EMDR therapy works by activating the brain's natural adaptive information processing system through bilateral stimulation (eye movements, taps, or tones). This stimulation helps the brain reprocess traumatic memories in a way that reduces their emotional charge. While some discussion of the traumatic memory is necessary for assessment and targeting, extensive retelling is not required. The brain does the healing work through its natural processing mechanisms.

EMDR is effective for various types of trauma, including single-incident trauma (accidents, assaults), complex trauma (childhood abuse, prolonged exposure), and developmental trauma. However, suitability depends on individual factors such as current stability, support systems, and specific trauma history. An initial assessment helps determine if EMDR is appropriate for your situation and whether any preparatory work is needed before beginning trauma processing.

Bilateral stimulation in EMDR is typically experienced as gentle and non-intrusive. The most common method is following the therapist's fingers with your eyes as they move back and forth. Other methods include alternating taps on your hands or knees, or listening to alternating tones through headphones. Most clients find the experience comfortable and report that it helps them stay focused while allowing their mind to process the memory naturally.

The number of EMDR sessions varies depending on the complexity of the trauma, number of target memories, and individual response to treatment. For single-incident trauma, significant improvement is often seen within 3-6 processing sessions. For complex trauma or multiple traumatic events, more sessions may be needed. The initial phases (history-taking and preparation) typically require additional sessions before processing begins. We'll discuss an estimated timeline during your assessment.

Yes, EMDR can be effectively combined with other therapeutic approaches. Many clients benefit from integrating EMDR with other therapies such as cognitive-behavioral therapy (CBT), mindfulness practices, or somatic experiencing. The combination depends on your specific needs and goals. Some clients use EMDR to process specific traumatic memories while continuing with other therapies for current coping skills or relationship issues. We'll work with you to develop an integrated treatment plan if needed.