I often get asked this question as 1) I provide EMDR therapy and 2) I primarily work online.
In short, yes, EMDR therapy can be effective when conducted online, though there are some considerations to keep in mind. In recent years, online therapy has become increasingly popular, especially due to the convenience and accessibility it offers, particularly during the COVID-19 pandemic. Research and clinical practice have shown that EMDR therapy can be successfully adapted to virtual platforms.
Research Supporting Online EMDR:
Several studies and clinical reports support the effectiveness of online EMDR therapy. A study published in Frontiers in Psychology (2020) reviewed the outcomes of online EMDR therapy and concluded that it was as effective as in-person therapy for treating PTSD, anxiety, and trauma-related disorders. The study found that the efficacy and satisfaction rates were similar, showing that the therapeutic processes of EMDR can be successfully applied through digital platforms.
Bilateral Stimulation:
Bilateral stimulation, a core component of EMDR, can be adapted for online therapy. While traditional face-to-face sessions typically use eye movements (e.g., following the therapist’s hand or light bar), online sessions can use alternative methods, such as audio tones played alternately in each ear or tapping, both of which can be done effectively through video or audio calls. Some therapists also use apps and software to facilitate the bilateral stimulation process during online sessions.
Convenience and Accessibility:
Online therapy makes EMDR more accessible, particularly for individuals who may not have easy access to in-person treatment due to geographical, physical, or scheduling barriers. For people in remote locations or those with mobility issues, online therapy provides an opportunity to receive this effective treatment without the need for travel.
Client Comfort:
Many clients report feeling more comfortable and less vulnerable in their own homes when participating in therapy sessions. This added comfort can sometimes enhance the effectiveness of EMDR by allowing clients to feel more relaxed, which is crucial for reprocessing traumatic memories. However, it’s important to have a quiet and safe space for online sessions to ensure privacy and minimize distractions.
Challenges to Consider
While online EMDR can be effective, there are a few challenges to keep in mind:
Technology Issues:
Technical difficulties (e.g., internet connectivity issues, audio or video glitches) can sometimes interrupt the flow of therapy. These issues may lead to a disruption in the bilateral stimulation process or other aspects of the session, potentially affecting the overall effectiveness. Therapists typically have contingency plans in place to manage such interruptions.
Safety Concerns:
Given the nature of EMDR, which often involves processing intense emotions and traumatic memories, it’s important for clients to have a secure environment. Therapists will usually ensure that clients are in a safe and private space during the session, and they may also check in regularly with the client to ensure they have emotional support after the session ends.
Best Practices for Online EMDR Therapy
To maximize the effectiveness of online EMDR therapy, here are some recommendations:
Ensure a Stable Internet Connection:
Both the client and the therapist should ensure they have reliable internet access to avoid interruptions during the session. This is especially important for the success of the bilateral stimulation process.
Create a Comfortable and Private Space:
Clients should ensure they are in a quiet and private space during sessions, free from distractions. This helps to foster a sense of safety and focus, which is critical in trauma therapy.
Conclusion
In summary, EMDR therapy can be just as effective online as it is in person, especially with the right tools, technology, and therapist expertise. Research indicates that online EMDR can yield similar outcomes in treating trauma, anxiety, and depression. As the field of online therapy continues to evolve, it’s likely that EMDR will become an even more accessible and effective treatment option for many individuals.
Dr. Soha Daru 