Understanding EMDR · Trauma Treatment

You've heard about EMDR.
Here's what it actually
is — and isn't.

EMDR gets a lot of attention, and some of it is warranted. Eye Movement Desensitization and Reprocessing is a structured trauma therapy that uses bilateral stimulation — typically eye movements — to help the brain reprocess distressing memories. For the right people, in the right hands, it can be genuinely effective.

This page isn't a sales pitch for EMDR. I don't practice EMDR — but I work extensively with trauma, and part of that work is helping people understand their options clearly so they can make informed decisions about their care.

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The Reality

What EMDR actually does —
and what the research shows

EMDR is based on the idea that traumatic memories get "stuck" in the nervous system in a way that prevents normal processing. The bilateral stimulation — typically following a therapist's finger movements or using tapping — is thought to activate the brain's natural information processing system, allowing the memory to be integrated rather than avoided.

The research on EMDR for PTSD is reasonably strong. Multiple studies support its effectiveness, and it's endorsed by organizations including the WHO and the American Psychiatric Association. It tends to work best for single-incident trauma with a clear memory target. Complex trauma, developmental trauma, and relational wounds often require different or complementary approaches.

EMDR is not magic. It's a structured protocol that works for some people and some types of trauma. It's not universally superior to other approaches.

The relationship still matters. Even in EMDR, the therapeutic relationship is a significant factor in outcomes. A skilled therapist matters more than any specific technique.

It's not the only evidence-based option. Trauma-focused CBT, somatic approaches, and relational therapy all have strong research support for trauma treatment.

If you want EMDR specifically, say so. Finding a therapist who is formally trained and certified in EMDR is worth the effort if that's the approach you want.

Alternatives Worth Knowing

Other approaches to trauma
that have strong research support

EMDR is one tool. Here are others that are well-supported and worth understanding.

Trauma-Focused CBT

Addresses the cognitive and behavioral patterns trauma creates. Well-studied, widely available.

Somatic Therapy

Works with the body's stored trauma response — the nervous system, not just the narrative.

Relational Therapy

Uses the therapeutic relationship itself as a healing mechanism. Particularly useful for relational and developmental trauma.

CPT (Cognitive Processing Therapy)

Originally developed for PTSD. Focuses on changing how you think about the traumatic event and its aftermath.

IFS (Internal Family Systems)

Works with parts of the self that hold trauma, shame, or protective functions. Growing evidence base.

What I Use

A relational, integrative approach that draws on multiple frameworks based on what you specifically need.

"Understanding your options
is part of finding
the right fit."
— Myke Cooper, LCSW
Atlanta, GA · Online Across Six States

Looking for trauma therapy
that fits your situation?

In-person in Atlanta. Online across Georgia, North Carolina, South Carolina, New York, Colorado, and Nevada.

Get in Touch →