EMDR online

Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapy approach that has been widely used to treat trauma-related conditions, including post-traumatic stress disorder (PTSD). However, EMDR is now used to treat a wide range of mental health conditions such as depression and anxiety. Traditionally, EMDR therapy involves face-to-face sessions with a trained therapist who guides the client through a series of standardized procedures, including bilateral stimulation (such as eye movements, tapping, or listening to sounds) while recalling distressing memories or experiences.

While EMDR has typically been conducted in person, it is now also widely used online with the same effectiveness as in person therapy. Virtual EMDR therapy involves using video conferencing platforms to conduct sessions remotely, allowing individuals to receive therapy from the comfort of their own homes, saving time and money on journeys. Here are some key considerations regarding online EMDR therapy:

Finding a Qualified Therapist: It's important to work with a therapist who is trained and experienced in EMDR therapy, regardless of whether sessions are conducted in person or online. EMDR practitioners must receive specific training with a certified organisation and also be registered with a certified organisation such as EMDR Association UK or EMDR Europe.
Technology Requirements: Make sure you have access to a reliable internet connection and a device (such as a computer, tablet, or smartphone) with a camera and microphone for video conferencing.
Confidentiality and Privacy: Prioritize privacy and confidentiality when participating in online therapy sessions. Choose a quiet and private location for your sessions where you feel comfortable discussing sensitive topics without interruption. Confirm with your therapist that they are using a secure and encrypted video conferencing platform to protect your privacy.
Safety and Comfort: As with traditional therapy, it's essential to feel safe and comfortable during online EMDR sessions. If you experience any technical difficulties or discomfort during a session, communicate openly with your therapist to address concerns and find solutions.

How can EMDR help?

EMDR (Eye Movement Desensitization and Reprocessing) therapy involves a series of standardized processes and procedures designed to help individuals process traumatic memories and alleviate associated distress. While the specific sequence of processes may vary depending on the therapist's approach and the individual's needs, here is a general overview of the key components involved in EMDR therapy:

History Taking and Preparation: The therapist begins by conducting a thorough assessment of the client's history, including past traumatic experiences, current symptoms, and treatment goals. During this phase the therapist and client start to build a working relationship, and the client learns psychoeducation about EMDR therapy in preparation for the upcoming sessions.
Resource Development and Installation: Before processing traumatic memories, the therapist helps the client identify internal and external resources that can provide support and stability during therapy. These resources may include positive memories, coping skills, safe places, or supportive figures. The therapist then guides the individual through techniques to enhance the strength and accessibility of these resources.
Assessment and Target Selection: The therapist collaborates with the client to identify specific traumatic memories or distressing experiences to target for processing. These targets may include past events, current triggers, or future situations related to the trauma. The therapist assesses the level of disturbance associated with each target using subjective units of distress (SUD) ratings.
Desensitization and Reprocessing: During the desensitization phase, the client focuses on the identified target memory while simultaneously engaging in bilateral sensory stimulation, such as following the therapist's finger movements or tapping with their hands or listening to alternating tones. This bilateral stimulation facilitates the processing of the memory, allowing for the integration of fragmented aspects and the desensitization of associated distress.
Installation of Positive Cognitions: As the memory is processed, the therapist helps the client identify and reinforce positive beliefs or self-statements that contradict the negative beliefs associated with the trauma. These positive cognitions are "installed" using bilateral stimulation, enhancing the client's sense of self-efficacy, safety, and resilience.
Body Scan and Closure: After processing each target memory, the therapist guides the client through a body scan to identify any residual tension or discomfort. The client is then guided through relaxation techniques to promote a sense of closure and containment. The therapist may also provide homework assignments or self-regulation strategies for managing any residual distress between sessions.
Re-evaluation and Future Target Planning: Throughout the course of therapy, the therapist periodically reassesses the client's progress and adjusts treatment goals as needed. Additional targets may be identified and processed as the client's symptoms improve, allowing for comprehensive healing and resolution of trauma-related difficulties.