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Eye Movement Desensitization and Reprocessing (EMDR)

Eye Movement Desensitization and Reprocessing (EMDR) therapy (Shapiro, 2001) was initially developed in 1987 for the treatment of post-traumatic stress disorder (PTSD) and is guided by the Adaptive Information Processing model (Shapiro, 2007). EMDR is an individual therapy typically delivered one to two times per week for a total of 6-12 sessions, though some people benefit from fewer sessions. Sessions can be conducted on consecutive days.

A structured therapy that encourages the patient to briefly focus on the trauma memory while simultaneously experiencing bilateral stimulation (typically eye movements), which is associated with a reduction in the vividness and emotion associated with the trauma memories.

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EMDR therapy uses a structured eight-phase approach that includes:

  • Phase 1: History-taking

  • Phase 2: Preparing the client

  • Phase 3: Assessing the target memory

  • Phases 4-7: Processing the memory to adaptive resolution

  • Phase 8: Evaluating treatment results

Processing of a specific memory is generally completed within one to three sessions. EMDR therapy differs from other trauma-focused treatments in that it does not include extended exposure to the distressing memory, detailed descriptions of the trauma, challenging of dysfunctional beliefs, or homework assignments.

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