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Introduction to EMDR

What is EMDR?

Eye Movement Desensitization and Reprocessing, or EMDR, is a unique form of therapy designed to help people heal from trauma and other distressing life experiences. It’s not traditional talk therapy. Instead, it focuses on the brain's natural ability to process information and recover from painful events.

EMDR is an evidence-based psychotherapy treatment that was developed by Francine Shapiro, PhD to alleviate distress associated with traumatic memories (emdr.com).

The core idea is that traumatic memories can get stuck or improperly stored in the brain, causing us to relive the negative thoughts, feelings, and physical sensations associated with them. EMDR helps the brain reprocess these memories, allowing for natural healing to occur. It doesn't erase the memory, but it removes the emotional charge, so you can remember the event without feeling overwhelmed by it.

EMDR

noun

A structured therapy that encourages the patient to briefly focus on the trauma memory while simultaneously experiencing bilateral stimulation (typically eye movements), which is associated with a reduction in the vividness and emotion of the trauma memories.

A Walk in the Park

The story of EMDR begins with a chance discovery. In 1987, psychologist Dr. Francine Shapiro was walking through a park when she noticed something peculiar. She was thinking about something disturbing, and she realized that her eyes were darting back and forth rapidly. When she brought her attention back to the thought, its negative charge had lessened.

Intrigued, she began experimenting with this phenomenon on herself and then with her clients. She found that intentionally recreating these eye movements while a person focused on a traumatic memory seemed to help them process it more effectively. This personal observation became the foundation for a structured therapeutic approach.

EMDR was developed in the late 1980s by psychologist Dr. Francine Shapiro, who noticed that certain eye movements seemed to diminish the intensity of disturbing thoughts and emotions.

The Eight-Phase Journey

EMDR isn't just about moving your eyes back and forth. It's a comprehensive, structured approach that unfolds over eight distinct phases. This ensures that the therapy is both safe and effective for the individual. Think of it as a carefully planned journey, with each phase building upon the last to guide you toward healing.

EMDR therapy typically follows a structured protocol that consists of eight distinct phases:

Here’s a brief look at what each phase entails:

  1. History & Treatment Planning: The therapist gets a full picture of your background and collaboratively sets treatment goals. This phase establishes a safe therapeutic relationship.

  2. Preparation: You'll learn coping skills and stress reduction techniques, like grounding exercises, to help you stay stable during and between sessions. This ensures you have the resources to handle any emotional distress that may arise.

  3. Assessment: You and your therapist will identify the specific traumatic memory to work on. You'll also identify the negative belief you hold about yourself connected to this memory, and a positive belief you'd rather have.

  4. Desensitization: This is the phase most people think of as EMDR. While holding the target memory in mind, you'll engage in bilateral stimulation, such as guided eye movements or tapping. You just notice whatever comes up without judgment until the memory no longer feels disturbing.

  5. Installation: The focus shifts to strengthening your desired positive belief until it feels true.

  6. Body Scan: You'll bring the original memory to mind along with the new positive belief and scan your body for any residual tension or discomfort. If any exists, it's targeted for further processing.

  7. Closure: Every session ends with this phase, ensuring you feel calm and grounded before you leave, whether the memory is fully processed or not. You'll use the coping skills learned in Phase 2.

  8. Re-evaluation: The next session begins here. The therapist checks in on your progress and identifies any new targets that may have emerged, ensuring the healing is stable and complete.

This structured process ensures that you are well-prepared and supported every step of the way, making the journey through difficult memories manageable and empowering.