What is emdr therapy
Last updated: April 1, 2026
Key Facts
- Developed in 1987 by Francine Shapiro for treating post-traumatic stress disorder (PTSD)
- Uses rapid bilateral eye movements or other stimulation while processing traumatic memories
- Involves eight structured phases including history-taking, preparation, and trauma processing
- Effective for PTSD, anxiety disorders, depression, phobias, and other trauma-related conditions
- FDA-approved and recommended by the American Psychological Association and international mental health organizations
What is EMDR?
Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based psychotherapy technique developed in 1987 to treat trauma-related psychological disorders. The therapy combines guided eye movements with trauma processing, helping clients reprocess traumatic memories in a way that reduces their emotional intensity and psychological impact.
How EMDR Works
EMDR operates on the principle that bilateral stimulation (typically rapid eye movements) while recalling traumatic memories helps the brain process these experiences more effectively. The therapist guides the client to follow their finger or a light back and forth while focusing on traumatic memories. This combined process appears to activate the brain's natural healing mechanisms, allowing traumatic memories to be integrated and filed away like other processed memories.
The Eight Phases of EMDR
EMDR treatment follows a structured protocol: Phase 1-2: History and Preparation establishing safety and rapport; Phase 3: Assessment identifying target memories; Phase 4-6: Processing using eye movements while processing memories; Phase 7: Closure ensuring stability; Phase 8: Re-evaluation assessing progress. Each session typically lasts 60-90 minutes.
Conditions Treated
EMDR is primarily used to treat PTSD from combat, accidents, assault, or abuse, but has shown effectiveness for anxiety disorders, depression, phobias, panic disorder, performance anxiety, and other trauma-related conditions. Research continues to expand its applications in mental health treatment.
Effectiveness and Evidence
Numerous randomized controlled trials have demonstrated EMDR's effectiveness, with rates of trauma resolution comparable to or exceeding traditional cognitive-behavioral therapy. The American Psychological Association and Department of Veterans Affairs recommend EMDR as a frontline treatment for PTSD.
Related Questions
How long does EMDR therapy typically take to work?
Most clients see significant improvement within 3-12 sessions, though complex trauma may require 20-30 sessions. Results depend on trauma severity, client stability, and treatment consistency. Some clients experience relief in as few as 1-3 sessions.
What conditions does EMDR therapy treat besides PTSD?
EMDR treats anxiety disorders, depression, panic disorder, phobias, performance anxiety, grief, chronic pain, and distressing memories. It's increasingly used for any condition where traumatic or distressing memories are contributing factors.
How do I find a certified EMDR therapist?
Search the EMDR International Association (EMDRIA) therapist directory online, check with your insurance provider, contact local mental health clinics, or ask your primary care doctor for referrals. Ensure your therapist has completed EMDR training and certification.
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Sources
- Wikipedia - EMDR CC-BY-SA-4.0
- American Psychological Association CC0
- EMDR International Association Standard