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EMDR Therapy: What It Is, How It Works & Who It Can Help

An EMDR therapist, Anya Kiseleva doing EMDR Therapy with a client in the office
EMDR therapy has become one of the most discussed approaches in modern trauma treatment. Many people search for what EMDR therapy is or even look for an EMDR therapist near me when they feel stuck with past experiences that still affect their daily life.In this post, we’ll explain what EMDR therapy is, how EMDR works in the brain, its benefits and risks, the 8 phases of treatment, and how working with an experienced EMDR therapist in New York, like Anya Kiseleva, can support long-term emotional healing.

What Is EMDR Therapy?

EMDR therapist's Anya Kiseleva office in New York

EMDR stands for Eye Movement Desensitization and Reprocessing. In simple terms, EMDR therapy helps the brain process traumatic memories so they feel less overwhelming and emotionally “stuck.” Instead of talking about the trauma in detail for long periods, EMDR uses guided techniques like eye movements, tapping, or sounds while the person recalls parts of a memory in a safe setting. 

EMDR was developed in the late 1980s by psychologist Dr. Francine Shapiro, who discovered that specific eye movements reduced the emotional intensity of disturbing memories. Over decades of research, EMDR evolved into a structured, eight-phase approach now endorsed by the American Psychological Association (APA), the World Health Organization (WHO), and the U.S. Department of Veterans Affairs.

The foundation is the Adaptive Information Processing (AIP) model. This model proposes that the brain has a natural system for processing and integrating experience, much like the body heals a wound. When trauma is too overwhelming, this system gets disrupted. The memory becomes “frozen,” stored with the original emotions, physical sensations, and negative beliefs locked inside it. Now let’s check what EMDR treats.
EMDR treatment is commonly used for:
  • Trauma and PTSD
  • Anxiety and panic attacks
  • Childhood emotional wounds
  • Grief and loss
  • Phobias
  • Emotional blocks and negative beliefs

How Does EMDR Work in the Brain?

An EMDR therapist doing Therapy with a client in the office
To understand how EMDR works in the brain, it helps to know how trauma is stored. When something overwhelming happens, the brain sometimes fails to properly process the memory. Instead of being stored as normal memory, it can remain “frozen” with the emotions, body sensations, and beliefs attached.EMDR helps “unlock” this process. Through bilateral stimulation (like eye movements), the brain is encouraged to reprocess the memory more adaptively. Over time, the emotional intensity reduces, and the memory feels more distant and less triggering.

The 8 Phases of EMDR Therapy Explained

For complex PTSD, EMDR is not a quick process. Each phase is navigated carefully, with significant time spent stabilizing before any deep trauma processing begins.
  • Phase 1 — History Taking and Treatment Planning The therapist builds a thorough picture of the client’s history, identifies target memories, current triggers, and therapy goals. With C-PTSD, this phase alone may take several sessions.
  • Phase 2 — Preparation and Stabilization The client learns grounding techniques, affect regulation skills, and “resource installation,” building internal anchors of calm and safety that can be accessed during processing. For complex trauma clients, this phase is critical. Rushing past it causes overwhelm and retraumatization.
  • Phase 3 — Assessment: A specific target memory is selected. The therapist identifies the associated negative belief (e.g., “I am powerless”), desired positive belief, emotional response, and body sensations. A baseline distress rating is established.
  • Phase 4 — Desensitization. This is the core processing phase. The client holds the target memory in mind while engaging in sets of bilateral stimulation. After each set, the client reports whatever arose: images, emotions, thoughts, body sensations. The therapist follows the client’s processing without directing it. Distress levels are measured repeatedly until the memory loses its emotional charge.
  • Phase 5 — Installation. The positive belief identified in Phase 3 is strengthened and linked to the now-processed memory. The client moves from “I am powerless” toward “I survived. I have strength.”
  • Phase 6 — Body Scan The client scans their body for any remaining tension or discomfort related to the target memory. Any residual physical activation is processed.
  • Phase 7 — Closure. Every session ends with stabilization, regardless of where the processing is. The client is returned to a grounded state and given tools for between-session support.
  • Phase 8 — Reevaluation. Each subsequent session opens with a check-in: What shifted since last time? What surfaced? What needs more attention? Treatment is adjusted based on what the client’s system is showing.

