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If you’ve come across the term EMDR before, there’s a good chance your first reaction was: wait, what?

EMDR stands for Eye Movement Desensitization and Reprocessing. It’s a mouthful. And once you get past the name, the concept raises its own questions: how does moving your eyes in a specific pattern help heal trauma?

It sounds a little out there, but EMDR is one of the most researched, evidence-backed treatments we have for trauma and PTSD.

To break down what it actually is, how it works, and who it’s for, we asked Jamie Sullivan, Psychiatric Nurse Practitioner at Lavender. Here’s what you need to know about EMDR therapy.

Jamie Sullivan, MSN, PMHNP-BC

Written and clinically reviewed by

Jamie Sullivan, MSN, PMHNP-BC

Psychiatric Nurse Practitioner at Lavender

What Is EMDR Therapy?

When most people hear the word “trauma,” they picture something dramatic: a single, obvious, life-altering event. In reality, trauma is often quieter and more common than that. Most of us carry some kind of difficult or painful experience, even if we’d never think to label it “trauma.”

The good news is that trauma can be healed, and EMDR is one of the most effective ways to do it.

EMDR stands for Eye Movement Desensitization and Reprocessing. At its core, the therapy works to make traumatic memories feel less distressing over time, while also helping to reshape the negative beliefs people often form about themselves because of those events.

In a traditional EMDR session, you move your eyes from side to side while recalling a traumatic experience. That side-to-side movement engages both sides of the brain, and helps reduce the emotional charge of the memory and making it easier to process (1,2).

What Does EMDR Treat?

EMDR was originally developed to treat PTSD. Its creator, Francine Shapiro, first studied it with Vietnam veterans and survivors of assault, and found it significantly reduced the distress tied to their traumatic memories. Since then, research has shown EMDR can also be effective for phobias, panic disorders, anxiety, depression, addiction, and chronic pain, among other conditions (2).

For people who’ve tried traditional talk therapy before, EMDR can feel different, and for many, that’s part of the appeal. You don’t need to talk through your trauma in detail for it to work. It’s also been shown to produce results faster than talk therapy in some cases, since it targets the memory more directly at the source (2).

How Does EMDR Work?

EMDR follows a structured process made up of eight phases. It sounds clinical, but in practice it’s a very intuitive flow.

How Does EMDR Work?
1

Getting to know you

Your first sessions are about building a relationship with your clinician: sharing your history, your goals for treatment, and making sure the fit feels right.

2

Preparing for the work

Before diving into any difficult memories, you and your clinician build coping tools and resources you can lean on during and between sessions.

3

Choosing a target

Together, you identify a specific memory to work on, along with the belief you currently hold about it and the belief you'd like to hold instead.

4

Reprocessing the memory

This is where bilateral stimulation, or BLS, comes in: alternating left-right movement or sensation, like guided eye movements, tapping on opposite sides of the body, or sound that alternates between ears. Your therapist guides you through short sets of this (around 50 seconds each), checking in along the way, until the memory no longer feels as charged.

5

Strengthening the new belief

More sets of BLS help reinforce the more positive belief you identified earlier, making it feel more true and more solid.

6

Checking in with the body

Trauma often lives in the body, not just the mind. You'll scan for any physical tension or sensation connected to the memory and use additional BLS to help release it.

7

Closing out the session

Your therapist helps you transition out of the work and lets you know what to expect before your next appointment.

8

Following up

At your next session, you'll revisit the memory together. If it still feels distressing, you continue reprocessing. If it doesn't, that memory is considered fully processed.

Is EMDR Effective? What the Evidence Says

EMDR can feel unusual at first, especially if you’re used to traditional talk therapy. But there’s a strong body of research behind it. The World Health Organization and the American Psychological Association both recommend EMDR as a first option for treating PTSD. It also has good supporting evidence for anxiety disorders, depression, addiction, eating disorders, OCD, personality disorders, and various other forms of trauma (5).

