How Does EMDR Therapy Work? Understanding the Process, Benefits, and Applications

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EMDR Therapy is a unique psychotherapy approach that transforms the lives of individuals suffering from trauma, anxiety, and other mental health challenges. As a mental health professional and EMDR therapist in Ogden, Utah, I have witnessed firsthand how this treatment alleviates distress while promoting lasting change.

At Illumine Therapy, I use EMDR to help clients reconnect with their inner strengths and move toward recovery.

This article explains what EMDR stands for, its development, the Adaptive Information Processing model, the eight phases of the EMDR process, how bilateral stimulation works, its efficacy, its application to various conditions, and guidance on finding a qualified EMDR therapist. Let’s begin by exploring the basics and evolution of this powerful therapeutic tool.

What Is EMDR Therapy and How Does It Help?

EMDR (Eye Movement Desensitization and Reprocessing) Therapy is a structured approach that assists people in processing traumatic memories. In my experience, it helps the brain reprocess these memories until they lose their psychological charge.

This treatment reduces symptoms such as flashbacks, anxiety, and emotional distress by harnessing the brain’s natural adaptive information processing system — whether that distress shows up during your drive down Harrison Boulevard, while watching your kids play at Lorin Farr Park, or in those quiet moments before bed when everything feels like too much.

It has also shown promise in treating mental disorders such as major depressive disorder, where unresolved trauma contributes to ongoing emotional distress. By targeting the root of these experiences, EMDR supports more comprehensive healing across a range of psychological conditions.

What Does EMDR Stand for and What Is Its Purpose?

EMDR stands for Eye Movement Desensitization and Reprocessing. Its primary purpose is to lessen the emotional impact of traumatic experiences so that clients can integrate these memories in a healthy manner.

In practice, it converts painful memories into less emotionally charged information, improving mood, cognition, and overall mental health — which can make everyday things, like grocery shopping at Smith’s or taking a walk through Beus Canyon, feel more manageable again.

Research suggests that EMDR may engage working memory during recall, which reduces the vividness and emotional intensity of traumatic memories. This mechanism has proven especially useful in treating individuals with trauma-related disorder symptoms.

How Did EMDR Therapy Develop?

Developed by Dr. Francine Shapiro in the late 1980s, EMDR Therapy emerged from her observation that eye movements reduced the distress associated with traumatic memories. Over time, research and clinical trials refined the approach into a widely accepted, evidence-based treatment for conditions such as PTSD, anxiety, and depression. Its evolution reflects an integration of cognitive-behavioral techniques with neurobiological insights.

As the field of psychiatry began to recognize the method’s effectiveness, EMDR gained traction as a powerful tool in patient-centered trauma care. Studies also suggest that the therapy may influence activity in the prefrontal cortex, helping individuals regulate emotional responses more effectively.

What Is the Adaptive Information Processing (AIP) Model?

The Adaptive Information Processing model is the theoretical basis of EMDR. It posits that the brain naturally processes experiences in a healthy manner; however, trauma can overwhelm this system, leaving memories “stuck.”

EMDR activates the brain’s innate ability to reprocess these memories, leading to reduced symptoms and improved functioning — something I as an anxiety therapist based in Ogden, Utah often see in clients who feel frozen in everyday moments, like standing in line at Dutch Bros or trying to concentrate at work downtown.

This process may involve the use of working memory resources during trauma recall, which helps lessen the emotional intensity of those memories. By addressing how unresolved brain trauma contributes to psychological disorder, the AIP model provides a framework for lasting therapeutic change.

What Are the 8 Phases of the EMDR Therapy Process?

The EMDR process is divided into eight distinct phases that guide the client safely through trauma processing and reprocessing. These phases provide a clear framework from the initial session to the final evaluation of progress.

How Is the History and Treatment Plan Developed?

In the first phase, a detailed history is taken and a treatment plan is established. I work collaboratively with the client to identify target memories, triggers, and negative beliefs. This step is essential for understanding how past events impact current functioning and for prioritizing treatment areas.

What Happens During the Assessment Phase?

During the Assessment phase, the client selects specific target memories and identifies the associated negative thoughts, emotions, and physical sensations. A standardized scale is used to rate the emotional intensity, which helps track progress throughout treatment — whether that intensity flares up in a crowded grocery store, during a hike in Ogden Valley, or when trying to relax at home after a long day.

How Does Desensitization Work in EMDR?

Desensitization is a core component in which the client uses bilateral stimulation (BLS)—such as guided eye movements or tapping—while focusing on the traumatic memory. This process gradually reduces the memory’s vividness and emotional intensity, making it less disruptive.

What Is Installation and How Does It Reinforce Positive Beliefs?

