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EMDR Therapy Surrey, Cloverdale, Langely

What is EMDR?

Eye Movement Desensitization and Reprocessing (EMDR) is a treatment developed by Francine Shapiro for healing psychological trauma. It is currently one of the fastest and most effective therapies for post traumatic stress disorder (PTSD) with 85% of those treated no longer meeting the diagnostic criteria post-treatment.

EMDR treatment involves remembering aspects of the stressful event while brain networks are activated through eye movements, taps or sounds in repeated side-to-side sequences for short periods of time. In this way, parts of the memory are reaccessed, reprocessed by the nervous system, and released, to the effect that they are no longer bothersome when recalled.

The Effects of Trauma

When trauma is experienced, it creates deep neurological imprints that tie sensory experiences to powerful, often negative emotions. During the event, a person’s nervous system is overwhelmed, unable to respond effectively, and so the brain forms what might be thought of as “survival-based” neural pathways. For example, the sensory details of a car accident, like the jolt of the impact, the shattering sound of crumpling metal, and the smell of burning rubber, fuse with the terror felt in that moment. This traumatic memory is not just a recollection; it’s encoded in the brain with a particular sensory-emotional intensity that stands apart from other memories.

After such experiences, these survival-oriented pathways remain primed for reactivation. Thus, if someone encounters a sound, smell, or situation resembling the original trauma (like the scent of burning rubber), these neural pathways can activate the body’s “fight, flight, or freeze” responses, as though the trauma were happening all over again. This “re-triggering” can result in flashbacks, intrusive thoughts, and extreme physiological responses like rapid heartbeat, sweating, or feelings of intense fear—all symptoms of post-traumatic stress disorder (PTSD).

In an effort to avoid such painful and involuntary responses, many individuals begin to steer clear of anything that might trigger these memories. This could mean avoiding certain locations, people, activities, or even the discussion of specific topics. Yet, as they attempt to sidestep reminders of their trauma, they often find their world shrinking. Social connections might weaken, physical spaces might feel constrictive, and formerly enjoyable activities could be abandoned. Furthermore, avoidance can result in beliefs like “I am powerless” or “The world is unsafe,” which, though protective in the moment, can limit personal growth and healthy interactions with others.

This avoidance cycle can impede healing. The brain requires gentle, safe exposure to feared stimuli to recalibrate, distinguishing what is truly dangerous from what is benign. However, since avoidance disrupts this process, the trauma circuit remains “untouched,” persisting in its ability to evoke distress.

EMDR therapy is designed to break this cycle by helping individuals reprocess traumatic memories in a safe, therapeutic environment. During EMDR sessions, clients recall distressing memories while engaging in specific sensory tasks, which might involve following a therapist’s moving finger or listening to alternating tones. This controlled stimulation appears to support the brain’s natural ability to reprocess and integrate memories, a mechanism that trauma often disrupts. Over time, EMDR therapy allows individuals to “uncouple” previously linked traumatic memories and physical sensations from overwhelming emotions. The event’s emotional charge diminishes, and the individual no longer feels threatened by reminders of the trauma.

After treatment, individuals often feel that the negative beliefs associated with their trauma are no longer relevant, and they report an increased sense of self-worth and security. Formerly triggering situations no longer provoke the same level of fear, allowing individuals to re-engage with life more freely. EMDR, by re-wiring traumatic networks into broader, healthier memory systems, can help individuals reclaim a sense of safety and agency in the world.

How Does EMDR Treatment Work?

EMDR works by systematically reprocessing traumatic memories so that they integrate into a person’s memory network in a way that reduces distress. Memories of traumatic events are like “islands” in the brain, often isolated from more adaptive or healthy memories and beliefs. These isolated memories can become “stuck,” locked away with intense emotional responses and physical sensations tied directly to the trauma. In essence, the traumatic memory remains vivid and distressing because it is insufficiently processed, separate from more balanced perspectives or experiences that might soften its impact.

