In the dynamic field of psychology, innovative therapeutic approaches continue to emerge, offering new hope and healing for those grappling with the aftermath of trauma and various mental health challenges. Eye Movement Desensitization and Reprocessing (EMDR) therapy stands out as a transformative method, making waves in the psychological landscape.
EMDR can be used to treat a range of issues including Trauma and Anxiety. EMDR therapy is an approach to therapy that can help your brain become “unstuck” and be able to successfully process disturbing memories so they become less distressing and overwhelming. It is important to note that EMDR will not make anyone forget the adverse things that happened to them, but it can help make those memories and responses less intense and debilitating.
Everyone has experiences that change the ways we think about ourselves and the world, sometimes in a negative way. Some of these events can involve major traumas like experiencing violence or being the victim of a natural disaster, while others involve things like humiliation, shame, or other things that damage our self-worth. Sometimes, when we experience highly stressful or traumatic events, the memories, emotions, and beliefs associated with them get “stuck “or “locked” in our brains, so that when we are reminded of them, our bodies react as if we are still in danger.
Dr. Raheleh Tarani
Clinical Psychologist
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EMDR therapy, developed by Francine Shapiro in the late 1980s, is a comprehensive and evidence-based approach designed to help individuals process distressing memories and experiences. Unlike traditional talk therapy, EMDR incorporates bilateral stimulation, typically achieved through side-to-side eye movements, which facilitates the brain’s natural ability to process information and adaptively resolve traumatic memories.
At the heart of EMDR therapy lies its unparalleled effectiveness in treating trauma. Whether stemming from childhood experiences, accidents, or other distressing events, EMDR enables individuals to confront and process traumatic memories, ultimately reducing the emotional charge associated with these events. The therapy empowers individuals to reprocess these memories, fostering resilience and paving the way for emotional healing.
While EMDR is renowned for its success in trauma treatment, its applications extend far beyond this realm. Calgary’s psychologists adept in EMDR employ this method to address a wide array of issues:
EMDR (eye movement desensitization and reprocessing) shows amazing results. 84-90% of single-trauma victims recover from PTSD after just three 90-minute sessions. The therapy has revolutionized trauma treatment, and studies show that 77% of combat veterans become PTSD-free after 12 sessions.
Leading organizations like the American Psychiatric Association and the World Health Organization recognize EMDR therapy’s value. Therapists in 130 countries use this eight-phase treatment approach. They have helped millions of people who suffer from trauma and related disorders. 24 randomized controlled trials show that EMDR works well to treat emotional trauma and difficult life experiences.
This piece dives into EMDR therapy’s clinical evidence, its brain-based foundations, and the impressive outcomes that make it a top choice to treat trauma. You’ll learn how this therapy works, where it can help, and the science that proves it works for PTSD and other psychological conditions.
Eye Movement Desensitization and Reprocessing (EMDR) therapy is a well-laid-out psychotherapy approach that gives the ability to heal from emotional distress caused by disturbing life experiences. This therapeutic method started as a trauma treatment and has grown into a complete treatment protocol.
EMDR therapy works through eight treatment phases:
History taking and treatment planning
Client preparation and stabilization
Assessment of target memories
Memory desensitization
Installation of positive cognition
Body scan for residual tension
Closure and stabilization
Re-evaluation of progress
EMDR sessions have clients focus on emotionally disturbing material while they experience bilateral stimulation, usually through therapist-directed lateral eye movements [1]. The therapy helps access traumatic memory networks naturally, which lets information processing happen on its own [2].
EMDR’s story began in 1987 when psychologist Francine Shapiro noticed that specific eye movements reduced disturbing thoughts’ intensity [2]. This observation led her to develop a structured protocol that evolved from Eye Movement Desensitization (EMD) into today’s complete EMDR therapy approach.
The Adaptive Information Processing (AIP) model forms EMDR’s theoretical base. This model shows that people have a natural information processing system that integrates new experiences into existing memory networks [2]. The biggest problem occurs when traumatic experiences don’t process properly and stay stored with distorted thoughts and emotions [2].
Studies prove this therapy works well. Research shows that 100% of single-trauma victims and 77% of multiple trauma victims no longer showed PTSD symptoms after six 50-minute sessions [1]. The treatment has earned recognition from major organizations and is now a confirmed approach to deal with trauma and related conditions.
Recent brain imaging research shows most important changes in brain activity through eye movement desensitization and reprocessing therapy. Studies show that EMDR therapy creates neurological effects in ways that differ from traditional exposure therapy [3].
EMDR therapy creates notable changes in key brain regions:
Decreased activity in emotional limbic areas
Increased activation in cognitive brain regions
Better communication between brain hemispheres [4]
Memory reconsolidation especially involves the amygdala’s synapses, where pathological memories stay through AMPA receptor overpotentiation [4]. The bilateral stimulation at 2 Hz frequency guides the depotentiation of these receptors [4]. Emotional memories stored in the amygdala change to the brain cortex and process properly.
