Eye Movement Desensitization and Reprocessing (EMDR)

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EMDR is a structured therapeutic approach that may be incorporated into treatment when clinically appropriate. EMDR uses bilateral stimulation, which may include eye movements, alternating tactile stimulation, or other methods, as part of the therapeutic process.

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EMDR was initially developed in the context of trauma treatment and has since been studied in relation to a range of concerns, including post-traumatic stress symptoms. As with any therapeutic approach, individual experiences and responses to treatment can vary.

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EMDR may involve several phases, including history-taking and assessment, preparation and development of coping strategies, identification of treatment targets, reprocessing, and ongoing evaluation. Treatment is individualized based on the client's circumstances, needs, treatment goals, and clinical presentation.

During EMDR sessions, clients may notice changes in thoughts, emotions, physical sensations, memories, or perspectives related to experiences being addressed in therapy. Some individuals may experience emotional or physical discomfort during or between sessions. The therapist and client can discuss pacing, preparation, coping strategies, and whether EMDR is appropriate at different points in treatment.

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EMDR and Trauma

Traumatic and stressful experiences can affect thoughts, emotions, physical sensations, relationships, and responses to situations in the present. These experiences can vary significantly from person to person and may include significant life events, accidents, interpersonal experiences, loss, medical experiences, or other adverse events.

EMDR may be considered as one component of treatment when it is appropriate for the client's presenting concerns and treatment goals. Other therapeutic approaches may also be incorporated depending on the individual's needs.

Research and Evidence

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EMDR has been the subject of clinical research, particularly in relation to PTSD and trauma-related symptoms. Several professional and governmental organizations have included EMDR among approaches that may be used in the treatment of PTSD. Research findings do not mean that EMDR will produce the same results for every individual, and treatment outcomes can vary.

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Training and Professional Development

I am an EMDRIA approved consultant which means I am EMDR Certified and can help others who are treained obtain certification and consultation. EMDR may be incorporated into treatment when clinically appropriate and consistent with the client's needs, preferences, and treatment goals.

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Some concerns for which EMDR may be considered include:

• Trauma-related symptoms

• Anxiety and stress

• Panic symptoms

• Grief and loss

• Experiences involving abuse or neglect

• Domestic violence-related experiences

• Medical or accident-related trauma

• Other distressing or adverse experiences

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The use of EMDR does not imply that a particular diagnosis is present or that EMDR is appropriate for every individual. Treatment decisions are made based on an individualized clinical assessment.

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Cautions and Safety Considerations:

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EMDR can involve discussion and processing of distressing experiences. Some individuals may experience temporary increases in emotional distress, memories, dreams, physical sensations, or other reactions during or between sessions. Clients are encouraged to communicate with their therapist about their response to treatment so that the pace and approach can be adjusted when appropriate.

Before beginning EMDR, clients should discuss relevant medical conditions, medications, and other health considerations with their healthcare providers when appropriate. This may include conditions or circumstances involving cardiovascular health, blood pressure, seizure history, pregnancy, or eye-related concerns. Alternative forms of bilateral stimulation may be considered when appropriate.

Medication use should also be disclosed as part of the clinical assessment. Clients should consult with their prescribing physician before making any changes to prescribed medication.

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EMDR and Legal Proceedings:

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If you are involved in current or anticipated legal proceedings, please inform your therapist before beginning trauma-focused treatment. Information discussed during psychotherapy, including memories and experiences described during treatment, may become relevant to legal proceedings depending on the circumstances.

Therapy is intended to address clinical and treatment goals and is not intended to determine the accuracy, legal significance, or admissibility of memories or other information discussed in therapy. If you have concerns about how participation in therapy or the information discussed in treatment could affect a legal matter, you should consult with your attorney regarding those concerns.