Blog Post

The Pros and Cons of EMDR Therapy

NOTE: This article was updated in 2019.

HM writes: "Is EMDR a New Age therapy? I’ve participated in it through my counseling for OCD. It was first presented to me by a Catholic therapist, a wonderful woman who explained that it is effective in people with PTSD and especially OCD because the light bar distracts the front part of the brain, enabling the long-term memory portion of the brain to tap into traumatic memories and reprocess them appropriately. It seemed scientific to me and actually helped calm down many ‘triggers’ for my OCD.

" . . . I’ve experienced much relief in the past from this type of therapy. But now, I’m concerned that I’ve done something wrong. Can you please help explain this to me? I never would have participated in it had I known that it was something New Age that could have opened me up to the spiritual realm. I truly just thought it was reorganizing bad memories in my brain."

You are not in any danger from having used EMDR therapy. Although there is some  controversy surrounding this therapy, these disputes have nothing to do with New Age or occult beliefs, but with the way the therapy actually works.

For those who have never heard of it, EMDR therapy stands for Eye Movement Desensitization and Reprocessing and is a relatively new form of psychotherapy which is used to treat PTSD and other anxiety disorders.

It was discovered in 1987 by a psychology graduate student named Francine Shapiro who noticed that upsetting thoughts faded when she moved her eyes rapidly from side to side. She began to study this effect scientifically and within two years, published a controlled study which described dramatic single-session cures for 22 patients with PTSD. The same results were duplicated in a three-year follow-up.

A typical session lasts up to 90 minutes and will consist of the EMDR therapist asking the patient to recall a disturbing event. At the same time, the patient is asked to follow the therapists hand motions with his or her eyes. Gradually, the therapist will guide the patient into thinking more pleasant thoughts with some practitioners using some kind of alternative to the hand motion, such as tapping their toe or playing musical tones. After the session, the therapist will ask the patient to rate their level of distress with the hope that the disturbing thoughts will have become less disabling.

While the treatment sounds somewhat bizarre, it has been subjected to a great deal of clinical study with some good results. According to WebMd, the American Psychiatric Association (APA) has noted the effectiveness of EMDR  for treating symptoms of acute and chronic PTSD. The APA particularly recommends it for persons who have difficulty talking about the traumatic events they have experienced.

However, APA guidelines do note that more research is needed to determine if improvements related to EMDR can be sustained. It's also important to note that even supporters agree that it is not yet known exactly how EMDR works. At this point, it is only a theory.

Critics of EMDR point to the small sample sizes used in testing, and its overall effectiveness is still being debated in the scientific community - which is a good thing! When it comes to an individual's health, the application of disinterested scientific study - by the best minds in the world - is the ONLY way to determine what is - and is not - a safe practice. User testimonials are no substitute for this kind of scrutiny and Shapiro is to be applauded for subjecting her discovery to authentic scientific review - regardless of what the outcome might be.

Thus far, there are no known side effects of EMDR and it is considered to be a safe therapy.

However, it must be said that there are cheap imitations of EMDR therapy out there so patients need to take care that the method used is the 8-Phase approach put forth by Shapiro.

This website offers a thorough FAQ on EMDR, including questions to ask to determine if a practitioner is qualified to use this therapy.

UPDATE: As of 2017, EMDR research was still showing positive effects for this practice. This link will take you to a recent study: