Irene Rowland, MS, NCC, LPC
EMDR stands for Eye Movement Desensitization and Reprocessing.
In addition to the many types of talk therapy, there are also specialized approaches designed specifically to address trauma. The therapy with the most extensive evidence-based research among them is EMDR. It was developed by Francine Shapiro over four decades ago as part of her doctoral work.
One day, when she went for a walk, her eyes naturally moved back and forth as she observed her surroundings, and she noticed she felt calmer than usual afterward. She began to explore the possible connection between bilateral eye movement and emotional relief. The resulting discoveries led to the development of EMDR therapy, which proved so effective that the Veterans Administration adopted it to help treat PTSD in veterans
EMDR Evolution
There is “capital T” trauma and “small t” trauma. Not everyone has experienced capital T trauma such as war, assault, or abuse. On the other hand, almost everyone has experienced small t trauma, such as a teacher embarrassing you in front of a class or repeated moments of rejection or criticism.
Originally, EMDR was reserved for severe, combat-related trauma. Over time, trained therapists began using it with other types of significant life experiences, and the results were consistently positive. Eventually, it became clear that EMDR could also help with less obvious wounds, including insecurities, social anxiety, and difficulty making decisions.
EMDR Uses the Senses
The key to EMDR is bilateral stimulation of the brain—engaging both the right and left hemispheres. This is why Shapiro’s eye movements were significant.
Some therapists use a light bar for clients to follow with their eyes while recalling an experience. However, this may not be suitable for individuals with certain neurological conditions, such as seizure disorders. In those cases, therapists may use hand movements for the client to track visually.
Other practitioners use auditory stimulation, where tones alternate between the ears through headphones. Another option involves the sense of touch, such as vibrating hand-held devices (often called “tappers”) or rhythmic tapping on the knees.
There is even a widely viewed video of Prince Harry demonstrating EMDR techniques, where he crosses his arms and taps his shoulders alternately.
How Does the Therapy Work?
We all have short-term and long-term memory systems. When trauma occurs, memories are not always processed and stored properly. As a result, when something in the present reminds us of the past, our brain may react as if the original event is happening again.
This can trigger a fight-or-flight response, leading to what may seem like an overreaction. Many of us have witnessed situations where a relatively small comment leads to a disproportionate emotional response. In reality, the person may be responding not only to the present moment, but also to unprocessed past experiences.
EMDR helps reprocess these memories, allowing the brain to store them in a healthier way—almost like placing a date and time stamp on them. The memory remains, but its emotional intensity is reduced, allowing individuals to respond to the present without being overwhelmed by the past.
Signs of Healing
No one can say exactly how many sessions therapy will take, and EMDR is no exception. However, we do know that it works by addressing root causes, including negative core beliefs about oneself.
It is also generally faster than traditional talk therapy. Clients often report sleeping better, feeling more at peace, and responding differently to situations—sometimes without fully realizing why, except that EMDR has been part of their sessions.
What Might Surface During EMDR
During EMDR, memories—sometimes clear, sometimes fragmented—may arise. Some thoughts are symbolic. Sometimes their meaning becomes clear; other times, it remains a mystery.
Understanding the meaning can feel like “the icing on the cake,” but healing does not depend on full understanding. The process works whether or not everything makes logical sense.
A helpful comparison is prayer. Sometimes we are aware of others praying for us; other times, we are not. Either way, healing can still occur.
For example, someone might visualize a clown carrying a brick. This could symbolize feeling foolish while carrying a heavy burden. Others may experience physical sensations, such as chills, tightness, or headaches. Emotions like sadness, peace, or even joy may emerge. Sometimes what surfaces is a question, a word, or even just a color.
In many cases, visual imagery is the most commonly reported experience.
My Personal Testimony
I first heard about EMDR during graduate school while studying to become a mental health counselor. To be honest, I thought both the method and the presenter seemed unusual, and I was skeptical.
I continued through my internship and early career without giving EMDR much thought. However, when I began working at Holy Family Counseling Center, I discovered that my supervisor used EMDR with great success. This surprised me, as I respected him deeply.
After hearing numerous success stories, I eventually considered training. The opportunity required a significant investment of time and money, and I did not make the decision lightly. Through prayer and reflection, I felt led to pursue it.
During the training, we were required to practice EMDR with other participants. I intentionally chose a light, non-personal topic, hoping to keep things surface-level. However, during the very first session, I found myself unexpectedly emotional and confronting deeper issues.
In that moment, I realized both the effectiveness of the therapy and the grace present in the process. What I once doubted, I now experienced firsthand.
EMDR Might Be for You
Today, I use EMDR with approximately 80% of my clients, often alongside traditional talk therapy. Many therapists at Holy Family Counseling Center are trained in this method and use it to address both trauma and everyday struggles.
A small number of clients prefer to stick with traditional conversation-based therapy, and that is completely valid. There are many paths toward healing, whether through cognitive behavioral therapy, EMDR, or supportive dialogue.
Thoughts from the Couch
If something in this article resonates with you, it may be worth taking the next step. Healing often begins with a simple, courageous decision—to talk to someone, to explore your story, and to invite hope into places that may feel stuck or unresolved.
At Holy Family Counseling Center, the approach to counseling is both clinically grounded and deeply compassionate, integrating professional expertise with a respect for each person’s emotional, relational, and spiritual life. Whether you are working through past trauma, navigating present challenges, or simply seeking greater clarity and peace, you do not have to do it alone.
You can learn more about available services, meet the counseling team, and begin your journey toward healing by visiting www.holyfamilycounselingcenter.com or calling 678-993-8494.
