What is EMDR?
The mind can often heal itself naturally, in the same way as the body does. Much of this natural coping mechanism occurs during sleep, particularly during rapid eye movement (REM) sleep. Francine Shapiro developed Eye Movement Desensitisation and Reprocessing (EMDR) in 1987, utilising this natural process to successfully treat Post-traumatic Stress Disorder (PTSD). Since then, EMDR has been used to effectively treat a wide range of mental health problems.
Trauma and the body
Most of the time the body routinely manages new information and experiences without you being aware of it. However, when something out of the ordinary occurs and you are traumatised by an overwhelming event (e.g. a car accident) or by being repeatedly subjected to distress (e.g. childhood neglect), your natural coping mechanism can become overloaded. This overloading can result in disturbing experiences remaining frozen in your brain or being "unprocessed". Such unprocessed memories and feelings are stored in the limbic system of your brain in a "raw" and emotional form, rather than in a verbal “story” mode. This limbic system maintains traumatic memories in an isolated memory network that is associated with emotions and physical sensations, and which are disconnected from the brain’s cortex where we use language to store memories.
The limbic system’s traumatic memories can be continually triggered when you experience events like the difficult experiences you have been through. Often the memory itself is long forgotten, but the painful feelings such as anxiety, panic, anger or despair are continually triggered in the present. Your ability to live in the present and learn from new experiences can therefore become inhibited. EMDR helps create the connections between your brain’s memory networks, enabling your brain to process the traumatic memory in a very natural way.
How EMDR works in session
EMDR utilises the natural healing ability of your body. After a thorough assessment, you will be asked specific questions about a particular disturbing memory. Eye movements, like those during REM sleep, will be recreated simply by asking you to watch the therapist's finger moving backwards and forwards across your visual field, or by using tapping, or bilateral pulsers. The eye movements/bilateral stimulation will last for a short while and then stop. You will then be asked to report back on the experiences you have had during each of these sets of eye movements. Experiences during a session may include changes in thoughts, images, and feelings. Your experience will be unique to you. Everyone processes differently and exactly how they need to.
With repeated sets of eye movements, the memory tends to change in such a way that it loses its painful intensity and simply becomes a neutral memory of an event in the past. Other associated memories may also heal at the same time. This linking of related memories can lead to a dramatic and rapid improvement in many aspects of your life.
What can EMDR be used for?
In addition to its use for the treatment of Post-traumatic Stress Disorder, EMDR has been successfully used to treat:
attachment and complex trauma
anxiety and panic attacks
pain relief, phantom limb pain
self-esteem and performance anxiety
Who can benefit from EMDR?
EMDR can accelerate therapy by resolving the impact of past traumas and allow the client to live more fully in the present. The process is rapid, and any disturbing experiences, if they occur at all, last for a comparatively short period of time. It’s important, however, for the client to be aware that strong feelings and disturbing thoughts might occur during session, and the client will need to be willing to experience this. Because of this, not everyone will find this treatment appropriate. Some people, however, may prefer this treatment to prescription medications, which can have unexpected side effects, others may find that EMDR therapy strengthens the effectiveness of their medications.
How long does treatment take?
EMDR is an individual therapy typically delivered one to two time per week, lasting between 1 hour to 1.5 hours per session, for an average of 6 – 12 sessions, although some people need fewer and some more sessions. In general, the more isolated the traumatic memory being treated the shorter the treatment tends to be. People with multiple, deep rooted traumas and/or complex histories, e.g., childhood abuse or neglect, may require more extensive therapy. In these cases, it can take up to 20 sessions, including substantial preparatory work, in addition to a full assessment, which is carried out to highlight targets and inform a focused therapeutic plan.
Will I remain in control and empowered?
During EMDR treatment, you will remain in control, fully alert and wide-awake. This is not a form of hypnosis and you can stop the process at any time. Throughout the session, the therapist will support and facilitate your own self-healing and intervene as little as possible. Reprocessing is usually experienced as something that happens spontaneously, and new connections and insights are felt to arise quite naturally from within. As a result, most people experience EMDR as being a natural and very empowering therapy.
What evidence is there that EMDR is a successful treatment?
EMDR is an innovative clinical treatment which has successfully helped millions of individuals for around 35 years. The validity and reliability of EMDR has been established by rigorous research. According to the EMDR Institute, there are now more than 30 controlled outcome studies into EMDR, making it the most thoroughly researched method used in the treatment of trauma, all of which showed that it has positive effects. In some of these studies, as many as 90% of trauma survivors appeared to have no PTSD symptoms after a few sessions. See details on www.emdr-europe.org and www.emdr.org. EMDR is recommended by the National Institute for Health and Clinical Excellence (NICE) as an effective treatment for PTSD.
on approaches and techniques used
Patterns of Chronicity
A pattern of chronicity is a behavioural pattern that serves to defend the problem from therapeutic change. These patterns can be readily discovered through simple linguistic analysis of the ways in which the client expresses themselves.
Whilst a therapeutic process aims at helping the client solve the problem, the client may experience it as a threat to the elements of their identity structure. As a result, the patterns of chronicity allow the client to avoid involvement in the change process or even to sabotage it.
IEMT offers the model of recognition of those patterns and helps the therapist to cross the barriers that would otherwise prevent the client from improving their condition.
IEMT identifies five key patterns of chronicity:
The Three-Stage Overreaction (formerly known as “The 3 Stage Abreaction”).
The Maybe Man.
The Great Big “What if” Question.
Testing for Existence of the Problem Rather Than Testing for Change
“Being at Effect” rather than “Being at Cause”.
Emotional Freedom Technique (EFT)
Emotional Freedom Technique, or EFT, is a form of psychological intervention that draws on various theories and modalities, including acupuncture, neuro-linguistic programming (NLP), energy medicine, and Thought Field Therapy.
The field of energy psychology, of which EFT is a part, is an emerging modality based on principles that are at least 4,500 years old; those same principles which are the foundation of disciplines such as acupuncture and acupressure, where specific points on the skin are stimulated in order to create distinct neurological effects.
EFT has been described as a form of ‘psychological acupuncture’; it is a way of quickly and efficiently reducing high levels of negative emotion (e.g. panic, stress, anger) to more manageable levels, through tapping on a series of specific points on the body and making a series of eye movements.
By stimulating the flow of energy, the body’s own healing network can be activated. It has been used to treat psychological and emotional reactions such as phobias, anxiety, depression, anger issues, shame, guilt, and unconscious, negative self-beliefs, as well as physiological issues such as the physical effects of stress (for example headaches). It has also been used to address un-useful habits of thought and behavioural patterns.
It may also help with deeper psychological issues, such as trauma, when used in conjunction with other, traditional psychotherapeutic approaches.
EFT is very easy tool to learn and to teach to others, which makes it a useful tool when working with clients, as it offers them an effective tool to use between sessions, and it gives them a tool for life. It should not be used to treat any condition which is outside your current therapeutic scope of practice.