Bilateral stimulation is one of the key pieces of EMDR therapy, involving rhythmic sensory input to facilitate the processing of distressing memories. EMDR therapy is an evidence-based method used by psychologists to treat conditions such as trauma and PTSD, anxiety and depression. More information about EMDR Therapy >
In EMDR therapy, bilateral stimulation works by activating both sides of the brain, allowing for processing memories and emotions that may be ‘stuck’ in the brain due to traumatic experiences. It is believed to help ‘unstick’ such memories so that they can be processed and resolved.
Bilateral stimulation by itself may be built into activities you may find relaxing, such as running or walking, where your alternating feet hitting the pavement may help you activate both sides of your brain. Another example is tapping on a drum with alternating hands or listening to a song alternating tapping your legs or fingers on the steering wheel are also examples.
EMDR therapy should not be done on yourself. It requires a trained psychologist with knowledge and understanding of the treatment method and the ability to implement the protocol and adjust the bilateral stimulation so that you can have the best results possible in a safe manner.
Different types of bilateral stimulation may be used by psychologists in EMDR therapy. Visual bilateral stimulation, or eye movements, following the psychologist’s fingers, has been the most traditional and often researched option. However, other forms, such as auditory and tactile bilateral stimulation, can also be effective.
The classic visual bilateral stimulation method associated with EMDR therapy is watching the therapist’s finger move back and forth in front of your face. Your psychologist may use a wand for you to track back and forth with your eyes.
Other visual cues that alternate between each side can also be used. Some psychologists use a device called the ‘light bar’ where you will sit in a chair and look at a light that moves back and forth between each eye.
Other forms of visual bilateral stimulation may include watching a ball move across a computer screen and looking at alternating sides of the room.
People with a seizure disorder or traumatic brain injury may not benefit from eye movement and do better with tactile or auditory bilateral stimulation.
Auditory bilateral stimulation can be done using beeps or taps. In this case, your psychologist will have you wear headphones, and you will hear beeps or taps back and forth on each side alternatively. Some devices generate music instead of a beeping tone. This is often called bilateral music or EMDR music. Bilateral music composers may choose a particular sound or part of the music to flow from side to side. When listening to bilateral or EMDR music, your attention is usually called to follow along in the direction of the sounds.
Tactile or sensory bilateral stimulation can be done manually or using electronic devices.
You can use self-tapping for tactile stimulation. This includes the ‘Butterfly Hug’ method, where your hands cross over your chest while tapping your collarbone area. Another option is to have your hands resting on each leg and tapping on the top or side of the leg. Alternatively, with the client’s permission, the psychologist may tap back and forth on the top of your palms while your hands are resting on your legs or a table in front of you.
Your EMDR psychologist may also use electronic devices. In this case, they will have you hold pulsars while you feel the pulsing in each hand, alternating each side. There are also wearable devices that provide vibration or tapping. You can wear these on your wrists or ankles during EMDR therapy.
Although different psychologists may prefer to use one type of bilateral stimulation over others, any type of bilateral stimulation can be effective for EMDR therapy. Some psychologists find that using a combination of bilateral stimulations can be really helpful depending on the phase of treatment.
Clients may also have their own preferences. For instance, you may prefer to process memories with your eyes closed, in which case tactile or auditory bilateral stimulation would be more appropriate. People who suffer from neurological conditions and migraines may also find the visual bilateral stimulation uncomfortable. Some clients benefit from a combination of more than one bilateral stimulation at the same time.
You should let your psychologist know if you have a preference. Your EMDR psychologist will work with you to find the best fit based on what is safest for you given your history.
EMDR therapy is available in Brisbane and is offered by a number of trained therapists in private practice. It is generally delivered through individual counselling sessions and can be tailored to meet your specific needs. Many psychologists in Brisbane who offer EMDR therapy also have experience working with a range of trauma-related issues, including PTSD, complex trauma, and attachment disorders.
Before you start your EMDR therapy journey, it is important to learn about a therapist’s qualifications, experience, fees and availability. It is important to ensure that the psychologist you choose is trained in EMDR therapy and understands trauma-related issues well.
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