Why Is EMDR So Controversial

A common question is why is EMDR so controversial. Some skepticism comes from early misunderstandings about eye movements and whether they are the “active ingredient.” Over time, research has shown that EMDR is effective, but experts still debate exactly which part of the process is most powerful.Another reason is that EMDR can feel unusual compared to traditional therapy, especially for people unfamiliar with body-based or neuroscience-informed approaches. Despite debate, EMDR is widely used by trauma specialists and supported by strong clinical research for PTSD treatment.

Brainspotting vs EMDR

People often compare brainspotting vs EMDR because both focus on trauma processing.
  • EMDR uses structured phases and bilateral stimulation.
  • Brainspotting is more flexible and focuses on eye position and body sensation tracking.
Both aim to access deep emotional material, but EMDR is more protocol-driven, while brainspotting is often described as more intuitive and client-led.

Integrative EMDR Therapy

At Freespire Therapy, EMDR is not used as a “one-size-fits-all” method. Instead, it can be part of integrative EMDR therapy, combining different approaches based on client needs.
This may include:
  • CBT (Cognitive Behavioral Therapy)
  • DBT skills for emotional regulation
  • Somatic therapy techniques
  • Mindfulness-based tools
  • Attachment-focused work
This integrative style helps ensure therapy is not only focused on memory processing but also on building emotional stability in daily life.

Integrating EMDR Therapy and ACT Skills

A growing approach in trauma work is integrating EMDR therapy and ACT skills (Acceptance and Commitment Therapy).

ACT helps clients:

  • Accept difficult emotions without avoidance
  • Build psychological flexibility
  • Focus on values-based living
When combined with EMDR, clients not only process trauma but also learn how to move forward with healthier coping strategies and life direction.

Who Is Not a Good Candidate for EMDR

Not everyone is immediately ready for EMDR therapy. Some people who may need stabilization first include those with:
  • Severe dissociation without grounding skills
  • Active psychosis
  • Uncontrolled substance dependence
  • Extremely unstable emotional states
In such cases, therapists usually focus on stabilization before starting EMDR work.

Dangers of EMDR Therapy

When done properly with a trained professional, EMDR is considered safe. However, like any trauma-focused therapy, there can be temporary emotional discomfort. Possible reactions may include:
Focus:
  • Emotional intensity after sessions
  • Vivid dreams or memory recall
  • Temporary fatigue
  • Feeling emotionally “open” after processing
These are usually short-term and managed within therapy. The key is working with a trained EMDR therapist who understands pacing and safety.

Final Thoughts

EMDR therapy offers a structured and research-supported way to help the brain process traumatic experiences. While it may feel different from traditional talk therapy, many people find it helpful when dealing with unresolved emotional pain. If you are searching for an EMDR therapist near me or EMDR treatment in New York, choosing someone trained and licensed is important.

At Freespire Therapy, EMDR is offered as part of trauma-informed care with a focus on emotional safety and individualized pacing. Anya Kiseleva, LMHC, a licensed psychotherapist based in New York, integrates EMDR with other therapeutic approaches such as somatic work, attachment-based therapy, and cognitive methods. Her work focuses on trauma, anxiety, relationship wounds, and emotional overwhelm in a supportive, non-judgmental environment. Sessions are available online, making therapy accessible for clients across New York and beyond.

FAQs

What is EMDR therapy used for?

It is mainly used for trauma, PTSD, anxiety, and emotional distress linked to past experiences.

How long does EMDR take?

It varies. Some people feel improvement in a few sessions, while deeper trauma may take longer.

Is EMDR scientifically proven?

Is EMDR scientifically proven? Yes, EMDR is supported by research, especially for PTSD treatment.