How does EMDR therapy work in the brain?

October 24, 2023

EMDR therapy is a complex process that involves different brain regions and networks. Here's an overview of how it works, including the roles of the right and left brain, and the various areas involved in processing trauma:

1. Right and Left Brain:

  • The human brain is divided into two hemispheres, the right and left. They have different functions and are involved in different aspects of EMDR therapy.
  • The right hemisphere is often associated with emotional and sensory processing. It plays a crucial role in storing traumatic memories and the intense emotions linked to them.
  • The left hemisphere is responsible for logical thinking, language, and verbal expression. In EMDR therapy, it is engaged when clients discuss their traumatic experiences and cognitive aspects related to the trauma.

2. Brain Areas Involved:

  • Emotional Brain  (Limbic System): The amygdala, a part of the limbic system, plays a significant role in emotional processing and fear response. Traumatic memories often evoke strong emotional reactions mediated by this system.
  • Cognitive Brain (Pre-Frontal Cortex): The pre-frontal cortex is responsible for higher-order cognitive functions, such as reasoning and     decision-making. EMDR engages the cognitive brain when individuals make sense of their traumatic experiences during therapy.
  • Autonomic Nervous System (ANS): Trauma can activate the ANS, leading to the "fight, flight, or freeze" response. EMDR may help regulate this response and reduce physiological arousal associated with traumatic memories.

3. Trauma Storage:

  • Trauma memories are thought to be stored in a fragmented and dysregulated manner in the brain. They may not be properly integrated with other memories.
  • The amygdala, in particular, is believed to play a role in the encoding and retention of traumatic memories. Traumatic events can lead to heightened amygdala activity, contributing to the emotional intensity of these memories.

4. DesensitizationProcess:

  • In EMDR therapy, the process of desensitization involves the following steps:
     
  • The therapist guides the client to recall a traumatic memory while simultaneously engaging in bilateral stimulation (e.g.,following the therapist's hand movements).
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  • This dual attention diverts cognitive resources, making it less overwhelming for the client to process the memory.
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  • Over time, the emotional charge associated with the memory decreases as the brain reprocesses the traumatic memory in a more adaptive way.
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  • New associations and insights may arise, allowing the memory to be integrated into the broader memory network with reduced emotional intensity.
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  • Ultimately, the goal is to help the individual desensitize and reprocess the traumatic memory so that it no longer triggers intense emotional reactions.

It's important to note that the exact neural mechanisms of EMDR therapy are still a subject of research, and the process may vary from person to person. EMDR is considered effective for many individuals in addressing trauma-related distress, but the underlying brain processes are complex and not yet fully understood.

If you just read through all of this and go .....What???

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