When EMDR therapy begins, the therapist helps the client focus on the traumatic memory while providing bilateral stimulation, such as eye movements, sounds, or tactile sensations alternating between the left and right sides. This bilateral stimulation is theorized to help the brain process the traumatic memory more fully, perhaps similar to the way it naturally processes memories during REM sleep. The therapist may guide the client to notice various aspects of the memory, including associated emotions, bodily sensations, and images. While this can feel challenging, the repeated bilateral stimulation helps “disarm” the memory, gradually reducing its emotional intensity.

A significant aspect of EMDR is that it connects the traumatic memory with “healthy psychological material” already present in the client’s memory network, such as positive memories, beliefs, or experiences. For instance, memories of past successes, affirming relationships, or moments of safety might become associated with the trauma. In the example of someone who experienced a car accident or bullying, EMDR may allow these memories to be linked with recollections of confident driving or standing up for oneself. These new connections introduce more balance and help reframe the original trauma, allowing the person to feel safer, more in control, and less reactive to triggers in the present.

Through this process, clients often come to feel that the traumatic event is truly “over” and that they are safe now. The nervous system no longer reacts to reminders of the trauma with fight, flight, or freeze responses. In situations that were once triggering, they may feel a sense of calm or neutrality. Over time, EMDR supports a restructuring of one’s beliefs about the trauma and about oneself—transforming beliefs like “I’m powerless” into “I am capable” or “I am safe.” This reprocessing of memories reduces the intensity of physiological and emotional responses, contributing to healthier relationships, lessened stress, and an improved ability to engage fully with life.

What to Expect in an EMDR Session

The EMDR therapy process is structured into eight distinct phases, each of which is designed to ensure that the client can safely and effectively reprocess traumatic memories. These phases help guide both the client and therapist through a gradual journey, from preparation and stabilization to the eventual desensitization and reprocessing of distressing memories. Here is an overview of each phase:

History Taking and Treatment Planning

In this initial phase, the therapist conducts a comprehensive assessment, gathering information about the client’s history, trauma experiences, and current challenges. This helps identify specific memories or issues to focus on in therapy. The therapist also assesses the client’s readiness for EMDR, ensuring that it is an appropriate treatment given their psychological and emotional stability. This phase includes defining treatment goals and prioritizing the memories or issues to target.

Preparation

Preparation is focused on building trust and ensuring the client feels safe and supported. The therapist explains the EMDR process, sets expectations, and answers any questions. They also teach grounding techniques and coping skills, such as deep breathing or visualization, that the client can use to manage any distress that arises during or outside of sessions. This phase is essential for helping the client feel equipped to handle the emotional intensity of the upcoming phases.

Assessment

In this phase, the therapist and client identify specific components of the target memory, including images, negative beliefs, emotions, and physical sensations associated with the trauma. For example, if a client is working on a car accident, they might focus on the image of the collision, feelings of helplessness, and the physical sensations experienced in the moment. The therapist also helps the client formulate a positive belief they would like to hold instead, such as “I am safe now.” These details serve as “targets” during the desensitization phase.

Desensitization

This is where the reprocessing work begins. The therapist guides the client to focus on the traumatic memory while applying bilateral stimulation, such as eye movements, sounds, or tactile pulses that alternate from left to right. As the client follows the stimulation, they may notice various thoughts, images, emotions, or sensations arising. The therapist encourages the client to observe these experiences without judgment, allowing the brain to process the memory in a natural and adaptive way. Over time, the distress associated with the memory typically decreases, and new, less intense responses emerge.

Installation

Once the distress around the traumatic memory has diminished, the therapist helps “install” a positive belief related to the memory, such as “I am resilient” or “I am in control.” The goal of this phase is to strengthen this positive belief so that it becomes linked with the memory. This new belief becomes part of the memory’s narrative, replacing the original negative belief. By reinforcing this positive association, the therapist helps the client solidify a healthier perspective on the traumatic event.

Body Scan

Trauma is often stored in the body as physical tension, discomfort, or sensations, so this phase ensures that the memory has been reprocessed on a somatic (bodily) level. The therapist guides the client through a mental scan of their body to identify any lingering physical sensations connected to the memory. If any tension or discomfort remains, the therapist may guide the client to continue focusing on it with bilateral stimulation until the body feels relaxed and free from distress related to the trauma.

