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Vaccaro Behavioral Health Group
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  • VBHG Team
    • Terrence Vaccaro, Ph.D.
    • Larissa Duran, M.S., LMFT
    • Adriana Alcala, M.A.
    • Elise Fisher, M.S.
    • Angelica Gonzalez, M.S.
    • Behind The Care
  • Services
    • Types of Therapy
    • Types of Testing
    • EMDR
  • Accepted Insurances
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  • More
    • Home
    • VBHG Team
      • Terrence Vaccaro, Ph.D.
      • Larissa Duran, M.S., LMFT
      • Adriana Alcala, M.A.
      • Elise Fisher, M.S.
      • Angelica Gonzalez, M.S.
      • Behind The Care
    • Services
      • Types of Therapy
      • Types of Testing
      • EMDR
    • Accepted Insurances
    • FAQs
    • Join Our Team
Vaccaro Behavioral Health Group
  • Home
  • VBHG Team
    • Terrence Vaccaro, Ph.D.
    • Larissa Duran, M.S., LMFT
    • Adriana Alcala, M.A.
    • Elise Fisher, M.S.
    • Angelica Gonzalez, M.S.
    • Behind The Care
  • Services
    • Types of Therapy
    • Types of Testing
    • EMDR
  • Accepted Insurances
  • FAQs
  • Join Our Team

EMDR - Eye Movement Desensitization and Reprocessing

Background - Trauma and Adverse Childhood Experiences

Trauma and Post-Traumatic Stress Disorder (PTSD)

Traditionally, trauma has been narrowly defined in psychology as it applies to PTSD - exposure to actual or threatened death, serious injury, or sexual violence (direct or witness), or learning about it happening to a person close to us (violent/accidental), or repeated exposure through work (e.g., first responders). 


Symptoms of PTSD fall into categories: re-experiencing (flashbacks, nightmares), avoidance, negative changes in thoughts/mood, increased arousal/reactivity, or emotional shutting down (dissociation).

Aversive Childhood Experiences (ACEs)

ACEs are aversive, ongoing experiences of childhood that keep a person's stress response overactivated and instill maladaptive core beliefs about self-worth, safety, trust, intimacy, and the future. The term Developmental Trauma has come to be used to describe serious and repeated exposure to adverse experiences that result in long-term psychological distress and physical disease, especially a compromised immune system.

Trauma Treatment

Several front-line therapies have been developed and validated to treat trauma. Most of them require some level of controlled 'facing of the traumatic memories and day-to-day reminders of those memories (triggers).


Since facing traumatic memories can be highly stressful, patients may frequently drop out of therapy or not seek therapy in the first place to avoid that pain.

What is EMDR?

History

How it Works

How it Works

EMDR is an evidence-based psychotherapy first developed in 1984 for the treatment of PTSD and has since been shown to be effective with numerous conditions, including anxiety, depression, addiction, worry, pain, and others.


Since its development, EMDR has been extensively researched and is recognized by major organizations including the American Psychological Association (APA), the World Health Organization (WHO), and the Department of Veterans Affairs as an effective treatment for trauma and related conditions. It has since been shown to be effective in treating anxiety, depression, panic, grief, phobias, and other distressing life experiences.


Today, EMDR is used worldwide as a trusted, structured, and client-centered therapy that helps individuals safely process difficult memories, reduce emotional distress, and support long-term psychological healing.

How it Works

How it Works

How it Works

EMDR uses a process called Bilateral Stimulation to soften the distress of recalling a traumatic memory, allowing the patient to tolerate the recollection and processing better. While recalling the image, feelings, thoughts, and physical sensations of the traumatic memories, the patient's attention is divided between the memory and the present by following the therapist's moving fingers back and forth. Alternate forms of bilateral stimulation include tapping, holding vibrating sensors, or wearing earphones that play sounds alternating between the two ears. 


The therapist checks in with the patient intermittently as they observe the memory, ensuring that the patient's distress says within a therapeutic (tolerable) range. Typically, the memory will be desensitized, the process focuses on changing the patient's maladaptive beliefs about themselves that developed as a result of the traumatic experiences (such as a person who was assaulted believed they were to blame - "it was my fault").

Fun Facts - EMDR Edition

Eye Movement Desensitization and Reprocessing

EMDR therapy facilitates the brain's processing of traumatic memories, enabling the restoration of regular healing communication. Following effective EMDR therapy, resolution occurs for the fight, flight, or freeze response triggered by the traumatic event. 

Trauma and the Brain

Our brains possess an inherent ability to bounce back from distress. Frequently, traumatic expereinces can be spontaneously addressed and resolved. However, there are instances where our fight, flight, or freeze reponse hinders are natural processing of distress, requiring a little external assistance. 

Amygdala Activity Increases

Pronounced ah-MIG-dah-la (a small word with a big job).

The amygdala serves as a warning signal for stressful situations, playing a crucial role in safeguarding us from potential threats. Trauma has the capacity to keep the amygdala in a heightened state, potentially resulting in sensations of anxiety or a constant perception of being in jeopardy. 

Hippocampus Shrinks

Disclaimer: No hippos were harmed in the making of this word. 

The hippocampus plays a role in learning and storing memories, particularly related to recognizing safety and danger, and aids in soothing the amygdala. Trauma can lead to a reduction int he size of the hippocampus, diminishing its ability to provide cues that calm the amygdala. 

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