Following desensitization, the Installation phase focuses on strengthening positive beliefs that the client wishes to adopt. During this phase, the client pairs a positive cognition with the previously distressing memory using bilateral stimulation, which boosts self-worth and confidence.

How Is the Body Scan Used in EMDR Therapy?

In the Body Scan phase, the client is guided to notice any residual physical tension or discomfort after processing the memory. This step ensures that both emotional and physical aspects of the trauma are addressed and that any lingering distress is further processed.

What Are the Closure and Reevaluation Phases?

The Closure phase helps a client regain emotional stability at the end of a session using relaxation techniques and grounding exercises.

In the Reevaluation phase, progress from previous sessions is reviewed to ensure that improvements are maintained and to decide whether further processing is necessary — whether that means checking in after a tough week of deadlines at Weber State, navigating family tension at home, or just feeling more calm walking through Mount Ogden Park.

How Does Bilateral Stimulation Work in EMDR Therapy?

Bilateral stimulation (BLS) involves engaging both sides of the body with alternating stimuli such as eye movements, tapping, or auditory tones. This stimulation is believed to enhance communication between the brain’s hemispheres, thereby facilitating the integration of traumatic memories.

What Types of Bilateral Stimulation Are Used?

Common BLS techniques include guided eye movements, tactile stimulation through alternating taps, and auditory cues using alternating sounds. Each method creates a rhythmic stimulus similar to natural processing during REM sleep, which aids in memory integration.

Why Is Bilateral Stimulation Important for Processing Trauma?

Bilateral stimulation activates the brain’s natural ability to process and organize memories. In my clinical experience, it reduces distress related to traumatic memories and supports their reconsolidation in a healthier format. This reduces symptoms such as anxiety and flashbacks by triggering neurobiological mechanisms essential to trauma resolution.

What Conditions Can EMDR Therapy Treat Effectively?

EMDR Therapy is versatile and effective for various psychological conditions. While initially developed for trauma-related disorders, its benefits extend to anxiety, depression, and other issues by addressing both the emotional and physical components of distress — the kind that can show up during a quiet hike in Ogden Canyon, or in the middle of a chaotic morning getting kids to daycare before heading to work in downtown Salt Lake.

How Does EMDR Help With PTSD Symptoms?

For individuals with post-traumatic stress disorder (PTSD), EMDR reduces the emotional intensity of traumatic memories. Clients often experience fewer flashbacks, nightmares, and severe anxiety, along with improvements in sleep, concentration, and daily functioning, after a series of sessions.

Can EMDR Therapy Treat Anxiety and Depression?

Although originally designed for trauma, EMDR has been adapted to treat anxiety and depression. By reprocessing distressing memories and changing negative cognitive patterns, clients often report decreased anxiety levels, fewer persistent worries, and improved mood stability.

How Is EMDR Used for Different Types of Trauma?

EMDR Therapy is tailored to address various trauma types, including childhood abuse, combat-related trauma, and accidents. And as a trauma therapist, I use the structured eight-phase process that allows for flexible targeting of both cognitive and somatic components of trauma, ensuring safe and effective treatment for diverse experiences.

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What Are the Benefits and Effectiveness of EMDR Therapy?

The benefits of EMDR Therapy are well-supported by both clinical practice and research. Clients generally report rapid symptom relief, improved emotional regulation, and a greater sense of empowerment following treatment.

Its mechanism of action involves activating the brain’s natural orienting response and processing networks, which has been shown to affect structures such as the amygdala, hippocampus, prefrontal cortex, and anterior cingulate cortex—regions central to emotion, memory, and arousal (Pagani et al., 2012).

Key Benefits of EMDR Therapy Include:

  • Reduction in anxiety, panic, and distress caused by traumatic experiences or phobias
  • Effective treatment for conditions such as major depressive disorder, bipolar disorder, personality disorder, and generalized anxiety disorder
  • Helps patients with borderline personality disorder, social anxiety disorder, and dissociative disorders regain emotional balance
  • Supports recovery from trauma related to assault, injury, combat (veteran populations), or grief from loss
  • Enhances the brain’s ability to reprocess episodic memory, traumatic mental images, and intense emotions tied to flashbacks
  • Regulates the limbic system and strengthens neural network connectivity involved in processing fear, anger, and pain
  • Improves sleep, attention, and working memory by reducing intrusive thoughts and emotional overarousal
  • Shown to affect brain activity patterns measured by neuroimaging and electroencephalography (EEG)
  • Can be used to treat addiction, substance abuse, eating disorders, and psychosis, often alongside medicine and other therapies
  • Beneficial in managing symptoms in individuals with schizophrenia when integrated carefully under supervision
  • Aids in suicide prevention by reducing emotional intensity of traumatic recall
  • Complements other approaches like exposure therapy, CBT, and prolonged exposure, creating a holistic trauma recovery plan

What Does Scientific Research Say About EMDR’s Effectiveness?