Closure

Each EMDR session ends with a closure phase, where the therapist ensures the client feels stable and grounded before leaving. If the reprocessing work is unfinished, the therapist will guide the client in using coping techniques learned in the preparation phase to manage any lingering emotions. The client is reminded that they can use these skills outside of sessions if any distress arises. The therapist also encourages the client to notice any thoughts or feelings that come up between sessions, which can be used as material for future sessions.

Re-evaluation

The final phase assesses the client’s progress since beginning EMDR. In each session, the therapist checks in on previously targeted memories to see if they remain desensitized and if the positive beliefs still feel strong. The therapist also assesses if any new memories, triggers, or symptoms have emerged that need attention. Re-evaluation continues until the client feels stable, with a reduced response to trauma-related memories and an increased ability to engage in daily life without distress.

Each of these phases is tailored to ensure that EMDR therapy is a controlled, safe, and transformative process. By moving through these steps, clients are guided from trauma-related distress toward resilience, positive beliefs, and a sense of control over their lives.

To find an EMDR therapist that suits your needs and schedule, visit our online booking platform.

Who is Suitable for EMDR Therapy?

EMDR was developed as a method for recovery from post-traumatic stress and has been shown to be an effective treatment for individuals who have experienced abuse or neglect, rape, natural disasters, serious illness, invasive medical procedures, combat or war, violence (as a direct victim or as a witness), victims of motor vehicle and other accidents, to name a few. EMDR has also been successfully applied to other situations in which people feel stuck in thoughts, feelings, and memories from past events. EMDR has been successfully applied to the treatment of various anxiety conditions like Generalized Anxiety Disorder (GAD), Panic Disorder, Obsessive-Compulsive Disorder (OCD), and Social Phobia (Social Anxiety Disorder). This method of processing psychological “stuck points” has helped those with anxiety and phobias of flying, public speaking, social circumstance, and more. EMDR has helped others change long-standing unhealthy behaviours like binge-eating, purging, substance abuse, and gambling.

Who is EMDR Not Appropriate For?

EMDR is a powerful therapeutic approach, but it is not suitable for everyone. Certain conditions or situations can make EMDR less effective or potentially destabilizing. Here are some scenarios in which EMDR may not be appropriate:

Acute Crisis Situations

Individuals who are in an acute crisis, such as experiencing a recent traumatic event, a severe depressive episode, or recent self-harming behaviors, may not benefit from EMDR until they have more stability. EMDR requires a certain level of emotional regulation and grounding to navigate intense memories. In these cases, the therapist may first use stabilization-focused therapies or interventions to support the client in gaining more immediate coping skills before introducing EMDR.

Severe Dissociative Disorders

For clients with severe dissociative disorders, such as dissociative identity disorder (DID), the bilateral stimulation used in EMDR can sometimes trigger dissociative symptoms, leading to confusion, distress, or fragmentation. Therapists may choose to address dissociation first through specialized approaches, such as grounding techniques and skills-based therapies, to help clients stay present before attempting EMDR. In some cases, EMDR can be incorporated later but modified to accommodate the client’s needs.

Unmanaged Severe Mental Health Conditions

Individuals with unmanaged severe mental health conditions like schizophrenia, bipolar disorder (during manic episodes), or other psychotic disorders may not be good candidates for EMDR in the initial stages of treatment. These conditions can interfere with reality-testing and create difficulty in following the structured approach that EMDR requires. For clients with these conditions, it is often recommended to pursue stabilization and symptom management before attempting trauma-focused work.

Active Substance Abuse

Active substance abuse or dependence can interfere with the effectiveness of EMDR, as it may impact a client’s ability to fully engage in and recall therapy sessions. Additionally, substance use can alter mood and cognition, complicating the reprocessing of traumatic memories. Therapists often recommend that clients work on managing or abstaining from substance use before beginning EMDR to ensure they can remain fully present during sessions and achieve long-term benefits.

Limited Ability to Tolerate Distress

EMDR can elicit intense emotional responses, even in a therapeutic setting. Individuals who struggle to tolerate distress or who have minimal coping mechanisms may need to build distress tolerance skills through therapies like Dialectical Behavior Therapy (DBT) or other stabilization techniques first. This ensures they have the tools to manage emotional experiences and feel more in control when difficult emotions surface in EMDR sessions.

