Eye Movement Desensitization and Reprocessing (EMDR)
Eye Movement Desensitization and Reprocessing (EMDR) is a specialized therapeutic approach primarily used to treat trauma-related symptoms and distress. It's recognized as an effective treatment for post-traumatic stress disorder (PTSD) and other trauma-related conditions.
At times, trauma is experienced as an acute event, with book ends of a
specific start and stop time. However, trauma can also be experienced
in a chronic and cumulative manner, often spanning multiple phases of
development. When trauma is protracted or complex in nature, Dr.
Swaroop often engages clients in EMDR. This approach has been lauded and empirically validated as an effective treatment for multiple
traumatic exposures.
Here's how EMDR works for clients seeking therapy:
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Assessment and Preparation: Before starting EMDR therapy, the therapist conducts an assessment to understand the client's history, symptoms, and treatment goals. They also assess the client's readiness for EMDR and provide education about the process.
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Establishing Safety and Coping Skills: In the initial sessions, the therapist works with the client to establish a sense of safety and develop coping skills to manage distress. This may involve relaxation techniques, mindfulness exercises, or grounding strategies.
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Target Identification: The therapist collaborates with the client to identify specific memories, beliefs, or experiences that are causing distress. These targets typically relate to past traumatic events, but they can also include current situations or future concerns.
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Desensitization Phase: During the desensitization phase, the therapist guides the client through a series of bilateral stimulation exercises while focusing on the identified target. This bilateral stimulation can take various forms, such as following the therapist's finger movements with the eyes, listening to alternating sounds, or tactile stimulation. The client simultaneously holds the target memory or image in mind while noticing any associated thoughts, emotions, or physical sensations.
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Processing: As the bilateral stimulation continues, the client's internal experience begins to shift. They may notice changes in the intensity or quality of their thoughts and feelings related to the target memory. The therapist encourages the client to allow whatever comes up to surface without judgment, facilitating the processing of the traumatic material.
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Integration: Through the processing phase, the client may experience insights, shifts in perspective, or resolution of distressing emotions associated with the target memory. The therapist helps the client integrate these new insights and experiences into their broader understanding of themselves and their past.
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Reevaluation and Follow-Up: After processing a target memory, the therapist evaluates the client's response and checks for any remaining distress. Additional targets may be identified and processed as needed. Throughout treatment, the therapist monitors progress and provides support as the client works through their trauma-related symptoms.
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Closure and Reevaluation: At the end of each session, the therapist guides the client through a closing process to ensure they feel grounded and stable. They may also provide strategies for self-care and emotional regulation between sessions. Over time, the client experiences a reduction in symptoms and an increased sense of empowerment and resilience.
EMDR is a structured and evidence-based therapy that can lead to
significant improvements in symptoms related to trauma and other
distressing experiences. It works by facilitating the natural healing
processes of the brain, allowing clients to process and integrate
traumatic memories in a safe and supportive environment
Dr. Swaroop's recommended links for EMDR:
EMDR International Organization:
https://www.emdria.org/
Find an EMDR provider tool:
https://www.emdria.org/find-an-emdr-therapist/
Cleveland Clinic & EMDR:
https://my.clevelandclinic.org/health/treatments/22641-emdr-therapy
APA & EMDR:
https://www.apa.org/ptsd-guideline/treatments/eye-movement-reprocessing
Every Memory Deserves Respect:
https://www.everymemorydeservesrespect.com/about-deborah-korn-psyd