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Eye movement desensitization and reprocessing

Eye movement desensitization and reprocessing (EMDR) is a technique used in the treatment of post-traumatic stress disorder (PTSD). This type of therapy has several stages, including eye movement exercises or the use of tapping or repeated tones. It includes elements of cognitive-behavioral therapy, which focuses on changing certain thinking and behavior patterns, and elements of exposure therapy, in which you confront a feared object or situation in a controlled environment.

During EMDR treatment, you identify memories and images associated with the traumatic event and how you respond physically and emotionally when you think about them. EMDR helps replace negative, traumatic reactions to your memories with more positive ones.

Exactly why, or how well, the eye movement (or tapping or tones) part of EMDR works is still being studied. Several theories exist. Experts know that people easily accept normal memories and events but may run into ongoing problems and a distortion of reality when processing memories of a traumatic experience. Some experts believe that eye movements, tapping, or tones activate a self-healing mechanism that helps make traumatic memories more normal. The distraction caused by eye movements, tapping, or tones seems to make it easier to confront and process troublesome thoughts and memories.

EMDR does not eliminate reasonable fears nor does it eliminate all memory. It seems to reduce the amount of emotional and physical distress caused by a traumatic memory or by a feared object or situation.

During the use of eye movements in EMDR:

  • The therapist moves his or her hand back and forth about 1 ft (32 cm) away from your face.
  • You watch the therapist's moving hand while thinking about or discussing the traumatic event, feared object or situation, or other cause of emotional distress.
  • After several sessions, the emotional and physical distress are expected to be reduced.

If your health professional suggests that you try EMDR, ask to talk with someone who has had the treatment or ask to read information about it. If you choose to have the treatment, talk with your health professional about your experiences during therapy. You can always choose to stop using this form of therapy if you do not think it is helping you.

There are no known side effects of this treatment.

Credits

AuthorStuart J. Bryson
AuthorChristine Wendt, R.D., L.D.
EditorGeri Metzger
EditorNancy Reid
EditorSusan Van Houten, RN, BSN, MBA
Associate EditorTracy Landauer
Associate EditorTerrina Vail
Primary Medical ReviewerPatrice Burgess, MD
- Family Medicine
Primary Medical ReviewerAdam Husney, MD
- Family Medicine
Specialist Medical ReviewerMalin K. Clark, MD, FRCPC
- Psychiatry
Specialist Medical ReviewerJessica Hamblen, PhD
- Post Traumatic Stress Disorder
Last UpdatedJune 13, 2005

Author: Stuart J. Bryson
Christine Wendt, R.D., L.D.
Last Updated June 13, 2005
Medical Review: Patrice Burgess, MD - Family Medicine
Adam Husney, MD - Family Medicine
Malin K. Clark, MD, FRCPC - Psychiatry
Jessica Hamblen, PhD - Post Traumatic Stress Disorder

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information. For more information, click here.
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