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The Holding Space

Can EMDR Be Done Virtually?

If you've been exploring different types of therapy, you might have come across Eye Movement Desensitization and Reprocessing (EMDR). Known for its effectiveness in treating trauma, EMDR therapy involves stimulating the brain with bilateral movements, usually through eye movements, to help process and resolve distressing memories. But in today's digital age, you might be wondering—can EMDR be done virtually? The short answer is yes, but let's look at how it works and what you should know if you're considering virtual EMDR therapy.


How Does Virtual EMDR Work?

When you're doing EMDR in person, your therapist will typically guide your eye movements by moving their hand or using a light bar that tracks back and forth. In a virtual setting, the therapist still guides you through the process, but uses your computer or phone screen to do so. This is often done through apps or special tools that display moving dots, lines, or other visual stimuli on your screen.


You can also use auditory or tactile bilateral stimulation if eye movements aren't a good fit. Your therapist might play alternating tones through your headphones or suggest you use small hand-held devices that vibrate in sync with the therapy.


The core elements of EMDR—recalling traumatic memories, reprocessing them, and replacing them with healthier perspectives—are exactly the same whether you're in the same room as your therapist or interacting virtually.


Does Virtual EMDR Therapy Really Work?

Virtual EMDR can be just as effective as in-person sessions, but there are a few factors to consider. First, your comfort level with technology is key. If you're someone who easily gets distracted by virtual environments or struggles with technical issues, it may affect your therapy experience. However, most therapists are well-prepared to guide you through any technical hiccups and ensure that you're focusing on the session itself.


Another important factor is how comfortable you feel in your home or wherever you choose to do your virtual session. Since EMDR requires you to confront past trauma, it's essential to be in a space where you feel safe and uninterrupted. You might need to set clear boundaries with others in your household or arrange your environment to minimize distractions.


What Do You Need for a Virtual EMDR Session?

Before your virtual session, your therapist will likely provide you with a checklist to ensure everything runs smoothly. At the very least, you’ll need:


  1. A reliable internet connection – You don't want your session interrupted because your Wi-Fi drops out during a crucial moment.

  2. A private, quiet space – Make sure you have privacy for the duration of the session to ensure you can fully engage with the process.

  3. A computer, tablet, or phone – Most virtual EMDR sessions are conducted via secure video conferencing platforms, so you’ll need a device that can support that.

  4. Headphones – If your therapist uses auditory bilateral stimulation, you'll want a good pair of headphones to help keep you focused.


Are There Any Drawbacks?

Virtual therapy, including EMDR, isn’t for everyone. Some people may find it harder to connect with their therapist online or may feel that the distance creates a barrier to emotional openness. If you’re the type of person who thrives on in-person interactions, virtual EMDR might feel a bit disconnected. However, many people find that the flexibility and convenience of virtual sessions outweigh these concerns.


Additionally, if you experience strong emotional reactions during EMDR, such as dissociation or intense distress, some therapists may feel that being physically present could offer more immediate support. For that reason, virtual EMDR might not be the best fit for everyone, especially if your trauma is very recent or severe. In those cases, it’s always best to consult with your therapist about whether virtual therapy is the right choice for you.


Is Virtual EMDR Right for You?

If you're thinking about starting EMDR but can't make it to in-person sessions due to scheduling, travel limitations, or other reasons, virtual EMDR is a strong alternative. It’s convenient, flexible, and has been shown to work well for many people. As long as you’re prepared to create a safe, focused environment and have the right equipment, there’s no reason virtual EMDR can’t help you process trauma and move forward in your healing journey.


Ultimately, the most important factor is finding a qualified therapist who makes you feel comfortable and confident—whether that’s in person or through a screen.


Learn more about EMDR Therapy in Pasadena, CA.

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