Numerous studies, including randomized controlled trials and systematic reviews published in journals like PubMed and PLOS One, have confirmed that EMDR significantly reduces symptoms of PTSD, anxiety, and depression. Research highlights the role of neurobiological mechanisms—such as activation of the orbitofrontal and anterior cingulate cortices—in the reprocessing of traumatic memories.

How Does EMDR Compare to Other Therapies Like CBT?

While Cognitive Behavioral Therapy (CBT) is a gold standard for many mental health issues, EMDR offers a distinct approach by directly targeting memory processing through bilateral stimulation. Some clients who do not fully respond to CBT experience faster symptom reduction with EMDR, often requiring fewer sessions.

Are There Success Stories or Case Studies Demonstrating EMDR Results?

In both my practice and the broader clinical community, many success stories illustrate EMDR’s effectiveness. Clients with long-standing trauma have reported significant improvements in coping with triggers, emotional regulation, sleep quality, and overall mood.

These real-life examples validate EMDR as a transformative treatment for trauma recovery — whether the trigger was a specific location in Ogden, a recurring interaction with a family member, or just the exhausting cycle of trying to “hold it all together” every day.

How Can You Find a Qualified EMDR Therapist?

Finding a skilled EMDR therapist is essential for safe and effective treatment. It is important to work with professionals who not only have technical expertise but also offer genuine empathy and support.

What Qualifications and Certifications Should an EMDR Therapist Have?

A qualified EMDR therapist should hold a professional license in psychology, counseling, or social work and have specialized training and certification in EMDR Therapy—ideally from organizations such as the EMDR International Association (EMDRIA).

Ongoing education and supervised practice are also key indicators of competence — especially in a city like Ogden, where clients bring a mix of life stories, rural and urban influences, religious dynamics, and generational patterns that require thoughtful, attuned care.

What Questions Should You Ask Before Starting EMDR Therapy?

Before beginning treatment, ask about the therapist’s specific EMDR training, their experience with cases similar to yours, and details about session structure. Questions like “How do you tailor EMDR for diverse trauma histories?” and “What should I expect during a typical session?” can help ensure their approach meets your needs.

Where Can You Find EMDR Therapists Near You or Online?

You can locate EMDR therapists through professional directories provided by the EMDR International Association, local mental health clinics, or community health centers.

Many therapists, including those at Illumine Therapy, offer secure teletherapy services, making it easier to access treatment regardless of location — whether you’re based in Ogden proper, commuting from North Ogden or Roy, or prefer the comfort of working through trauma from home. Online reviews and referrals from healthcare providers are also valuable resources.

What Should You Expect During an EMDR Therapy Session?

Understanding the flow of an EMDR session can help alleviate anxiety about the process. I create a warm, supportive environment that enables clients to feel safe as they explore and reprocess their experiences. Sessions are both structured and flexible to meet individual emotional needs.

How Do EMDR Sessions Typically Begin and Progress?

Sessions typically start with a brief review of the client’s current emotional state and any changes since the previous session. I then introduce bilateral stimulation techniques while guiding the client to focus on a specific traumatic memory. The session unfolds through desensitization, installation of positive beliefs, and a body scan, ending with closure techniques to ensure emotional stability.

What Are Common Client Experiences During Bilateral Stimulation?

Many clients report a gradual easing of anxiety and discomfort during bilateral stimulation. Some experience brief moments of clarity as the traumatic memory loses its grip, while initial mild discomfort often transforms into a calming sensation with proper guidance.

How Is Progress Measured and Reevaluated Over Time?

Progress is tracked using standardized rating scales like the Subjective Units of Distress Scale (SUDS) along with qualitative feedback regarding daily functioning and thought patterns. Reevaluation at the beginning of each session helps determine if further processing is needed or if new treatment targets should be set.

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Final Thoughts

EMDR Therapy offers a powerful, evidence-based approach to healing by transforming how traumatic memories are processed and integrated. Through its structured eight-phase process and the use of bilateral stimulation, EMDR helps clients overcome distress and reclaim emotional balance. My clinical experience supports its effectiveness not only in reducing symptoms of PTSD, anxiety, and depression but also in fostering long-term mental health and resilience.

Before the table below, note that each phase of EMDR Therapy is intricately designed to support a gradual and safe healing process. Reviewing this summary helps illustrate how each step targets both cognitive and emotional challenges to reinforce positive mental health outcomes.