EMDR sessions create major changes in the autonomic nervous system. Studies have revealed patterns of psycho-physiological de-arousal that show up as decreased heart rate and increased heart rate variability [5]. Heart rate variability spikes sharply when stimulation begins, which shows reduced arousal [5]. These results suggest that EMDR helps create substantial psycho-physiological de-arousal over time and shifts the balance toward parasympathetic activation [6].
The bilateral stimulation component resets the theta rhythm and organizes information flow through brain regions [7]. This process helps deploy attention properly and makes mnemonic search easier for associations [3].
Clinical research has proven EMDR therapy to be a first-line treatment for trauma-related conditions. Studies at Kaiser Permanente show impressive results. 100% of single-trauma victims and 77% of multiple-trauma victims became PTSD-free after six 50-minute sessions [8].
EMDR therapy works effectively for trauma patients of all types, with proven success treating:
Combat veterans from multiple wars
Crime victims and first responders
Natural disaster survivors
Accident and surgery victims [9]
EMDR has outperformed traditional treatments for depression and anxiety disorders. Research shows most important improvement in depression symptoms after 6-8 sessions [10]. Patients who undergo EMDR therapy often achieve complete remission of depressive symptoms, unlike those using conventional approaches [10].
This treatment shines when handling multiple diagnoses. A groundbreaking study of patients with PTSD and psychosis showed that EMDR performed better than waitlist controls to reduce PTSD symptoms [8]. Patients with complex PTSD and multiple comorbidities showed remarkable progress. Four out of seven patients no longer met PTSD diagnosis criteria after intensive treatment [11].
Modified protocols make this therapy suitable for special populations, which ensures effective treatment for patients of all backgrounds. Clinical evidence validates its use to treat various conditions. Seven out of ten studies confirm that EMDR works faster and more effectively than trauma-focused cognitive behavioral therapy [12].
Research has shown that eye movement desensitization and reprocessing therapy works well. 35 randomized controlled trials have proven EMDR’s success with different groups of people across many countries [8].
The latest meta-analyzes show that EMDR helps reduce PTSD symptoms and depression considerably [8]. A complete meta-analysis looked at 18,897 studies published before March 2021. The results showed EMDR created better long-term results than other PTSD treatments [13].
Clinical trials reveal impressive results with different groups:
First Responders: Patients needed just two sessions to see major improvements in their PTSD symptoms. These benefits lasted through the 90-day checkup [14]
Psychosis Patients: 60% of participants no longer had PTSD after eight sessions [13]
Research confirms that EMDR’s benefits last. Adult survivors kept their improvements even after 18 months [1]. The treatment’s positive effects stayed stable or got slightly better between the final test and follow-up checks [1].
The Agency for Healthcare Research and Quality found solid evidence that EMDR helps reduce PTSD symptoms [8]. Scientists want more studies with veterans and service members [8]. The UK National Health Service learned that EMDR costs less and works better than 10 other PTSD treatments [13].
EMDR therapy follows well-laid-out protocols that deliver consistent treatment in clinical settings of all types. Therapists run sessions that last 60 to 90 minutes, and patients typically need 6-12 sessions for a complete treatment course [15].
The standard protocol has eight distinct phases:
Patient’s history and information gathering
Preparation and education
Assessment of target memory
Desensitization and reprocessing
Installation of positive beliefs
Body scan evaluation
Closure and stabilization
Progress evaluation [15]
Practitioners have created specialized adaptations for different patient groups. Therapists adjust the standard protocol based on each client’s needs instead of using a one-size-fits-all approach [16]. These adaptations use simpler language for children, slower-paced sessions for complex cases, and more family involvement for supported care [16].
EMDR’s versatility makes it blend naturally with other treatment methods. The combination of EMDR and cognitive behavioral therapy (CBT) has proven particularly effective [17]. A well-organized integration approach has these elements:
CBT interventions that support EMDR processing
Activity schedules and fear hierarchies
Joint treatment planning
Shared therapeutic relationships [17]
Therapists also employ modified protocols that combine EMDR with other evidence-based approaches to boost treatment outcomes in complex cases [18].
We measure EMDR therapy’s effectiveness through standard assessment tools that show how symptoms decrease and daily function improves. Therapists employ several proven tools to track how well the treatment works.
The most commonly used assessment instruments include:
Impact of Events Scale-Revised (IES-R) for trauma symptoms
Patient Health Questionnaire-9 (PHQ-9) for depression
Generalized Anxiety Disorder-7 (GAD-7) for anxiety
Work and Social Adjustment Scale (WASAS) for functional impairment
Clinical outcomes show most important improvements in conditions of all types. Studies reveal 96.6% of patients who scored above the IES-R clinical cut-off dropped below threshold after treatment [19]. Research also shows that 87.5% of patients had fewer reliving symptoms within the first month post-treatment [19].
