Skip to main content

EMDR Therapy for Trauma-Related Disorders

  • Chapter
  • First Online:
Evidence Based Treatments for Trauma-Related Psychological Disorders

Abstract

Eye Movement Desensitization and Reprocessing (EMDR) therapy is a comprehensive and integrative approach to psychotherapy that works with the neurophysiology of memory to reprocess disturbing life experiences that continue to have a negative impact on self and psyche. Using standardized procedures, memories can be reprocessed, allowing clients to relate to what actually happened in the past with a present-day perspective and without distress. This approach is guided by the Adaptive Information Processing Model that posits that current life difficulties are informed by past experiences that are inadequately processed and maladaptively encoded, generating symptoms in the client’s life. This associative process, i.e., all memories are connected by one or more similar components such as images, thoughts, emotions, and sensations, informs our perceptions, attitudes, and behaviors. The three-pronged approach of considering the past, present, and future systematically addresses the client’s present-day life difficulties by targeting similar experiences in the past, addressing present triggers that may remain, and generate alternative, adaptive responses to similar situations in the future. Research confirms the primacy of adverse life experiences that contribute to a range of presenting problems to include psychological and somatic symptomatology.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Arias-Suárez N, Moreno-Pérez J, Redolar-Ripoll D, Hogg BM, Gardoki-Souto I, García-Guerrero F, Jaime-Cabrera S, Samper-Bernal D, Amann BL, Moreno-Alcázar A (2020) EMDR versus treatment-as-usual in patients with chronic non-malignant pain: a randomized controlled pilot study. J EMDR Pract Res 14:4

    Google Scholar 

  • Brennstuhl MJ, Tarquinio C, Bassan F (2016) Using EMDR – eye movement desensitization and reprocessing – in the context of chronic pain: a pilot study. Prat Psychol 22(1):17–29. https://doi.org/10.1016/j.prps.2015.11.002

    Article  Google Scholar 

  • Brown SH, Stowasser JE, Shapiro F (2011) Eye movement desensitization and reprocessing (EMDR): mental health-substance use. In: Cooper DB (ed) Intervention in mental health-substance use. Radcliffe, Oxford, pp 165–193

    Google Scholar 

  • Carletto S, Malandrone F, Berchialla P, Oliva P, Colombi N, Hase M, Hofmann A, Ostacoli L (2021) Eye movement desensitization and reprocessing for depression: a systematic review and meta-analysis. Eur J Psychotraumatol 12(1):1894736. https://doi.org/10.1080/20008198.2021.1894736

    Article  PubMed  PubMed Central  Google Scholar 

  • Cloitre M, Cohen LR, Ortigo KM, Jackson C, Koenen KC (2020) Treating survivors of childhood abuse and interpersonal trauma: STAIR narrative therapy. Guilford, New York

    Google Scholar 

  • Craske M, Herman D, Vansteenwegen D (eds) (2006) Fear and learning: from basic processes to clinical implications. APA Press, Washington, DC

    Google Scholar 

  • De Roos C, Veenstra AC, de Jongh A, den Hollander-Gijsman M, Van der Wee NJ, Zitman FG, Van Rood YR (2010) Treatment of chronic phantom limb pain using a trauma-focused psychological approach. Pain Res Manag 15(2):65–71. https://doi.org/10.1155/2010/981634

    Article  PubMed  PubMed Central  Google Scholar 

  • De Roos C, Van der Oord S, Zijlstra B, Lucassen S, Perrin S, Emmelkamp P, De Jongh AD (2017) Comparison of eye movement desensitization and reprocessing therapy, cognitive behavioral writing therapy, and wait-list in pediatric posttraumatic stress disorder following single-incident trauma: a multicenter randomized clinical trial. J Child Psychol Psychiatry 58(11):1219–1228. https://doi.org/10.1111/jcpp.12768

  • Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS (1998) Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Am J Prev Med 14:245–258

    Article  CAS  Google Scholar 

  • Gerhardt A, Leisner S, Hartmann M, Janke S, Seidler GH, Eich W, Tesarz J (2016) Eye movement desensitization and reprocessing vs. treatment-as-usual for non-specific chronic back pain patients with psychological trauma: a randomized controlled pilot study. Front Psychiatry 7:201. https://doi.org/10.3389/fpsyt.2016.00201

    Article  PubMed  PubMed Central  Google Scholar 

  • Gómez AM (2012) EMDR therapy and adjunct approaches with children: complex trauma, attachment and dissociation. Springer, New York

    Book  Google Scholar 

  • Hensley BJ (2021) An EMDR therapy primer: from practicum to practice, 3rd edn. Springer, New York

    Google Scholar 

  • van den Hout MA, Engelhard IM (2012) How does EMDR work? J Exp Psychopathol 3(5):724–738. https://doi.org/10.5127/jep.028212

    Article  Google Scholar 

  • International Society of Traumatic Stress Studies (2019) Posttraumatic stress disorder: prevention and treatment guidelines. http://www.istss.org/treating-trauma/new-istss-prevention-and-treatment-guidelines.aspx