Phase Description Key Technique Benefit
History and Treatment Plan Gathering client history and identifying targets Assessment and planning Establishes a focused treatment plan
Assessment Identifying target memories and associated distress Subjective rating scales Clarifies areas of distress
Desensitization Reducing distress using bilateral stimulation Eye movements or tapping Lowers emotional intensity
Installation Strengthening positive beliefs Bilateral stimulation Enhances self-worth and adaptive thinking
Body Scan Evaluating residual physical sensations Mindful awareness Ensures complete processing of trauma
Closure Restoring emotional stability Relaxation and grounding Prevents emotional overwhelm
Reevaluation Reviewing progress and setting new targets Feedback and reassessment Guides further therapeutic planning
Combined Review Overall review of process effectiveness Integration of methods Solidifies lasting healing effects

In summary, EMDR Therapy’s structured phases and integration of bilateral stimulation create a safe, effective environment for processing traumatic memories. Supported by research, its benefits for treating PTSD, anxiety, and depression are significant. For clients in Ogden and beyond, finding a qualified therapist is the first step toward reclaiming emotional well-being and building a more balanced future.

Frequently Asked Questions

Q: How does EMDR Therapy differ from traditional talk therapy?

A: Unlike traditional talk therapy that focuses mainly on discussing emotions and memories, EMDR actively uses bilateral stimulation to directly reprocess traumatic memories, often leading to faster symptom relief and long-term healing.

Q: How long does it typically take to see results from EMDR Therapy?

A: While some clients notice improvement after a few sessions, others may require longer treatment for complex issues. Consistency is key to lasting change.

Q: Are there any side effects of EMDR Therapy?

A: Some clients may experience temporary increases in emotional or physical distress immediately after a session, but these effects are usually short-lived and manageable with appropriate techniques.

Q: What should I expect during my first EMDR session?

A: Your first session typically involves a review of your history and the creation of a targeted treatment plan. A calm, supportive environment is established before introducing bilateral stimulation to begin processing traumatic memories.

Q: Is EMDR Therapy safe, even for clients with severe trauma?

A: EMDR is widely regarded as safe when conducted by a trained professional. Sessions are paced to match individual needs, and grounding techniques are used to manage any temporary distress.

Q: How will I know if EMDR Therapy is working for me?

A: Progress is measured using rating scales and regular check-ins regarding mood and daily functioning. Many clients notice subtle improvements early on with more significant changes over multiple sessions.

Q: What if my distress increases after a session?

A: It is common to experience a temporary increase in emotional intensity immediately following a session. I provide strategies to self-soothe and closely monitor changes to ensure ongoing safety.

Q: Does EMDR compliment other forms of therapy?

A: Absolutely. EMDR can be integrated with other approaches such as Cognitive Behavioral Therapy and mindfulness practices to address both cognitive and physiological aspects of trauma.
EMDR Therapy offers a structured yet flexible approach to processing traumatic memories, empowering clients to regain emotional stability.

Its eight-phase process, combined with bilateral stimulation, addresses both cognitive and somatic components of trauma—a method that has proven effective for reducing symptoms and fostering long-term healing. This compassionate, evidence-based treatment paves the way for enduring recovery and resilience.

References and Supporting Sources

  • Chen, Y.-R., Hung, K.-W., Tsai, J.-C., Chu, H., Chung, M.-H., Chen, S.-R., et al. (2014). Efficacy of eye‑movement desensitization and reprocessing for patients with posttraumatic‑stress disorder: A meta‑analysis of randomized controlled trials. PLOS ONE, 9(8), e103676.
  • Pagani, M., Di Lorenzo, G., Verardo, A. R., Nicolais, G., Monaco, L., Lauretti, G., et al. (2012). Neurobiological correlates of EMDR monitoring – an EEG study. PLOS ONE, 7(9), e45753.
  • Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005). A multidimensional meta‑analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162(2), 214–227.
  • Bossini, L., Lo Pilato, R., Mirigliani, A., De Chiara, L., & Simeone, A. (2019). Morphovolumetric changes after EMDR treatment in drug‑naïve PTSD patients. European Journal of Psychiatry, 33(3), 166–175.

About the Author

Kristi Image with design depression

Kristi Keding, LCMHC

Psychotherapist | High-Achiever’s Coach | Midlife Expert

As the founder of Illumine Therapy in Ogden, UT, Kristi specializes in helping high-achieving mid-life adults break free from anxiety, burnout, and overwhelm. Her toolkit includes evidence-based brain-body therapies like EMDR, Brainspotting, and ACT.

With a direct yet compassionate approach, Kristi focuses on real, tangible progress—helping clients reconnect with their values and create meaningful change. When she’s not in the therapy room, you’ll find her exploring the outdoors, traveling, or recharging in solitude.

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