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EMDR

A trauma therapy in which a person holds a memory in mind while following alternating eye movements, taps or tones. Clinicians disagree about why it works, but several agree on where it fits and how carefully it must be paced.

Our summary of the approach · 12 claims from 3 people, in their own words

Filter & sortEveryone, our order12 claims

Traumatic memories are poorly integrated and cannot take in new information.

  1. Arielle Schwartz by Clinical psychologist, EMDR consultant and yoga teacher in Boulder, Colorado These memories are not integrated with other positive experiences and are limited in their ability to accommodate new information. How Does EMDR Therapy Work?drarielleschwartz.com · by 27 Oct 2017
    These memories are not integrated with other positive experiences and are limited in their ability to accommodate new information.

How EMDR works is still being discovered, and the proposed mechanisms are not mutually exclusive.

  1. Arielle Schwartz by Clinical psychologist, EMDR consultant and yoga teacher in Boulder, Colorado the field of neuroscience is still new; therefore, the physiological foundations of traumatic memories and how EMDR Therapy works are still in the process of being discovered. How Does EMDR Therapy Work?drarielleschwartz.com · by 27 Oct 2017
    the field of neuroscience is still new; therefore, the physiological foundations of traumatic memories and how EMDR Therapy works are still in the process of being discovered.

Neuroscience alone is a limited, over-simplified lens on human experience.

  1. Arielle Schwartz by Clinical psychologist, EMDR consultant and yoga teacher in Boulder, Colorado Seeing any human experience through the lens of neuroscience is not only limited but also over-simplified. How Does EMDR Therapy Work?drarielleschwartz.com · by 27 Oct 2017
    Seeing any human experience through the lens of neuroscience is not only limited but also over-simplified.

With complex trauma, EMDR needs resource development and careful pacing so clients feel safe in the present.

Regulate, then reflect

  1. Arielle Schwartz by Clinical psychologist, EMDR consultant and yoga teacher in Boulder, Colorado Therapists must emphasize the importance of resource development and careful pacing of EMDR Therapy so that clients feel safe in the present moment. EMDR Therapy for Complex PTSDdrarielleschwartz.com · by 12 May 2017
    Therapists must emphasize the importance of resource development and careful pacing of EMDR Therapy so that clients feel safe in the present moment.

Successful trauma treatment requires building tolerance for the emotions and body sensations that accompany the memories.

Regulate, then reflect

  1. Arielle Schwartz by Clinical psychologist, EMDR consultant and yoga teacher in Boulder, Colorado A successful treatment outcome requires that you build tolerance for the emotions and body sensations that accompany traumatic memories. EMDR Therapy for Complex PTSDdrarielleschwartz.com · by 12 May 2017
    A successful treatment outcome requires that you build tolerance for the emotions and body sensations that accompany traumatic memories.

EMDR works best inside a broader therapeutic relationship, not as a standalone protocol.

  1. Annie Wright Licensed marriage and family therapist (LMFT) and executive coach EMDR often accelerates the processing of specific memories inside a broader therapeutic relationship. I rarely run it as a standalone protocol without that container. EMDR vs Talk Therapyanniewright.com · 7 Apr 2026
    EMDR often accelerates the processing of specific memories inside a broader therapeutic relationship. I rarely run it as a standalone protocol without that container.

EMDR targets specific memories well but is not built for identity work or building a life narrative.

  1. Annie Wright Licensed marriage and family therapist (LMFT) and executive coach EMDR targets specific memories well. It’s not designed to be the primary vehicle for identity work or the slower work of building a coherent life narrative. EMDR vs Talk Therapyanniewright.com · 7 Apr 2026
    EMDR targets specific memories well. It’s not designed to be the primary vehicle for identity work or the slower work of building a coherent life narrative.

Talk therapy alone often cannot shift the felt, physiological charge of a stuck memory.

What counts as evidence

  1. Annie Wright Licensed marriage and family therapist (LMFT) and executive coach Talk therapy alone often struggles to shift the felt, physiological charge of a stuck memory, even once the story is fully understood. EMDR vs Talk Therapyanniewright.com · 7 Apr 2026
    Talk therapy alone often struggles to shift the felt, physiological charge of a stuck memory, even once the story is fully understood.

Treating talk therapy as the outdated modality and bilateral approaches as the real medicine is inaccurate.

  1. Annie Wright Licensed marriage and family therapist (LMFT) and executive coach That framing isn’t accurate, and it’s not what fifteen years in this field has taught me. EMDR vs Talk Therapyanniewright.com · 7 Apr 2026
    That framing isn’t accurate, and it’s not what fifteen years in this field has taught me.

Eye movement reprocessing went from alternative to establishment, and moving your eyes while talking about a trauma does seem to help you process it.

  1. Scott Alexander Essayist; writes Astral Codex Ten Eye movement directed reprocessing (alternative when the book was written, now basically establishment) where you move your eyes back and forth while talking about your trauma, and this seems to somehow help you process it better. Book Review: The Body Keeps The Scoreslatestarcodex.com · 12 Nov 2019
    Eye movement directed reprocessing (alternative when the book was written, now basically establishment) where you move your eyes back and forth while talking about your trauma, and this seems to somehow help you process it better.

If negative emotion comes from underweighting sensory evidence, that explains EMDR: it forces high-precision attention onto something the mind usually represses.

  1. Scott Alexander Essayist; writes Astral Codex Ten First, it justifies various psychotherapies - EMDR and coherence therapy seem to come out especially well here - that focus on trying to get the brain to pay unusually precise attention, under unusually safe conditions, to something it usually represses. The Precision Of Sensory Evidenceastralcodexten.com · 13 Feb 2021
    First, it justifies various psychotherapies - EMDR and coherence therapy seem to come out especially well here - that focus on trying to get the brain to pay unusually precise attention, under unusually safe conditions, to something it usually represses.

Somebody with trauma should try a trauma-focused therapy such as EMDR before treating their nightmares directly.

  1. Scott Alexander Essayist; writes Astral Codex Ten I would recommend that anyone who thinks they're suffering from trauma (eg PTSD) try a trauma-focused therapy like EMDR before trying to address nightmares directly, unless the nightmares are overwhelmingly worse than all their other trauma symptoms. Peer Review: Nightmaresastralcodexten.com · 16 Jun 2022
    I would recommend that anyone who thinks they're suffering from trauma (eg PTSD) try a trauma-focused therapy like EMDR before trying to address nightmares directly, unless the nightmares are overwhelmingly worse than all their other trauma symptoms.