EMDR (Eye Movement Desensitization and Reprocessing) is a structured therapy that combines focusing on traumatic memories with bilateral stimulation (often eye movements) to reduce the intensity and emotion associated with those memories. Extensively researched and effective, it’s used to treat trauma and PTSD, and it has shown positive outcomes in disorders like anxiety, depression, OCD, chronic pain, and addiction.
EMDR therapy is a comprehensive approach that combines elements of cognitive behavioral, psychodynamic, and somatic therapies – Arielle Schwartz, The Complex PTSD Treatment Manual, An Integrative, Mind-Body Approach to Trauma Recovery
Recently a case was brought to my attention where a case manager mentioned to a client undergoing EMDR sessions with a licensed practitioner that it was not helping as the client was in therapy for more than the expected duration (based on the case managers expectation).
The idea that EMDR can resolve trauma in a single session is a common and persistent misconception. It’s important to understand why this belief exists and why it’s not accurate.
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Author
Tina Balachandran
Tina is a licensed clinical psychologist with over 18 years of experience across clinical, aviation, and organisational settings. As a Certified Complex Trauma Professional, she uses an integrative strength-based approach to work with adults dealing with trauma and consults with organisations following critical incidents. She also works with couples, helping them learn how to replace negative conflict patterns with positive interactions, repair past hurts, and begin creating a shared meaning and purpose in their relationship.
Complexity of Trauma: Trauma is a complex psychological issue. It often involves deep emotional wounds, distorted beliefs about oneself and the world, and physical sensations tied to distressing memories. Expecting all of this to be addressed in a single session is unrealistic.
- Individual Variability: Every individual’s experience of trauma is unique. Some people may have a single traumatic incident, while others have endured repeated traumas over a long period. The severity and complexity of these experiences can greatly influence the duration of treatment.
- Therapeutic Process: EMDR involves a structured process that includes assessment, preparation, desensitization, installation of positive beliefs, and a closure phase. These stages require time to be completed effectively.
- Safety and Stabilization: Before diving into the reprocessing of traumatic memories, therapists often work with clients to establish a sense of safety and emotional stability. Rushing this stage can be counterproductive.
- Memory Processing: The core of EMDR involves processing traumatic memories, which can be emotionally intense and may require several sessions to address fully. Each session focuses on specific memories and emotions associated with them.
- Individual Progress: Progress in EMDR is highly individualized. Some clients may notice significant improvements after a few sessions, while others may need more extensive therapy to achieve their treatment goals.
- Integration and Coping: After memory processing, clients require time to integrate their newfound perspectives and coping skills into their daily lives. This is an ongoing process that extends beyond a single session.
To sum up, while EMDR can be a highly effective therapeutic approach for trauma and PTSD, it is not a quick or one-session solution. The misconception of rapid resolution can lead to unrealistic expectations and disappointment. It’s crucial for professionals in the field to understand this, and individuals seeking EMDR therapy to work collaboratively with a qualified mental health professional who can provide guidance and develop a treatment plan tailored to their unique needs and experiences.
Healing from trauma is a journey that requires time, patience, and a structured therapeutic process. And a safe and supportive environment to heal and rebuild life.
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Author
Tina Balachandran
Tina is a licensed clinical psychologist with over 18 years of experience across clinical, aviation, and organisational settings. As a Certified Complex Trauma Professional, she uses an integrative strength-based approach to work with adults dealing with trauma and consults with organisations following critical incidents. She also works with couples, helping them learn how to replace negative conflict patterns with positive interactions, repair past hurts, and begin creating a shared meaning and purpose in their relationship.