What Is Eye Movement Desensitization And Reprocessing (EMDR)?

This information handout provides a succinct overview of EMDR, a therapeutic approach effective for treating PTSD and other conditions involving intrusive and distressing memories.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Eye movement desensitization and reprocessing (EMDR) is a therapeutic approach which uses bilateral stimulation to help people to process distressing memories. While the evidence base for EMDR most strongly supports its use with Post-Traumatic Stress Disorder (PTSD), it has also been successfully applied to a variety of other conditions where disturbing memories are integral.

This information handout outlines key principles of EMDR, and is designed to give clients a clear introduction to this approach.

Why Use This Resource?

EMDR is an effective and evidence-based treatment for PTSD, but many clients enter therapy without a clear idea of what it will involve.

  • Articulates EMDR's key principles and session components.
  • Supports informed treatment choices through psychoeducation.
  • Facilitates therapists’ understanding and communication of EMDR’s applications.

Key Benefits

Clarity

Provides a concise, accessible explanation of EMDR, improving client understanding.

Decision Making

Helps clients evaluate whether EMDR aligns with their needs by outlining its principles and applications.

Signposting

Supports therapists in introducing EMDR at appropriate points in treatment.

Who is this for?

Post-Traumatic Stress Disorder (PTSD)

Where unprocessed traumatic memories contribute to flashbacks, hyperarousal, or avoidance.

Complex PTSD (CPTSD)

When repeated or prolonged trauma has led to emotional dysregulation, negative self-concept, and relational difficulties.

Intrusive Memories

For clients experiencing unwanted recollections that disrupt daily functioning, regardless of diagnostic category.

Integrating it into your practice

01

Educate

Use as a psychoeducational tool to introduce EMDR principles to clients.

02

Discuss

Initiate discussions on its potential benefits tailored to specific client needs.

Theoretical Background & Therapist Guidance

Eye movement desensitization and reprocessing (EMDR) is based on the premise that psychological distress can arise from unprocessed or maladaptively stored memories of adverse experiences. According to the adaptive information processing (AIP) model (Shapiro, 2001), traumatic or disturbing events may overwhelm the brain’s natural information processing system, leaving memories 'frozen' in their original emotional, somatic, and sensory form.

EMDR facilitates reprocessing of these memories through the use of bilateral stimulation — typically eye movements, taps, or alternating sounds — while the client attends to traumatic material. Research suggests that this bilateral stimulation activates working memory and may enhance cognitive flexibility, enabling the integration of traumatic memories into a more adaptive narrative (van den Hout & Engelhard, 2012; Lee & Cuijpers, 2013).

Numerous randomized controlled trials and meta-analyses support EMDR’s efficacy, particularly for post-traumatic stress disorder (PTSD) (Bisson et al., 2013; Lewis et al., 2020), with additional research indicating benefits for related conditions such as complex PTSD (CPTSD), anxiety disorders, and depression where trauma plays a contributory role (Valiente-Gómez et al., 2017; Dominguez & Lee, 2017).

What's inside

  • A comprehensive one-page handout detailing EMDR’s fundamentals.
  • Helpful for client education and therapy planning.
  • Insight into typical EMDR session procedures and theory.
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FAQs

EMDR is a psychotherapy approach using bilateral stimulation to process traumatic memories.
EMDR focuses on processing unprocessed traumatic memories through specific eye movements or bilateral stimuli.
Primarily PTSD patients though it may help with other conditions involving trauma memories.
Introduce EMDR gently, starting with informational handouts and discussions on its non-invasive nature. Some EMDR protocols allow for patients to complete the work without having to disclose what happened to them.
Session length varies; generally, 8-12 sessions for simpler traumas, longer for multiple or complex traumas.

How This Resource Improves Clinical Outcomes

This resource enhances outcomes by equipping therapists and clients with a clear understanding of EMDR, encouraging informed treatment decisions. It supports:

This resource enhances outcomes by equipping therapists and clients with a clear understanding of EMDR, encouraging informed treatment decisions. It supports:

  • Better client comprehension of trauma processing.
  • Empowered treatment choices based on informed understanding.
  • Enhanced therapist confidence in explaining EMDR’s roles.

References And Further Reading

  • Bisson, J. I., Roberts, N. P., Andrew, M., Cooper, R., & Lewis, C. (2013). Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults. Cochrane Database of Systematic Reviews, (12).
  • Dominguez, S., & Lee, C. W. (2017). EMDR for depression: A meta-analysis. European Journal of Trauma & Dissociation, 1(2), 53-59.
  • Lee, C. W., & Cuijpers, P. (2013). A meta-analysis of the contribution of eye movements in EMDR therapy. Psychological Bulletin, 139(2), 241-262.
  • Lewis, C., Roberts, N. P., Andrew, M., Starling, E., & Bisson, J. I. (2020). Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis. European Journal of Psychotraumatology, 11(1), 1729633.
  • Shapiro, F. (2001). Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures (2nd ed.). Guilford Press.
  • Valiente-Gómez, A., Moreno-Alcázar, A., Radua, J., et al. (2017). EMDR beyond PTSD: A systematic literature review. Frontiers in Psychology, 8, 1668.
  • van den Hout, M. A., & Engelhard, I. M. (2012). How does EMDR work? Journal of Experimental Psychopathology, 3(5), 724-738.