EMDR, Eye Movement Desensitization and Reprocessing, is a technique that has been shown to produce positive results in the treatment of PTSD (Post-Traumatic Stress Disorder) and disturbing memories or thoughts, as well as other psychological disturbances. The technique was initially developed by Francine Shapiro, Ph.D., in the late 1980s. Shapiro noticed that moving her eyes in a certain way enabled her to process her own disturbing thoughts more effectively. She commenced on a long and rigorous course of experimentation, research and study to determine how and why the technique works. Shapiro theorized that the eye movements used in EMDR mimic REM, the rapid eye movement which happens during dreaming. The bilateral stimulation of the left and right hemispheres of the brain seems to facilitate the processing of unresolved or “frozen” disturbing or traumatic memories that have previously remained stored in the brain and that can be re-experienced as flashbacks when triggered, causing the symptoms of PTSD. With EMDR processing, the memory is resolved or “processed” and the symptoms abate. After many studies and trials, EMDR is now recognized as an effective, evidence-based tool in the treatment of PTSD. In addition, the technique can be successfully used to treat a variety of psychiatric disorders, mental health problems and somatic symptoms. Because of the frequency of trauma and adverse childhood and life experiences among addicts and alcoholics, EMDR is a valuable tool in substance abuse treatment. 

The technique is a standardized series of procedures and protocols which incorporates bilateral visual, auditory and/or tactile stimulation. The therapist introduces the back and forth eye movement, or other bilateral stimulation, while the client identifies and re-processes the disturbance, negative thoughts and future templates associated with the disturbing experience. This allows the client to resolve the disturbance, end any flashbacks brought on by triggers, and develop a view of positive adaptive future outcomes. Thus, EMDR enables the client to process the past, triggers in the present, and future templates that have been creating disturbance and maladaptive responses and behaviors based on unprocessed past negative experiences. 

My experience as a Certified EMDR therapist is nothing short of amazement at the efficacy of this simple, yet powerful technique. By waving my fingers or using another visual device (in a specific, timed and calculated manner) in front of the client’s eyes and having them follow my fingers or other tool with their eyes, while remembering the event, thought, or sensation that is disturbing them, they are able to move through what might take weeks of talk therapy (if they were even able to access it in that manner) in often a few, short sessions. EMDR is not a cure-all, but is a very effective tool that can enhance many different therapeutic modalities. It incorporates CBT, Visualization, Breath-work, DBT, EFT, Gestalt, Hypnosis, 

Internal Family Systems Theory, NLP, Solution Focused Therapy, Somatic Experiencing and Congruent Therapies as various components. 

The idea of online therapy and EMDR is not entirely new. The VA and military have utilized the technique for remote virtual therapy, and preliminary clinical trials (https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC3901444/) support the efficacy of internet delivery. I have clients that prefer and find online EMDR more effective than in-person sessions. At Stepstone Connect our clients appreciate the convenience and ease of experiencing EMDR at home or in another comfortable and supportive setting. 

We are so excited to be able to offer EMDR as a healing modality and tool here at Stepstone Connect and to provide our clients with proven, evidence based therapies to assist them in their healing from trauma. EMDR is truly a release from the past, present and future disturbances of past trauma and the related persistent and progressive cycle of addiction.

Elizabeth Ossip, LCSW is a Therapist at Stepstone Connect and a specialist in the treatment of trauma and addictions, certified in EMDR. 

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