Eye movement desensitization and reprocessing (EMDR) is a popular treatments for trauma related mental health symptoms. As a therapist who use EMDR, I usually get referrals from other clinicians for clients who need to process specific traumatic memories. Once the EMDR session are complete, client will be transfer back to the referred clinician. It’s similar to specialist, the PCP will make a referral and once the treatment is done, client will be transfer back for PCP for consistent care.
HOW DOSE EMDR WORK?
The core of EMDR is to use bilateral stimulations while processing traumatic memories. Bilateral simulations are a group of stimulus that occur in a rhythmic left and right. For example, on a screen, watching a ball bonusing from left to right and return back to left. Part of the treatment including use bilateral simulation while let the brain focusing on distressing memories. People report reduced emotional reactions associate with the memory after the treatment. The reaction with fight, flight, or freeze response associate with the memories and emotions are likely to decrease as well.
It’s not easy to process traumatic memories or events without external support. Sometimes we don’t even realize certain events were traumatic to us. When things happen, we likely to avoid thinking about it due to the fast paced life style, overwhelming emotions, or the painful nature associate with the trauma. But the memories are likely to resurface when there are external triggers or reminders. One way to address fear is to face it. But we need to face it in a gentle and caring way. EMDR give people a chance to handle the pain and wounds in a safe environment.
HOW LONG IS THE TREATMENT?
EMDR is structured therapy approach. It includes 8 phases, starting with assessments, followed with reprocessing. It can take from 5 to 16 sessions to complete the treatment. In most cases, the treatment length is depending on the severity and complexity of the trauma, client’s willingness and self-awareness level, and the trust between client and clinician. A client who experience one time verbal assault on a street may take less time to process than a client who suffered from childhood sexual abuse and domestic violence in current relationship.
WHAT ARE THE STEPS FOR EMDR APPROACH?
- Phase one: Client history and Treatment planning
- Phase two: Preparation
- Phase three: Assessment
- Phase four: Desensitization
- Phase five: Installation
- Phase six: Body scan
- Phase seven: Closure
- Phase eight: Reevaluation
WHEN SHOULD I CONSIDER EMDR TREATMENT?
When you feel stuck with your current treatment and traditional talk therapy was not moving forward, maybe give it a try for EMDR.
HOW TO FIND AN EMDR THERAPIST?
Contact your insurance company and ask them to link you with some in network providers who offer EMDR treatment. You can also find information on Psychology Today, where therapists list their information. Emdria.org has a directory for certified EMDR therapists.