.

EMDR may work for you if:

  • you haven’t had luck with traditional talk therapy in the past due to the challenges of voicing your troubles, or

  • you tend to ruminate, have flasbacks, engage in fear based behaviours that don’t make sense in the present, or suspect your symptoms may be related to a past trauma.

EMDR is not for everybody and depending on your unique situation, can take anywhere from 3 to 18+ sessions. Before beginning, we will have an in-depth discussion about your needs and whether EMDR is likely to be effective for you.

How does EMDR work?

Although the effectiveness of EMDR has long been verified by the research, we are still learning HOW EMDR helps people. At the foundation of EMDR is the Adaptive Information Processing (or AIP) model. The AIP model suggests that given the right conditions, people’s brains and nervous systems will naturally move towards health in the same way that a cut will heal on the skin without too much intervention as long as the right conditions are present (i.e. - the would is kept clean). Sometimes emotional or psychological trauma can get stuck in our system and the natural healing process is disrupted in the same way a cut might be disrupted from healing by some dirt or bacteria in the wound.

EMDR uses dual attention stimulation (DAS) to clear out whatever is blocking the trauma from healing. DAS simply means focusing on two things at one time. In EMDR, the client focuses on their trauma and some form of bilateral stiumulation. Often the bilateral stimulation is side-to-side eye movement but it can also be tapping or gentle hand-buzzing. This dual attention on the past and the present allows your brain to process the memory while staying firmly rooted in the present. For most, this is a gentler approach to working with trauma symptoms than other effective trauma approaches.

What can I expect during an EMDR session?

EMDR is a highly protocolized approach to psychotherapy that occurs in eight phases. What this means is that we will follow a pre-determined script and schedule. The timing will depend on your nervous system but the order of the phases stays the same. Below is a rough outline to demystify the process.

Phase 1: History Taking

  • Detailed client history is gathered to identify target memories for processing

  • Typically takes 1 to 2 sessions

Phase 2: Preparation

  • Information about EMDR is provided, rapport is built, and self-soothing techniques are taught

  • Number of session depends on client needs

Phase 3: Assessment

  • The target memory is identified and assessed, including negative beliefs and desired positive beliefs

  • Distress and belief strength are rated

  • Typically takes one session

Phase 4: Desensitization

  • Dual attention stimulation (DAS) is used while the client focuses on the target memory to reduce stress

  • Number of session depends on client needs

Phase 5: Installation

  • The positive belief related to the target memory is strengthened using dual attention stimulation

  • Typically takes fewer sessions than desensitization

Phase 6: Body Scan

  • The body is scanned for residual tension related to the memory, and any discomfort is processed with dual attention stimulation if time allows

  • Typically takes several minutes

Phase 7: Closure

  • Stability and grounding are ensured, and self-soothing techniques are used if necessary

  • Happens after phases 4, 5, and 6 are complete and typically takes a few minutes

Phase 8: Re-evaluation

  • Progress is reviewed, changes are assigned, and the need for further reprocessing or new targets is determined

  • Typically happens at the beginning of each session and takes a few minutes