Eye Movement Desensitization and Reprocessing (EMDR)

A psychotherapy that helps individuals process traumatic memories.

EMDR (Eye Movement Desensitization and Reprocessing) is a psychotherapy that helps individuals process traumatic memories. It involves focusing on distressing memories while experiencing bilateral stimulation, typically through eye movements. EMDR aims to reduce the emotional impact of traumatic experiences, promoting healing and adaptive coping strategies for various mental health issues, including PTSD.

Developed by Francine Shapiro in the late 1980s, EMDR has become a widely recognized treatment for trauma and other distressing life experiences. At Crown Counseling, our EMDR therapists are EMDRIA-trained and stay current with the latest research and techniques.

This may be a good fit if…

  • A specific memory still hijacks the present: a flashback, a smell, a sound that drops you back into it
  • You can explain what happened calmly and still feel it in your body
  • Talking about the event in detail has not moved it
  • You avoid places, people, or conversations to keep the memory at bay
  • You want a structured protocol with a clear end point rather than open-ended talk therapy

Key benefits

You do not have to narrate the worst of it

EMDR asks you to hold the memory in mind, not to describe it in detail. For people who have found retelling unbearable, or who have already told the story many times without relief, that difference is often what makes treatment possible at all.

It works on the body, not only the account

Trauma tends to be stored as sensation and reaction rather than as an ordered story. Bilateral stimulation engages both while the memory is active, which is why clients frequently report the charge draining out of a memory before they can explain why.

It has an ending

The eight phases give the work a shape. You and your therapist agree on the targets, work through them, and check whether the distress has actually come down. That is a different experience from therapy that continues indefinitely.

Strong evidence behind it

EMDR is recommended for PTSD by the World Health Organization, the Department of Veterans Affairs, and the American Psychological Association. It is not an alternative therapy; it is a first-line trauma treatment.

How EMDR works

How EMDR Reprocesses a Stuck Memory

Bilateral stimulation helps the brain finish what it couldn't at the time of the event.

1Stuck memory

The memory was stored with raw emotion, body sensations, and beliefs intact: frozen, easily triggered.

2Bilateral stimulation

Eye movements, taps, or tones activate both brain hemispheres while you briefly hold the memory in mind.

3Reprocessed & filed

The memory is integrated as an event that happened. You remember it, but it no longer hijacks the present.

Bilateral stimulation, visualized

The 8-Phase EMDR Protocol

A structured roadmap. We don't skip phases, and preparation always comes before reprocessing.

  1. 1

    History

    Treatment planning

  2. 2

    Preparation

    Stabilization & resourcing

  3. 3

    Assessment

    Target memory selected

  4. 4

    Desensitization

    Bilateral stimulation

  5. 5

    Installation

    Strengthen positive belief

  6. 6

    Body Scan

    Clear residual tension

  7. 7

    Closure

    Return to baseline

  8. 8

    Re-evaluation

    Check & next target

How we run EMDR at Crown Counseling

Every EMDR clinician here is EMDRIA-trained, and none of them will start reprocessing in a first session. Preparation comes first: we make sure you have a way to get yourself down from a spike in distress before we deliberately raise one. That usually takes one to three sessions, longer if the trauma is early or repeated.

  • A full history, so we target the right memory rather than the loudest one
  • Resourcing and grounding skills you can use outside the room
  • Reprocessing only once you can reliably return to baseline
  • Re-evaluation at the start of each session to check what held

When we slow it down

Complex or developmental trauma, dissociation, active substance use, or an unstable living situation all call for a longer preparation phase. Some clients spend months building stability before a single set of eye movements. That is not a delay in the work, it is the work; reprocessing without a foundation tends to flood people and set them back.

What to expect

EMDR therapy follows a structured eight-phase approach: history-taking, preparation, assessment, desensitization, installation of positive beliefs, body scan, closure, and re-evaluation. During bilateral stimulation, you focus on the memory while following the therapist’s fingers moving back and forth across your field of vision; hand taps or auditory tones may also be used. Some clients experience positive results after just three sessions, while others may require several.

  1. 1

    A first session of history and screening, not reprocessing

  2. 2

    One to three preparation sessions building grounding and resourcing skills

  3. 3

    Agreeing a target memory, the belief attached to it, and a distress rating out of ten

  4. 4

    Short sets of bilateral stimulation, eye movements, taps, or tones, with a pause after each to report what came up

  5. 5

    Closure at the end of every session so you leave settled, whether or not the memory is finished

  6. 6

    Re-checking the target at the next session to see what actually shifted

Ready to start?

Tell us a little about yourself and we will match you with a clinician trained in EMDR.

Get matched →

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Frequently Asked Questions

How many EMDR sessions will I need?

A single-incident trauma in an otherwise stable adult often resolves in six to twelve sessions, with some clients reporting a real shift after three. Repeated or childhood trauma takes longer, frequently a year or more, because the preparation phase is longer and there are more targets. Your therapist will give you an honest estimate after the history-taking.

Does EMDR work over telehealth?

Yes. Bilateral stimulation can be delivered on screen, through audio tones, or by self-tapping, and outcome research on remote EMDR is encouraging. We do screen for it: if you dissociate significantly or your home is not private, in-person is safer.

Will I have to describe what happened?

Not in detail. Your therapist needs enough to identify the target and the belief attached to it, which is usually a sentence or two. The reprocessing itself happens internally.

Is EMDR hypnosis?

No. You stay awake, aware, and in control throughout, and you can stop a set at any point. The dual attention of holding the memory while tracking a movement is closer to the opposite of a trance.

Can EMDR make things worse?

Distress commonly rises during a session and settles by the end, and some people notice dreams or memories surfacing between sessions. That is why closure and preparation are not optional. If you feel worse for more than a day or two after a session, tell your therapist; it usually means the pacing needs to change.

Do you take insurance for EMDR?

EMDR is billed as psychotherapy, so it is covered the same way any session with your clinician is. We are in-network with most major plans and will verify your coverage before you start.

Get matched for EMDR

Fill out the short form below. We verify your coverage and get back to you — usually the same day.

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