Eye movement desensitization and reprocessing (EMDR) has become a hugely popular therapy in the realm of addressing trauma. Because EMDR has a fairly rigid session structure, many people ask how long it will take them to see the healing effects of their therapy. The answer isn’t so easy—the process of healing from trauma varies from person to person. Understanding the factors that influence its timeline can help you decide whether EMDR is a path you’d like to embark on.
What is EMDR?
EMDR is a psychotherapeutic technique developed by Francine Shapiro in the late ’80s. It’s primarily used to ease the distress associated with traumatic memories. This therapy incorporates a structured eight-phase approach that eventually integrates bilateral stimulation (typically eye movements). These side-to-side eye movements aid the brain in processing traumatic memories “correctly,” which ideally removes their negative effects (triggers, panic, and anxiety, for example). By transforming the way these memories are stored, the client is able to adaptively integrate them. EMDR empowers people to reframe and gain a new understanding of their traumatic experiences.
What to Expect From EMDR Sessions
The eight phases of EMDR are:
- History and treatment planning
- Preparation
- Assessment
- Desensitization
- Installation
- Body scan
- Closure
- Reevaluation
These phases take a client through targeting a memory, preparing for the bilateral stimulation by discussing prior history, developing healthy coping skills for the negative feelings that might come up, and evaluating how they feel after each session. Typically, a client will see an EMDR therapist for eight to 12 sessions that last 90 minutes each. These phases can be repeated as needed, so the number of sessions may expand depending on a person’s needs. Here are several factors that can influence how long EMDR takes.
The Nature and Severity of Trauma
The type and severity of the trauma targeted in therapy play a crucial role in determining the duration of EMDR. Single-incident traumas, such as car accidents or natural disasters, may require fewer sessions than complex, long-term traumas like childhood abuse or combat experiences. The depth of emotional wounds and the complexity of the trauma might mean you need to discuss more than one target memory with your therapist.
Session Frequency
The frequency and consistency of EMDR sessions obviously also impact how long the therapy will take. Some people may choose to attend sessions weekly, while others might want a more intensive approach with multiple sessions per week. The pace at which someone progresses through EMDR’s eight phases changes depending on how frequently they see their therapist. It’s also important not to rush through these phases. Getting to the bilateral stimulation as quickly as possible doesn’t actually speed up healing; the prep work is just as important as that fourth phase. Instead, by focusing on actively engaging with their therapeutic work, you’ll get the most out of your therapy without it dragging on.
The Bond Between Client and Therapist
The therapeutic alliance between the client and their therapist is a very important factor in the success of EMDR. A strong, trusting relationship will create a safe space for you to explore and process your traumatic memories. If there are challenges in establishing that trust, it can take longer for the therapy to progress.
Is EMDR Right For You?
Admitting you need help isn’t easy, but it’s the first step to getting the help and relief you deserve. Whether you’re looking to heal from past trauma or traditional talk therapies haven’t worked for you, EMDR could be a great option. To find out more about whether EMDR is a good fit for you, please reach out to us.