  • van der Kolk B (2005) Developmental trauma disorder: towards a rational diagnosis for children with complex trauma histories. Psychiatr Ann 35(5):401–408

    Article  Google Scholar 

  • van der Kolk B, Spinazzola J, Blaustein M, Hopper J, Hopper E, Korn D, Simpson W (2007) A randomized clinical trial of EMDR, fluoxetine and pill placebo in the treatment of PTSD: treatment effects and long-term maintenance. J Clin Psychiatry 68:37–46

    Article  Google Scholar 

  • Kuiken D, Bears M, Miall D, Smith L (2001) Eye movement desensitization reprocessing facilitates attentional orienting. Imagin Cogn Pers 21(1):3–20. https://doi.org/10.2190/L8JX-PGLC-B72R-KD7X

    Article  Google Scholar 

  • Laliotis D (2020) Letting the steam out of the pressure cooker: the EMDR life stress protocol. J EMDR Pract Res 14(3):150–161. https://doi.org/10.1891/EMDR-D-20-0032

    Article  Google Scholar 

  • Lee CW, Cuijpers P (2013) A meta-analysis of the contribution of eye movements in processing emotional memories. J Behav Ther Exp Psychiatry 44:231–239. https://doi.org/10.1016/j.jbtep.2012.11.001

    Article  PubMed  Google Scholar 

  • Lewis C, Roberts NP, Andrew M, Starling E, Bisson JI (2020) Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis. Eur J Psychotraumatol 11:1729633. https://doi.org/10.1080/20008198.2020.1729633

    Article  PubMed  PubMed Central  Google Scholar 

  • Marcus S, Marquis P, Sakai C (2004) Three- and 6-month follow-up of EMDR treatment of PTSD in an HMO setting. Int J Stress Manage 11:195–208

    Article  Google Scholar 

  • Matthijssen SJ, Lee CW, de Roos C, Barron IG, Jarero I, Shapiro E, Hurley EC, Schubert SJ, Baptist J, Amann BL, Moreno-Alcazar A, Tesarz J, de Jongh A (2020) The current status of EMDR therapy, specific target areas, and goals for the future. J EMDR Pract Res 14(4):241–256. https://doi.org/10.1891/EMDR-D-20-00039

    Article  Google Scholar 

  • Mavranezouli I, Megnin-Viggars O, Daly C, Dias S, Welton NJ, Stockton S, Bhutani G, Grey N, Leach J, Greenberg N, Katona C, El-Leithy S, Pilling S (2020a) Psychological treatments for post-traumatic stress disorder in adults: a network meta-analysis. Psychol Med 50:542–555. https://doi.org/10.1017/S0033291720000070

    Article  PubMed  Google Scholar 

  • Mavranezouli I, Megnin-Viggars O, Grey N, Bhutani G, Leach J, Daly C, Dias S, Welton NJ, Katona C, El-Leithy S, Greenberg N, Stockton S, Greenberg N (2020b) Cost-effectiveness of psychological treatments for post-traumatic stress disorder in adults. PLoS One 15(4):e0232245. https://doi.org/10.1371/journal.pone.0232245

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Maxfield L (2019) A Clinician’s Guide to the Efficacy of EMDR Therapy. J EMDR Pract Res 13(4):239−246. https://doi.org/10.1891/1933-3196.13.4.239

  • Meentken MG, Van der Mheen M, Beynum IM, Aendekerk EW, Legerstee JS, Van der Ende J, Del Canho R, Lindauer RJL, Hillegers MHJ, Moll HA, Helbing WA, Utens EM (2020) EMDR for children with medically related subthreshold PTSD: short-term effects on PTSD, blood-injection-injury phobia, depression and sleep. Eur J Psychotraumatol 11:1. https://doi.org/10.1080/20008198.2019.1705598

    Article  Google Scholar 

  • Mol SSL, Arntz A, Metsemakers JFM, Dinant G, Vilters-Van Montfort PAP, Knottnerus A (2005) Symptoms of post-traumatic stress disorder after non- traumatic events: evidence from an open population study. Br J Psychiatry 186:494–499

    Article  Google Scholar 

  • Moreno-Alcázar A, Treen D, Valiente-Gómez A, Sio-Eroles A, Pérez V, Amann BL, Radua J (2017) Efficacy of eye movement desensitization and reprocessing in children and adolescent with post-traumatic stress disorder: a meta-analysis of randomized controlled trials. Front Psychol 8:1750. https://doi.org/10.3389/fpsyg.2017.01750

    Article  PubMed  PubMed Central  Google Scholar 

  • Nash et al (2013) Psychometric evaluation of the moral injury events scale. Mil Med 178:646–652

    Article  Google Scholar 

  • National Institute for Health and Care Excellence (2018) Post-traumatic stress disorder. NG116. Management of PTSD in children, young people and adults (1.6.13). https://www.nice.org.uk/guidance/ng116/chapter/Recommendations#management-of-ptsd-in-children-young-people-and-adults