Pregnancy and High-Risk Medical Conditions

EMDR can be physically taxing, as it sometimes elicits strong bodily responses, including increased heart rate and stress levels. For individuals who are pregnant, have heart conditions, or other high-risk medical conditions, the process of reprocessing traumatic memories could present additional physical stress. It is important to consult with medical professionals and consider alternative, less intense approaches or postpone EMDR until after the high-risk condition is resolved.

Insufficient Support System

Individuals undergoing EMDR typically benefit from a strong support system outside of therapy, as reprocessing trauma can be challenging and may bring up residual feelings between sessions. For those who are isolated or lack stable support systems, the process may feel overwhelming or destabilizing. Therapists may recommend building a support network or engaging in alternative therapeutic approaches first to help the individual feel more supported.

Clients Who Are Not Ready to Engage with Trauma

EMDR involves directly addressing traumatic memories, which can be distressing for some individuals. If a client is not ready to face these memories or has not given informed consent to do so, EMDR is not appropriate. It’s essential for the therapist to assess the client’s willingness and readiness to engage with trauma material, as EMDR should never be forced or rushed. For clients who feel unsure or ambivalent, a slower, preparatory approach may be more beneficial.

Alternative Approaches to Consider

For clients not ready for EMDR or for whom it may not be suitable, neurofeedback and mindfulness-based therapies offer supportive alternatives that help build essential emotional regulation and resilience. Neurofeedback is a non-invasive technique that trains the brain to stabilize itself, using real-time feedback to help clients shift out of states of hyperarousal or dissociation commonly associated with trauma. This can alleviate symptoms like anxiety, panic, and hypervigilance, providing a sense of internal calm and stability. Mindfulness-based approaches, such as Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), teach clients to observe their thoughts, emotions, and bodily sensations non-judgmentally, reducing the power of trauma-related triggers and enhancing self-compassion. By engaging with these experiences in a gentle and controlled way, clients learn to tolerate uncomfortable sensations, reconnect with themselves, and stay grounded in the present. When used together, neurofeedback and mindfulness create a strong foundation that can prepare clients for trauma-focused work like EMDR, equipping them with the tools to manage distress and build a sense of safety and control.

In summary, while EMDR is an effective treatment for many people with trauma, it is best suited for individuals who have a certain level of emotional stability and coping skills. By assessing readiness carefully, therapists can ensure that EMDR is introduced at the appropriate time, maximizing the safety and effectiveness of the treatment.

Are you ready to book your first EMDR session? Follow this link to our booking platform where you’ll find the Sojourn therapists trained to offer EMDR.

People Struggling with Low Self-Esteem or Self-Worth

For those with longstanding negative self-beliefs often rooted in past criticism, failure, or rejection, EMDR can be transformative. By revisiting these memories, EMDR fosters healthier self-beliefs, boosting confidence and self-worth.

EMDR’s adaptability makes it suitable for diverse backgrounds and challenges. It helps individuals reframe past experiences, strengthen emotional resilience, and achieve greater overall well-being.

At Sojourn Counselling and Neurofeedback, our trained therapists can help you determine if EMDR is the right therapeutic approach for you. If you or someone you know could benefit from EMDR therapy, we invite you to explore our therapist profiles and book an appointment online.

Peter Levine, in his seminal work on trauma therapy entitled “Waking the Tiger” says, “If you are experiencing strange symptoms that no one seems to be able to explain, they could be arising from a traumatic reaction to a past event that you may not even remember. You are not alone. You are not crazy. There is a rational explanation for what is happening to you. You have not been irreversibly damaged, and it is possible to diminish or even eliminate your symptoms” (1997).

Individuals with Specific Traumas

People who have experienced traumatic events like accidents, natural disasters, assault, or combat often find EMDR beneficial. This therapy has a strong track record for treating PTSD by helping individuals access, process, and neutralize traumatic memories, ultimately reducing distress and promoting healing.

People with Chronic Anxiety Disorders

Those suffering from anxiety disorders, such as Generalized Anxiety Disorder, Panic Disorder, Obsessive-Compulsive Disorder, or Social Anxiety Disorder, can benefit significantly from EMDR. By targeting anxiety-triggering memories, EMDR helps reduce symptoms and fosters healthier emotional responses.

