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Debunking the Myth: You Can't Participate in EMDR if You Dissociate

  • andersonabbiek
  • Mar 4
  • 2 min read

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Eye Movement Desensitization and Reprocessing (EMDR) is a powerful, evidence-based therapy designed to help individuals process traumatic memories. However, a common myth persists: if you dissociate, you can't participate in EMDR. This misconception can prevent people who might benefit greatly from EMDR from seeking this effective treatment. The truth is, many individuals who experience dissociation can and do successfully engage in EMDR therapy.


Understanding Dissociation in the Context of EMDR

Dissociation is a coping mechanism that creates a sense of disconnection from thoughts, emotions, memories, or identity. While it can pose challenges in therapy, it doesn't make EMDR inaccessible. In fact, EMDR can be tailored to accommodate and even address dissociation, helping individuals build a stronger connection to themselves over time.


Why This Myth Exists

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  • Misunderstanding of EMDR Protocols: Some believe that EMDR requires constant, uninterrupted emotional presence. While staying connected to the process is important, therapists are trained to adapt the protocol for clients who dissociate.

  • Concerns About Overwhelm: There’s a fear that EMDR might trigger overwhelming emotions in people who dissociate. However, skilled EMDR therapists use pacing, grounding techniques, and resource-building to ensure clients feel safe and supported.


How EMDR Works for People Who Dissociate

  1. Preparation Phase: This phase is crucial for clients with dissociation. Therapists focus on building trust, teaching grounding techniques, and enhancing emotional regulation skills before processing traumatic memories.

  2. Modified Techniques: Therapists may adjust the speed, intensity, or type of bilateral stimulation (e.g., tapping, auditory tones) to help maintain a client's connection to the present moment.

  3. Resource Development: EMDR includes protocols like Resource Development and Installation (RDI), designed to strengthen a client’s coping abilities, making it easier to manage dissociative symptoms during sessions.

  4. Focus on Dual Awareness: Therapists help clients maintain a balance between past memories and present awareness, reducing the likelihood of becoming overwhelmed or detached.


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Benefits of EMDR for Individuals with Dissociation

  • Improved Emotional Regulation: EMDR can help reduce the intensity of emotional triggers that contribute to dissociation.

  • Enhanced Self-Awareness: As clients process traumatic memories, they often gain a better understanding of their dissociative responses.

  • Greater Sense of Control: Successfully navigating EMDR sessions can empower clients, showing them they can face distressing memories without becoming overwhelmed.





Final Thoughts

The myth that dissociation disqualifies someone from EMDR therapy is just that—a myth. With the right preparation, support, and therapeutic adjustments, EMDR can be a transformative tool for individuals who experience dissociation. If you or someone you know struggles with dissociation and is curious about EMDR, reach out to a trained EMDR therapist who understands how to tailor the approach to meet your unique needs.

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