  • Roberts NP, Kitchiner NJ, Kenardy J, Lewis CE, Bisson JI (2019) Early psychological intervention following recent trauma: a systematic review and meta-analysis. Eur J Psychotraumatol 10(1):1695486. https://doi.org/10.1080/20008198.2019.1695486

    Article  PubMed  PubMed Central  Google Scholar 

  • Russell MC, Figley CR (2012) Treating traumatic stress injuries in military personnel: an EMDR practitioner’s guide. Routledge, New York

    Google Scholar 

  • Sack M, Zehl S, Otti A, Lahmann C, Henningsen P, Kruse J, Stingl M (2016) A comparison of dual attention, eye movements, and exposure only during Eye Movement Desensitization and Reprocessing for posttraumatic stress disorder: results from a randomized clinical trial. Psychother Psychosom 85:357–365. https://doi.org/10.1159/000447671

    Article  PubMed  Google Scholar 

  • Schubert SJ, Lee CW, Drummond PD (2016) Eye movements matter, but why? Psychophysiological correlates of EMDR therapy to treat trauma in Timor-Leste. J EMDR Pract Res 10(2):70–81. https://doi.org/10.1891/1933-3196.10.2.70

    Article  Google Scholar 

  • Sepehry AA, Lam K, Sheppard M, Guirguis-Younger M, Maglio A (2021) EMDR for depression. A meta-analysis and systematic review. J EMDR Pract Res 15(1):1–16. https://doi.org/10.1891/EMDR-D-20-00038

    Article  Google Scholar 

  • Shapiro F (1995) Eye movement desensitization and reprocessing: basic principles, protocols, and procedures. Guilford Press, New York

    Google Scholar 

  • Shapiro F (2001) Eye movement desensitization and reprocessing: basic principles, protocols, and procedures, 2nd edn. Guilford Press, New York

    Google Scholar 

  • Shapiro F (2012) Getting past your past. Rodale, New York

    Google Scholar 

  • Shapiro F (2014) The role of eye movement desensitization & reprocessing (EMDR) therapy in medicine: addressing the psychological and physical symptoms stemming from adverse life experiences. Perm J 18:71–77

    Article  Google Scholar 

  • Shapiro F (2018) Eye movement desensitization and reprocessing therapy: basic principles, protocols, and procedures, 3rd edn. Guilford, New York

    Google Scholar 

  • Shapiro F, Kaslow F, Maxfield L (eds) (2007) Handbook of EMDR and family therapy processes. Wiley, Hoboken

    Google Scholar 

  • Solomon RM, Shapiro F (2008) EMDR and the adaptive information processing model: potential mechanisms of change. J EMDR Pract Res 2:315–325

    Article  Google Scholar 

  • Sprang G (2001) The use of eye movement desensitization and reprocessing (EMDR) in the treatment of traumatic stress and complicated mourning: psychological and behavioral outcomes. Res Soc Work Pract 11:300–320

    Article  Google Scholar 

  • Stickgold R (2002) EMDR: a putative neurobiological mechanism of action. J Clin Psychol 58:61–75

    Article  Google Scholar 

  • Stickgold R (2008) Sleep-dependent memory processing and EMDR action. J EMDR Pract Res 2(4):289–299. https://doi.org/10.1891/1933-3196.2.4.289

    Article  Google Scholar 

  • Suzuki A, Josselyn SA, Frankland PW, Masushige S, Silva AJ, Kida S (2004) Memory reconsolidation and extinction have distinct temporal and biochemical signatures. J Neurosci 24:4787–4795

    Article  CAS  Google Scholar 

  • Tesarz J, Wicking M, Bernardy K, Seidler G (2019) EMDR therapy’s efficacy in the treatment of pain. J EMDR Pract Res 13(4):337–344

    Article  Google Scholar 

  • Valiente-Gómez A, Moreno-Alcázar A, Treen D, Cedrón C, Colom F, Pérez V, Amann BL (2017) EMDR beyond PTSD: A Systematic Literature Review. Front Psychol 810.3389/fpsyg.2017.01668

  • Wesselmann D, Davidson M, Armstrong S, Schweitzer C, Bruckner D, Potter AE (2012) EMDR as a treatment for improving attachment status in adults and children. Eur Rev Appl Psychol 62:223–230

    Article  Google Scholar 

  • Wilson SA, Becker LA, Tinker RH (1995) Eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. J Consult Clin Psychol 63(6):928−937. https://doi.org/10.1037/0022-006X.63.6.928

  • Wilson S, Becker LA, Tinker RH (1997) Fifteen-month follow-up of eye movement desensitization and reprocessing (EMDR) treatment of post-traumatic stress disorder and psychological trauma. J Consult Clin Psychol 65:1047–1056

    Article  CAS  Google Scholar 

  • World Health Organization (2013) Guidelines for the management of conditions that are specifically related to stress. WHO, Geneva

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Deany Laliotis .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Laliotis, D., Shapiro, F. (2022). EMDR Therapy for Trauma-Related Disorders. In: Schnyder, U., Cloitre, M. (eds) Evidence Based Treatments for Trauma-Related Psychological Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-97802-0_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-97802-0_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-97801-3

  • Online ISBN: 978-3-030-97802-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics