What is EMDR?

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EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based form of psychotherapy that uses eye movements to reduce the physical and emotional pain of traumatic memories. EMDR was developed by Francine Shapiro, who noticed that her eyes naturally moved back and forth when she thought about a painful memory.

What is Trauma?

Trauma is anything that overwhelms our ability to cope and causes lasting disruption to the nervous system. In some cases, trauma can develop into Post Traumatic Stress Disorder (click here to read the diagnostic criteria for PTSD). This can happen months or even years after the traumatic situation occurred. Trauma is not exclusive to combat or other violent conflicts. Many people experience the effects of trauma from neglectful childhoods, major illnesses, unexpected losses, having been bullied, or any other profoundly disturbing situation. You do not need to meet the criteria for a diagnosis of PTSD to experience effects of trauma or to benefit from EMDR.

What are Common Effects of Trauma?

Some experiences can’t be processed because they were too threatening or disturbing. When this occurs, our body doesn’t complete its natural stress responses and we get stuck experiencing the threat as if it were still happening. We can find ourselves swinging back and forth between a fight or flight response (feeling angry, afraid, irritable, impulsive, jumpy, hyper-alert) and feeling shut down, numb or disconnected from our surroundings and other people. If we didn’t receive social support, or if the trauma involved betrayal or victimization, then we can become more susceptible to developing these symptoms.

Trauma also causes problems with memory. During periods of intense stress, some regions of the brain that encode narrative memory can turn off while other regions that encode sensory or emotional memories remain active. This is why someone who’s gone through trauma might have disturbing emotional responses to sensory cues without knowing why.

Trauma can cause persistent beliefs that the world is unsafe, we are powerless, unlovable or unworthy, or that people—including ourselves and our own feelings—can’t be trusted.

How Does EMDR Help?

The first goal of EMDR is to develop and enhance positive internal resources (such as happy memories or images that invoke a sense of peace or stability). We all have state-dependent memory, which basically means we tend to have worse memories when we feel bad. As you can guess, this becomes a vicious cycle: we feel bad, so we remember bad things happening and feel even worse. When there’s been trauma and we’re reminded of it, we might start to believe the emotional memory (for example, shame or self-blame) instead of our rational thoughts. Developing internal positive resources helps us switch our mental and emotional state to deal with stress. We can also learn to identify when our nervous system has been activated and in what ways, which allows us to organize and navigate chaotic and overwhelming feelings so they don’t take over.

During the next stages of EMDR we distill the core negative belief and emotion produced by the trauma and identify what memories we want to work on. The objective of EMDR is to reconsolidate these memories. Reconsolidating a memory involves putting it in context with other life experiences and creating new associations.

Once we can effectively manage high levels of stress and draw on positive resources, eye-movements are used to help desensitize us to the most painful aspect of a memory. This involves some exposure to the traumatic memory, checking in with how our bodies respond to it, and drawing on positive resources when they’re needed. It’s like twisting the cap on a shaken soda bottle, but not so much that the bottle explodes. This goes on until the memory no longer causes debilitating emotional or physical reactions. After this stage of therapy, people often say they have less nightmares or can think about something they used to avoid; they feel sad but not overwhelmed by it.  

Next, we let our mind roam freely so that other memories linked up with a disturbing base feeling or belief can be transformed as well. The eye movements seem to activate networks of associated memories and loosen other structures in the brain to allow new associations to form. Many people have sudden insight or gain new perspectives during this stage of EMDR, or they access feelings and memories that have been suppressed for a long time. This provides an opportunity to work through and transform these memories in a safe place. One of the final stages of EMDR is to install a new positive belief until it feels true.

Why Does EMDR Work?

Nobody really knows why EMDR works. Some scientists believe EMDR mimics the REM (Rapid Eye Movement) stage of sleep, theorized to be our brain’s way of consolidating memories and letting go of what it doesn’t need to store. EMDR seems to loosen up rutted beliefs, helping our brains make new connections. EMDR also seems to activate memories while providing a bit of a soothing distraction through them.

 

Why Hiking is Good Therapy

fay canyon
“For me, hope arises from outdoor activities that empower people to incorporate Nature’s wisdom into their lives….They help us unashamedly love wildness, Earth and each other because balanced life feels good.” -Michael Cohen

I was on a hike with my parents, in Sedona. My dad has cerebral palsy, affecting the way he walks, and this was the first time I’d ever hiked with him.

When we began the hike, a nice guy patted him on the back, saying, “Good for you.” That was annoying and patronizing, I thought. But later, when I asked my dad how he felt about the numerous people who stopped to congratulate him, he said he felt loving-kindness; that back in the day, he would have felt shame, and contempt toward anyone who brought attention to his disability. Now, he felt supported and encouraged. Years of practicing and teaching mindfulness meditation helped him to accept praise and make this little trek through Fay Canyon.

And while I normally would have blazed down the trail to get a workout and arrive at the majestic red rock formations at the end as fast as I could, I was forced to slow down and notice the trees, which my mom helped me to identify—the silvery-green cypress, and the blue juniper berries sprinkled over red earth.

Later that evening, I learned about a person named Michael Cohen who developed an ecopsychology program close to where I live. Ecopsychology promotes the idea that we live in relationship with nature, and that deviation from this natural order causes disruption–a view held by many indigenous cultures and largely overlooked in our own.

Cohen writes, “For me, hope arises from outdoor activities that empower people to incorporate Nature’s wisdom into their lives. These activities act as responsible rituals and therapy. They mandate that our honed sense of reason and language awaken, enjoy, trust, celebrate, integrate and act off our many natural senses. They catalyze lasting bonds to the global community. They help us unashamedly love wildness, Earth and each other because balanced life feels good.”

Being in nature always helps me feel grounded. I hope you can make time to find peace in nature as well, if that resonates. ❤

References:

The Soul Unearthed: Celebrating Wildness and Spiritual Renewal Through Nature, Cass Adams – Sentient Publications – 2002

https://www.apadivisions.org/division-34/publications/newsletters/epc/2011/10/ecopsychology.aspx