emdrs  2 Jan 2004 - 02:09   

What is EMDR? Eye Movement Desensitisation and Reprocessing (EMDR) is a non-drug, non-hypnosis, psychotherapy procedure. The therapist guides the patient in concentrating on a troubling memory or emotion while gently applying a form of bilateral stimulation, originally but not exclusively by moving the eyes rapidly back and forth (often by following the therapist's fingers). Alternatively, there are a range of special devices that encourage attention to alternate from side to side. This rapid eye movement (which occurs naturally in REM sleep) or attention switching seems to speed the patient's movement through the healing process.

What is EMDR used for? EMDR is used to help reduce troubling symptoms such as anxiety, guilt, anger, post-traumatic reactions, some depression, phobias and bereavement. It is increasingly used to enhance performance (e.g. in sport or other achievements) and to help build emotional resources such as confidence and self-esteem. EMDR is best known for resolution of PTSD where it has the most controlled studies.

What happens in an EMDR session? EMDR is different for everyone, because the healing process is guided from within. Many past issues and memories (not all) might arise and be treated within one EMDR session. Often a painful memory brings up unpleasant emotions or body sensations. This is normal and generally passes within a few minutes, as long as the EMDR is not stopped, however a break can be taken at any time. Upsetting emotions or memories usually seem to fade and lose their power. (Several sessions are usually required.)

Why bring up a painful memory? When painful memories are avoided, they keep their disturbing power. Some memories, flashbacks and nightmares can feel as upsetting and overwhelming as the original experience, yet not be helpful. In therapy, and with EMDR, you can face the memory in a safe setting, so that you do not feel overwhelmed. Then you can get through it and move on.

Will I be in control? The patient is always in charge of whether to continue or stop, but it is hard to predict what kinds of thoughts, feelings, or memories might arise during EMDR. It depends upon each individual's natural healing process. The patient can also decide how much to tell the therapist about the experience. The therapist serves as a guide to help the patient stay on track, get the most out of the session, and will encourage the patient to continue through any difficult parts.

Are there any precautions? Yes. It is very important that the therapist be formally trained in EMDR and other therapies. Otherwise, there is a risk that if therapy is incomplete or inappropriately applied it might be ineffective, or even harmful. Your therapist will also screen for potential difficulties or contraindications and recommend the best therapeutic approach for you.

What happens afterwards?Some people might continue to process the material for days or even weeks after the session, perhaps having new insights, vivid dreams, strong feelings, or memory recall. This might feel confusing, but it is just a continuation of the healing process, and should simply be reported to the therapist at the next session. (If you become concerned, contact your therapist immediately.) When the distressing symptoms are eliminated, the patient can work with the therapist on developing new skills and ways of coping.

How can I learn more about EMDR?

You can read other articles about EMDR, and find reference to many to EMDR-related sites on this website(
www.emdrs.org.uk). The [links] pages connect to the EMDR Institute and many other interesting sites.

Professionals wishing for information on EMDR training, please email directly or click [Training] or go to [links] on this site to access EMDR UK & Ireland information, EMDR Europe, and EMDRIA

FAQ revised and updated with permission from an original by Ricky Greenwald [http://www.childtrauma.com].