If you want to dig into the research yourself, the EMDR International Association (EMDRIA) is a great place to start. They maintain solid, accessible resources on the therapy and its evidence base (1).

Your EMDR Questions, Answered

It varies a lot depending on what you’re working through. A single traumatic event like a car accident, for example, might take just a few months to fully process. Complex or longstanding trauma can take longer, sometimes years (6). Generally speaking, EMDR tends to move faster than traditional talk therapy for comparable issues.

Yes! For virtual sessions, we use tools like a moving on-screen dot or bilateral audio through headphones. Based on current research and our own clinical experience, the therapeutic effect translates well.

Yes. EMDR has been shown to be safe and effective for kids and teens (4). It looks a bit different in practice: bilateral stimulation might involve tapping a stuffed animal, stomping feet, or a therapist gently tapping a child’s shoulder while they play. As with any therapy for younger clients, play and developmental stage shape how it’s delivered.

No. You can share as much or as little detail as you’re comfortable with, and generally, your therapist just needs the basics. Some EMDR techniques don’t require describing the event at all. One method, called pendulation, only asks you to assign the memory a single cue word.

This is exactly what the preparation phase is for. Early on, you and your therapist build coping tools for moments like this. One common one is the “container exercise,” where you visualize placing distressing material into a container and setting it aside until your next session. If you’re struggling between sessions, reach out to your clinician; they can talk you through it.

So, is EMDR Therapy for you?

EMDR is one of the most well-researched treatments available for trauma and PTSD, and for many people, it can be a powerful way to process difficult experiences without having to relive every detail.

The right trauma treatment looks different for everyone. While EMDR can be highly effective, it’s one of several approaches that may help depending on your symptoms, history, and goals. If you’re considering treatment for trauma, anxiety, or PTSD, our Psychiatric Nurse Practitioners are here to help you understand your options and build a care plan that’s tailored to your needs. We have a limited number of clinicians who offer EMDR, but we can always point you in the right direction for the care you need. You can reach out to our team or fill out our intake form to book an appointment.

If you’re carrying the weight of a traumatic experience, know that things can get better. Healing doesn’t mean forgetting what happened, it means it no longer controls your day-to-day life.

Jamie Sullivan

About the Author Jamie Sullivan, MSN, PMHNP-BC, is a board-certified psychiatric nurse practitioner with 12 years of experience. She provides specialized care to clients across Pennsylvania, with expertise in maternal mental health, depression, and anxiety. She believes in the importance of building strong therapeutic relationships, and using therapy and medication together to help clients reach their goals.


References

  1. EMDR International Association — emdria.org/about-emdr-therapy
  2. American Psychological Association. (n.d.). Eye movement desensitization and reprocessing (EMDR) therapy. American Psychological Association. https://www.apa.org/ptsd-guideline/treatments/eye-movement-reprocessing
  3. Shapiro, F. Eye Movement Desensitization and Reprocessing (EMDR) Therapy, 3rd edition.
  4. Hoppen TH, Wessarges L, Jehn M, et al. “Psychological Interventions for Pediatric Posttraumatic Stress Disorder: A Systematic Review and Network Meta-Analysis.” JAMA Psychiatry. 2025;82(2):130–141.
  5. de Jongh A, de Roos C, El-Leithy S. “State of the science: Eye movement desensitization and reprocessing (EMDR) therapy.” J Trauma Stress. 2024 Apr;37(2):205-216.
  6. Sutton, A., Carroll, C., Simpson, E., et al. “Clinical and Cost-Effectiveness of Eye Movement Desensitisation and Reprocessing for Post-Traumatic Stress Disorder in Children and Adolescents: A Systematic Review and Meta-Analysis.” Clinical Psychology & Psychotherapy. 2025;32(6):e70186.

All content and information on this website are for informational purposes only. None of the material is intended to be a substitute for professional medical advice, diagnosis, or treatment. This information does not create any client-provider relationship. Please consult with your mental health care provider before making any health care decisions or for guidance about a specific medical condition.

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