Ben Medrano, MD
EMDR Therapy for Depression and Anxiety: Understanding a New Path to Healing
For millions struggling with depression and anxiety, traditional treatments sometimes fall short. If conventional approaches haven't worked for you, EMDR therapy for depression and anxiety might offer a promising alternative.
EMDR (Eye Movement Desensitization and Reprocessing) therapy was originally developed for PTSD but has shown effectiveness for depression and anxiety, especially when they stem from trauma. EMDR focuses on how traumatic memories are stored and processed in the brain.
According to the EMDR Institute, this therapy can help "reframe negative beliefs, resolve unprocessed trauma and adverse experiences, improve energy and mood, and create a more positive understanding of the self and others."
The Cleveland Clinic reports that EMDR can be especially beneficial for depression stemming from traumatic experiences.
What Is EMDR Therapy?
EMDR is an evidence-based psychotherapy developed by Dr. Francine Shapiro in the late 1980s. It's based on the Adaptive Information Processing model, which suggests psychological distress often results from unprocessed traumatic memories.
EMDR uniquely uses bilateral stimulation—typically through guided eye movements, alternating taps, or auditory tones—to facilitate communication between brain hemispheres, reducing the emotional intensity of traumatic memories.
EMDR follows an eight-phase approach that includes history taking and treatment planning, preparation with coping techniques, assessment of target memories, desensitization using bilateral stimulation, installation of positive beliefs, body scan to identify remaining tension, closure ensuring stability, and reevaluation in subsequent sessions.
Unlike traditional talk therapy, EMDR requires minimal detailed verbal recounting of traumas and often produces more rapid results.
How EMDR Therapy Helps with Depression and Anxiety
EMDR therapy for depression and anxiety addresses underlying traumatic memories fueling symptoms. Depression often stems from unprocessed traumas—both major traumas and "small-t traumas" like rejection or criticism.
Bilateral stimulation activates the brain's natural information processing system, allowing traumatic memories to be properly integrated. A 2022 study found 60% of depression patients achieved remission after EMDR treatment, with results maintained at 12-month follow-up. A 2024 meta-analysis found EMDR particularly effective for severe depression.
For anxiety, EMDR addresses the overactive fight-or-flight response by processing trauma that keeps the nervous system on high alert. A review of 24 randomized controlled trials found positive effects of EMDR for emotional trauma and adverse life experiences related to anxiety.
What a Personalized EMDR Treatment Plan Looks Like
An EMDR treatment plan begins with a comprehensive assessment of your symptoms, potential traumas, treatment history, and therapy goals.
During virtual sessions, your therapist will guide you through the eight-phase protocol using effective online bilateral stimulation techniques. Treatment plans evolve based on your progress, with some clients noticing improvements after just a few sessions.
What the Research Says About EMDR Therapy
For treatment-resistant depression, a study by Hase et al. (2018) found that adding EMDR to treatment as usual resulted in a 50% remission rate.
A 2024 meta-analysis of 25 randomized controlled trials found EMDR significantly reduced depression symptoms, particularly in severe cases.
For anxiety disorders, a review of 24 randomized controlled trials found positive effects, with one study showing decreased anxiety scores in pregnant women with stillbirth history after just a single session.
Research by Ostacoli et al. comparing EMDR to CBT for recurrent depression reported a 71% immediate remission rate in the EMDR group, with 54.8% maintaining remissions after six months.
Is EMDR Therapy the Right Fit for You?
EMDR may be beneficial if your symptoms connect to past trauma, you experience intrusive thoughts or memories, traditional talk therapy hasn't fully resolved your symptoms, you're dealing with treatment-resistant depression, you struggle with negative self-beliefs, or you're open to experiential approaches.
Consider EMDR alongside other treatments if you have severe depression with suicidal thoughts, co-occurring conditions, complex trauma, or dissociative symptoms.
EMDR therapy can relieve depressive symptoms by reframing negative beliefs connected to past experiences.
What to Expect During Your EMDR Sessions
Sessions typically last 50 minutes following the eight-phase protocol. During processing, you might experience emotional shifts, insights, physical sensations, and rapid memory associations.
Between sessions, processing often continues with dream changes, new memories surfacing, and emotional fluctuations. Self-care between sessions is important.
Getting Started with EMDR Therapy
Starting begins with an initial consultation to discuss your concerns, history, and goals. If appropriate, you'll be matched with an EMDR-certified therapist specializing in your concerns.
Virtual EMDR is equally effective as in-person treatment, according to research showing no significant differences in outcomes. Virtual accessibility makes it easier to maintain consistent treatment.
Combining EMDR with Other Treatments
EMDR integrates well with medication management, Cognitive Behavioral Therapy (CBT), mindfulness practices, and lifestyle modifications.
For treatment-resistant depression, studies show promising results when adding EMDR to usual treatment, with one reporting a 50% remission rate in patients who hadn't responded to conventional treatments.
A New Hope for Relief
If traditional treatments haven’t provided the relief you need, EMDR therapy offers a powerful alternative by reshaping how the brain processes traumatic memories. The evidence is compelling—recent studies show significant reductions in depression symptoms, with one 2022 study reporting 60% of patients achieving remission, sustained even a year later.
With the right support, meaningful healing is possible. Your experiences are valid, your struggles are real, and a better path forward is within reach.
At Innerwell, we offer EMDR therapy guided by licensed professionals trained in trauma-informed care—delivered online for convenience, privacy, and consistency. Get matched with a therapist and take the next step toward long-term relief today.