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EMDR · 1 August 2024

Bilateral stimulation techniques in EMDR

By Arantxa Pisón, licensed health psychologist, register no. G-2337

Discover the different bilateral stimulation techniques used in EMDR therapy and how they help in the process of emotional healing.

What bilateral stimulation is

Bilateral stimulation is a central technique in EMDR therapy that involves the alternating activation of the brain’s hemispheres through eye movements, alternating sounds or taps. This process facilitates the reprocessing of traumatic memories and helps to desensitise the intense emotional responses associated with these memories.

Bilateral stimulation works by activating both hemispheres of the brain simultaneously, promoting more effective communication between them. This method is based on the idea that the brain has an innate capacity to process information adaptively, but this capacity can be blocked or inhibited by traumatic experiences. By alternating the stimulation of the hemispheres, access to disturbing memories is facilitated and their processing is encouraged in a safe environment.

The use of bilateral stimulation is not limited to EMDR; similar techniques have also been found to be beneficial in other therapeutic and personal development contexts, such as guided meditation and some forms of hypnosis. However, in the context of EMDR, bilateral stimulation is a powerful and specific tool for the desensitisation and reprocessing of trauma.

Types of bilateral stimulation techniques

Eye movements

Eye movements involve the patient following the therapist’s fingers from side to side with their eyes. This technique is effective in activating both hemispheres of the brain and helping to reprocess traumatic memories. Eye movements are the best known and most widely used in EMDR, as they are easy to implement and well tolerated by most patients.

Tactile stimulation

Tactile stimulation is carried out through alternating taps on the hands or on other parts of the body. Devices such as TheraTappers can be used, which provide rhythmic and controlled tactile stimulation. This technique is especially useful for patients who may feel uncomfortable with eye movements or who prefer a more tactile approach.

Auditory stimulation

Auditory stimulation uses alternating sounds in each ear, usually through headphones. The sounds may be tones, clicks or music, and they help to activate both hemispheres of the brain. This technique is ideal for patients who respond well to auditory stimuli and can be used in combination with the other forms of bilateral stimulation to maximise the therapeutic effects.

Benefits of bilateral stimulation in EMDR

How the right technique is chosen

The choice of the right bilateral stimulation technique depends on several factors, including the patient’s preferences, the type of trauma and the patient’s individual needs. Therapists can adapt the techniques according to what works best for each person, and they often use a combination of techniques to maximise the effectiveness of the treatment.

What to expect during an EMDR session with bilateral stimulation

During an EMDR session with bilateral stimulation, the patient can expect:

A safe and welcoming therapeutic environment

The session takes place in a calm and controlled setting.

An organised session structure

The therapist guides the patient through several phases of the session, starting with preparation and ending with closure to make sure the patient is calm.

Length and frequency

Sessions usually last between 60 and 90 minutes, and the frequency of the sessions is adapted to the patient’s needs.

Is bilateral stimulation safe?

Yes, bilateral stimulation is safe and effective. The techniques used in EMDR have been widely researched and validated by clinical studies. However, it is important that the treatment is carried out by a therapist certified in EMDR to ensure it is applied correctly.

Can anyone use bilateral stimulation?

Bilateral stimulation is suitable for most people, but there are some contraindications. People with certain medical or psychological conditions may need specific adaptations or may need to consider other treatment options. It is essential that a therapist assesses each case individually.

How long does it take to see results with bilateral stimulation?

The time it takes to see results with bilateral stimulation varies depending on the individual and the nature of the trauma. Some patients may experience significant improvements within a few sessions, while others may need longer treatment. The consistency and frequency of the sessions also influence how quickly results appear.

Can bilateral stimulation be combined with other therapies?

Yes, bilateral stimulation in EMDR can be complemented by other therapies, such as cognitive behavioural therapy (CBT), exposure therapy or the use of medication. This combination can offer a more holistic and effective approach to the treatment of emotional disorders.

Differences between bilateral stimulation techniques

Each bilateral stimulation technique has its own advantages and may be more suitable in different situations. Eye movements are the most commonly used, but tactile and auditory stimulation are also effective and may be preferred by some patients. The choice of technique depends on the patient’s comfort and the therapist’s recommendation.

Conclusion

EMDR therapy has proven to be a powerful and effective tool for treating anxiety, helping people to process and overcome memories and experiences that contribute to their anxious state. If you are considering EMDR as a treatment option, it is important to speak to a certified therapist who can guide you through the process and maximise the benefits of the therapy. For more information on how I can help you with this technique, visit my EMDR therapy section.

Arantxa Pisón

Arantxa Pisón

Licensed health psychologist, register no. G-2337. I work in Vigo and online.

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