In EMDR (Eye Movement Desensitization and Reprocessing) therapy, the child is guided to revisit distressing memories that may be “blocked” in their mind, but instead of focusing only on the details, they are also guided to use bilateral stimulation—typically in the form of guided eye movements, taps, or sounds. This helps “reprocess” the memories, reducing their emotional charge and integrating them in a more adaptive way. Here’s a breakdown of the steps typically involved in EMDR therapy for children:
- History Taking and Preparation: Information is gathered about the child’s history, which includes traumatic or difficult events. The therapist also explains EMDR with the child in this phase.
- Preparation: Relaxation and grounding skills are taught to the child to help them feel more in control during the process.
- Assessment: The child chooses a specific distressing memory to work on, either through drawings or storytelling for younger children or through words for older children. The therapist uses this to find the negative belief the child holds and to create a positive belief.
- Desensitization (Bilateral Stimulation):This is where the most EMDR work is done, where the child involves themselves in bilateral stimulation. This is done by guiding the child’s eyes back and forth or having them tap their knees, while the child focuses on the memory to reduce the emotional charge associated with the memory.
- Installation and Body Scan: After the memory has been reprocessed more positively, the therapist helps the child to strengthen the positive belief and decrease the negative belief. If there is noticeable tension in the body, the therapist will guide the child to process and release the tension.
- Closure: At the end, the therapist and child return to a calm state using the previously mentioned grounding techniques, making sure the child feels emotionally stable before leaving.
- Reevaluation: In future sessions, the therapist checks to see if the child’s emotional reactions to the memory have changed and if any new memories or feelings need to be addressed.
How EMDR Can Help Kids
EMDR can be especially effective for children who have experienced trauma, but it can also help with other emotional and psychological challenges such as anxiety, phobias, grief, or behavioral problems.
- Processing Trauma and Reducing Emotional Distress: Children who have experienced abuse, neglect, accidents, or other traumatic events can benefit from EMDR, as well those who experience recurring nightmares, flashbacks, or extreme emotional reactions. The therapy helps process these memories, reducing their emotional intensity and allowing the child to regain a sense of safety and control.
- Reducing Anxiety and Fears: EMDR can be helpful for children with anxiety disorders, such as separation anxiety or generalized anxiety, teaching them to react more calmly in stressful situations.
- Helping with Behavioral Problems: Many behavioral problems in children are linked to unprocessed emotions or past trauma. EMDR can help children who exhibit aggressive behavior, defiance, or withdrawal, as the therapy can address the underlying emotional triggers that fuel these behaviors.
- Improving Emotional Regulation: EMDR helps children become more in tune with their emotions and learn how to manage intense feelings. By reprocessing distressing memories, children can develop healthier ways of dealing with emotions instead of resorting to extreme reactions.
- Increasing Self-Esteem: Many children struggling with trauma or anxiety develops negative self-beliefs. EMDR can help children replace these negative beliefs with more positive ones, fostering better self-esteem and self-worth.
- Improving Relationships: When trauma or emotional distress impacts a child’s ability to form healthy relationships, EMDR can help improve their emotional health, making it easier for them to connect with others, whether with peers, family members, or teachers.
EMDR is a promising and evidence-based therapy for children dealing with trauma, anxiety, emotional dysregulation, and other challenges. By helping children process distressing memories in a safe and structured way, EMDR can lead to lasting changes in how children respond to emotional triggers, ultimately promoting emotional healing and resilience. As with any therapy, it’s important to work with a trained and experienced EMDR therapist who specializes in working with children.