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How EMDR Helps with Complex Trauma: What to Expect in a Session

  • andersonabbiek
  • 3 days ago
  • 4 min read
Close-up of a person's blue eyes with light makeup, clear skin, and lightly arched eyebrows, conveying a focused and intense gaze.

Complex trauma, often resulting from prolonged exposure to distressing experiences, can leave a lasting impact on a person's emotional, mental, and physical health. Whether it's the aftermath of childhood abuse, prolonged neglect, or ongoing emotional manipulation, complex trauma can make it difficult to process and move past the pain. Fortunately, Eye Movement Desensitization and Reprocessing (EMDR) is an effective therapeutic approach that helps individuals heal from the effects of complex trauma.


In this blog post, we’ll explore how EMDR can help with complex trauma and what you can expect during an EMDR session.


What Is EMDR?

EMDR is a therapeutic approach developed to help individuals process traumatic memories by using bilateral stimulation (usually in the form of eye movements, sounds, or taps). The goal of EMDR is to desensitize the emotional charge attached to these memories, allowing them to be processed and integrated in a healthier way.


While it was initially developed for PTSD, EMDR has proven effective for many types of trauma, including complex trauma. By reprocessing distressing memories, EMDR helps individuals reduce the emotional intensity of past trauma and work through the lingering effects it has on their lives.


How Does EMDR Work for Complex Trauma?

Complex trauma often involves multiple traumatic events over a long period of time, and the individual may have difficulty connecting with or processing the memories, leading to a disjointed sense of self and the world around them. EMDR can help individuals with complex trauma by:

  1. Reprocessing Traumatic Memories:

    EMDR helps clients access traumatic memories and process them in a way that reduces the emotional intensity and pain associated with the memory. Over time, this process helps individuals make sense of their past without it overwhelming their present life.

  2. Reducing Distress and Triggers:

    People with complex trauma often experience emotional triggers that bring past memories or feelings to the forefront. EMDR works to minimize the emotional response to these triggers, allowing individuals to feel more in control and less overwhelmed by past events.

  3. Creating a Healthier Self-Image:

    Trauma, especially when experienced in childhood or over prolonged periods, can cause individuals to develop negative beliefs about themselves (e.g., “I’m not worthy,” “I’m broken,” or “I can’t trust anyone”). EMDR helps challenge these negative beliefs and replace them with healthier, more empowering thoughts, aiding in the restoration of self-worth and confidence.

  4. Processing the Effects of Dissociation:

    Complex trauma often leads to dissociation, where individuals may feel detached from their emotions or even their own sense of self. EMDR helps individuals reconnect with their emotions and their body, facilitating a healthier sense of self.


What to Expect in an EMDR Session

If you're considering EMDR therapy for complex trauma, it’s important to know what to expect. Here’s an overview of the typical process:

1. Initial Assessment and History-Taking

In the first few sessions, your therapist will get to know you, your history, and the traumatic experiences you’ve faced. This is an important step, as it helps the therapist understand your unique needs and creates a foundation for treatment. The therapist may ask about the impact of your trauma on your current life, your coping mechanisms, and your emotional triggers.

2. Establishing a Sense of Safety and Stability

Before diving into trauma-focused work, your therapist will help you build emotional resilience by teaching coping strategies, relaxation techniques, and grounding exercises. This ensures that you have the tools you need to manage difficult emotions or memories that may arise during EMDR.

3. Identifying Target Memories

Once you're ready, your therapist will guide you in identifying specific memories that you want to work through. These memories are often associated with moments of intense emotional distress or significant moments in your trauma history. You'll work together to narrow down which memories to focus on first.

4. Bilateral Stimulation

During the actual EMDR processing, your therapist will ask you to focus on the target memory while engaging in bilateral stimulation. This typically involves following the therapist’s hand movements with your eyes or hearing sounds in alternating ears. The bilateral stimulation helps facilitate the brain’s natural processing of traumatic memories, allowing them to be reprocessed without the intense emotional charge.

5. Processing and Reprocessing

As you follow the therapist’s instructions, the memory may begin to shift, and new perspectives, feelings, or insights may emerge. You may find that the memory loses its emotional charge, and you may start to feel more neutral or empowered when thinking about the event. This part of the process can sometimes feel intense, but your therapist will guide you through it and ensure that you feel safe.

6. Rebuilding and Reinforcing Positive Beliefs

As part of the EMDR process, you’ll also work on replacing negative beliefs that stemmed from your trauma with healthier, positive beliefs. This is a crucial part of healing, as it helps shift your perspective and creates a stronger sense of self.

7. Closure and Aftercare

At the end of each session, your therapist will help you ground yourself and return to a place of calm. EMDR can stir up strong emotions, so this step ensures you leave the session feeling stable and secure. You may also receive some assignments or suggestions for self-care between sessions.


Is EMDR Right for You?

If you’re struggling with complex trauma, EMDR can be a highly effective therapeutic approach. It provides a safe, structured way to process trauma and reduce its impact on your daily life. While EMDR can be intense, it’s designed to help you heal at your own pace, with the support of a trained therapist who will guide you through each step.


If you’re ready to explore EMDR as a path to healing, reach out to a licensed therapist who specializes in trauma therapy. Healing from complex trauma is possible, and EMDR is one of the most powerful tools available to help you reclaim your life.


Have you experienced EMDR therapy for complex trauma? Share your thoughts or questions in the comments below!


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