Several factors shape treatment outcomes without doubt. Research shows that treatment works just as well whatever the therapist’s experience level or accreditation status [20]. Patient outcomes don’t vary much based on age or gender [20]. Full treatment completion is a vital factor, and studies show that all but one of these follow-up assessments managed to keep benefits from 3 months to 5 years [21].
EMDR therapy has proven itself as a scientifically verified treatment method, supported by clinical research and measurable results. The numbers tell a compelling story – 90% of single-trauma victims and 77% of combat veterans show significant improvement after completing their sessions.
Scientific evidence confirms EMDR’s neurobiological basis through documented changes in brain activity, memory reconsolidation, and autonomic nervous system responses. These physical changes match the clinical improvements seen in patients of all types, going well beyond just PTSD treatment.
The eight-phase protocol will give a consistent treatment experience that can adapt to different patient needs. Multiple randomized controlled trials and meta-analyzes with a variety of patient groups verify both immediate benefits and lasting therapeutic improvements.
EMDR therapy keeps growing through new research. It offers an economical, evidence-based treatment option. The wealth of clinical evidence, high success rates, and flexible protocols make EMDR a powerful therapeutic tool that helps people overcome trauma and related psychological conditions.
Q1. How effective is EMDR therapy in treating PTSD? EMDR therapy has shown remarkable effectiveness in treating PTSD. Studies indicate that 84-90% of single-trauma victims no longer meet PTSD criteria after just three 90-minute sessions. For combat veterans, 77% become PTSD-free after 12 sessions.
Q2. What is the typical duration of EMDR treatment? The duration of EMDR treatment varies depending on individual needs. Generally, a typical treatment course requires 6-12 sessions, with each session lasting 60 to 90 minutes. Some people may notice improvements after a few sessions, while others might need several months to achieve lasting change.
Q3. Can EMDR be used to treat conditions other than PTSD? Yes, EMDR has shown effectiveness in treating various conditions beyond PTSD. It has been successfully used to address anxiety disorders, depression, and complex cases with multiple diagnoses. Research indicates significant improvement in depression symptoms after 6-8 sessions of EMDR therapy.
Q4. How does EMDR therapy affect the brain? EMDR therapy triggers notable changes in brain activity. It decreases activity in emotional limbic areas, increases activation in cognitive brain regions, and enhances communication between brain hemispheres. The therapy also facilitates memory reconsolidation and produces autonomic nervous system changes, leading to reduced arousal.
Q5. Are the effects of EMDR therapy long-lasting? Long-term studies have validated the lasting benefits of EMDR therapy. Follow-up assessments ranging from 3 months to 5 years show that therapeutic gains are maintained or even slightly improved in most cases. This suggests that EMDR can provide long-term relief from trauma-related symptoms.
[1] – https://www.researchgate.net/publication/8361247_Assessing_the_Long-Term_Effects_of_EMDR_Results_from_an_18-Month_Follow-Up_Study_with_Adult_Female_Survivors_of_CSA
[2] – https://pmc.ncbi.nlm.nih.gov/articles/PMC6106867/
[3] – https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2019.02267/full
[4] – https://connect.springerpub.com/content/sgremdr/7/1/29
[5] – https://www.ifemdr.fr/wp-content/uploads/2011/10/Sack-2008-Alterations-in-autonomic-tone-during-EMDR.pdf
[6] – https://link.springer.com/article/10.1007/BF03379925
[7] – https://pmc.ncbi.nlm.nih.gov/articles/PMC6787636/
[8] – https://www.ptsd.va.gov/professional/treat/txessentials/emdr_pro.asp
[9] – https://emdrresearchfoundation.org/emdr-info/for-professionals/emdr-therapy-evaluated-clinical-applications/
[10] – https://www.choosingtherapy.com/emdr-for-depression/
[11] – https://www.emdria.org/resource/intensive-emdr-to-treat-patients-with-complex-posttraumatic-stress-disorder-a-case-series/
[12] – https://pmc.ncbi.nlm.nih.gov/articles/PMC3951033/
[13] – https://onlinelibrary.wiley.com/doi/full/10.1002/jts.23012
[14] – https://connect.springerpub.com/content/sgremdr/13/2/100
[15] – https://my.clevelandclinic.org/health/treatments/22641-emdr-therapy
[16] – https://pmc.ncbi.nlm.nih.gov/articles/PMC10808451/
[17] – https://www.emdria.org/blog/integrating-emdr-therapy-with-cognitive-behavioral-therapy-cbt/
[18] – https://mindbodyo.com/the-benefits-of-combining-emdr-with-other-therapies/
[19] – https://spj.science.org/doi/10.1891/EMDR-2022-0058
[20] – https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-021-03571-x
[21] – https://traumapractice.co.uk/does-emdr-work/
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