Children and Adolescents

EMDR is also adaptable for young clients, including children and teens who have faced trauma, neglect, or bullying. This approach can be made age-appropriate, allowing younger individuals to resolve distressing experiences and prevent these from affecting their development and overall well-being.

Individuals Struggling with Addiction or Unhealthy Behaviors

EMDR can be a powerful tool for those facing addiction or compulsive behaviors, such as substance abuse, binge-eating, or gambling. By addressing underlying traumatic memories or beliefs that may be driving these behaviors, EMDR supports long-term recovery and healthier coping mechanisms.

People Affected by Motor Vehicle Accidents

For individuals coping with the emotional and physical impact of motor vehicle accidents, EMDR has proven to be effective in helping them heal. This therapy is especially beneficial for those experiencing ongoing distress related to the accident, even supporting claims with the Insurance Corporation of British Columbia (ICBC).

Individuals with Complex Trauma or Childhood Abuse

Those who have experienced prolonged or repeated trauma, such as childhood abuse, neglect, or domestic violence, often find EMDR instrumental. By processing interconnected memories within a safe environment, EMDR helps individuals reshape their self-concept and move toward healing.

People with Depression or Mood Disorders

EMDR can also be beneficial for individuals experiencing depression or mood disorders, especially when symptoms are linked to unresolved trauma, grief, or negative self-beliefs. By reprocessing these past experiences, EMDR helps reduce distress and transform self-defeating beliefs, promoting a healthier outlook.

First Responders and Healthcare Professionals

Professionals in high-stress environments, such as first responders and healthcare workers, often encounter secondary trauma and risk of burnout. EMDR helps them process these experiences, build resilience, and maintain emotional balance, allowing them to continue their vital work.

People with Phobias or Specific Fears

EMDR is effective in treating phobias and intense fears, including fear of flying, public speaking, or medical procedures. By reprocessing memories tied to these fears, EMDR reduces distress, helping individuals face previously avoided situations with greater confidence.

Those Coping with Grief and Loss

Individuals struggling with grief, whether due to the loss of a loved one or anticipatory grief related to terminal illness, may find EMDR beneficial. This therapy helps reduce the emotional pain tied to specific memories, fostering closure and more adaptive coping.

People Struggling with Low Self-Esteem or Self-Worth

For those with longstanding negative self-beliefs often rooted in past criticism, failure, or rejection, EMDR can be transformative. By revisiting these memories, EMDR fosters healthier self-beliefs, boosting confidence and self-worth.

EMDR’s adaptability makes it suitable for diverse backgrounds and challenges. It helps individuals reframe past experiences, strengthen emotional resilience, and achieve greater overall well-being.

At Sojourn Counselling and Neurofeedback, our trained therapists can help you determine if EMDR is the right therapeutic approach for you. If you or someone you know could benefit from EMDR therapy, we invite you to explore our therapist profiles and book an appointment online.

How Long Does it Take to Effectively Treat Trauma with EMDR?

This is a difficult question to answer as it depends on the number of traumatic events suffered and whether one has a history of chronic abuse or neglect. Those with a single trauma recover more quickly than those who have suffered many, as in the case of Complex Post Traumatic Stress Disorder (cPTSD). In general, we can say that it may take as few as three sessions, or as many as 12 or more. The effectiveness of EMDR comes from research summarized below:

Traumatic stress studies have shown that 83-90% of those diagnosed with PTSD no longer met the criteria for the diagnosis after 4-7 sessions of EMDR (Lee et. al, 2002; Rothbaum, 1997).

Others have found significant decrease of a variety of PTSD-related symptoms after only 3-4 sessions (Ironson et. al, 2002; Scheck et. al, 1998; Wilson et. al, 1995).

One study has shown that 77% of sufferers of multiple traumas no longer meet PTSD diagnostic criteria after 12 sessions (Carlson et. al, 1998).

People with histories of childhood abuse or neglect may require more than 12 sessions (Korn & Leeds, 2002; Mayfield & Hyder, 2002; Shapiro, 2001).

For more information on EMDR check the following links:

EMDR Institute’s FAQ page
EMDR Canada’s FAQ page

Active Substance Abuse

Active substance abuse or dependence can interfere with the effectiveness of EMDR, as it may impact a client’s ability to fully engage in and recall therapy sessions. Additionally, substance use can alter mood and cognition, complicating the reprocessing of traumatic memories. Therapists often recommend that clients work on managing or abstaining from substance use before beginning EMDR to ensure they can remain fully present during sessions and achieve long-term benefits.

Limited Ability to Tolerate Distress

EMDR can elicit intense emotional responses, even in a therapeutic setting. Individuals who struggle to tolerate distress or who have minimal coping mechanisms may need to build distress tolerance skills through therapies like Dialectical Behavior Therapy (DBT) or other stabilization techniques first. This ensures they have the tools to manage emotional experiences and feel more in control when difficult emotions surface in EMDR sessions.

Pregnancy and High-Risk Medical Conditions

EMDR can be physically taxing, as it sometimes elicits strong bodily responses, including increased heart rate and stress levels. For individuals who are pregnant, have heart conditions, or other high-risk medical conditions, the process of reprocessing traumatic memories could present additional physical stress. It is important to consult with medical professionals and consider alternative, less intense approaches or postpone EMDR until after the high-risk condition is resolved.

Insufficient Support System

Individuals undergoing EMDR typically benefit from a strong support system outside of therapy, as reprocessing trauma can be challenging and may bring up residual feelings between sessions. For those who are isolated or lack stable support systems, the process may feel overwhelming or destabilizing. Therapists may recommend building a support network or engaging in alternative therapeutic approaches first to help the individual feel more supported.

Clients Who Are Not Ready to Engage with Trauma

EMDR involves directly addressing traumatic memories, which can be distressing for some individuals. If a client is not ready to face these memories or has not given informed consent to do so, EMDR is not appropriate. It’s essential for the therapist to assess the client’s willingness and readiness to engage with trauma material, as EMDR should never be forced or rushed. For clients who feel unsure or ambivalent, a slower, preparatory approach may be more beneficial.

Alternative Approaches to Consider

For clients not ready for EMDR or for whom it may not be suitable, neurofeedback and mindfulness-based therapies offer supportive alternatives that help build essential emotional regulation and resilience. Neurofeedback is a non-invasive technique that trains the brain to stabilize itself, using real-time feedback to help clients shift out of states of hyperarousal or dissociation commonly associated with trauma. This can alleviate symptoms like anxiety, panic, and hypervigilance, providing a sense of internal calm and stability. Mindfulness-based approaches, such as Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), teach clients to observe their thoughts, emotions, and bodily sensations non-judgmentally, reducing the power of trauma-related triggers and enhancing self-compassion. By engaging with these experiences in a gentle and controlled way, clients learn to tolerate uncomfortable sensations, reconnect with themselves, and stay grounded in the present. When used together, neurofeedback and mindfulness create a strong foundation that can prepare clients for trauma-focused work like EMDR, equipping them with the tools to manage distress and build a sense of safety and control.

In summary, while EMDR is an effective treatment for many people with trauma, it is best suited for individuals who have a certain level of emotional stability and coping skills. By assessing readiness carefully, therapists can ensure that EMDR is introduced at the appropriate time, maximizing the safety and effectiveness of the treatment.

Are you ready to book your first EMDR session? Follow this link to our booking platform where you’ll find the Sojourn therapists trained to offer EMDR.

People Struggling with Low Self-Esteem or Self-Worth

For those with longstanding negative self-beliefs often rooted in past criticism, failure, or rejection, EMDR can be transformative. By revisiting these memories, EMDR fosters healthier self-beliefs, boosting confidence and self-worth.

EMDR’s adaptability makes it suitable for diverse backgrounds and challenges. It helps individuals reframe past experiences, strengthen emotional resilience, and achieve greater overall well-being.

At Sojourn Counselling and Neurofeedback, our trained therapists can help you determine if EMDR is the right therapeutic approach for you. If you or someone you know could benefit from EMDR therapy, we invite you to explore our therapist profiles and book an appointment online.

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