Have you heard of EMDR Therapy (Eye Movement Desensitization and Reprocessing)? EMDR is a type of therapy designed to help people heal from distressing or traumatic experiences. It uses a structured approach to help the brain reprocess painful memories so they no longer feel as distressing or “stuck.”
If you’re familiar with EMDR, you might be surprised to learn that it can also be done remotely — with a skilled therapist, right from the comfort of your own home (or wherever you feel safe and at ease).
That means no sitting in traffic, no waiting rooms, and no long drives home after an intense session. For people who live in areas with limited access to EMDR-trained therapists, video-based sessions have also opened new doors to effective trauma care. Most insurance plans cover telehealth EMDR sessions the same way they cover in-person therapy.
And for many people, doing EMDR in their own environment can make the process even more effective and grounding.
How Does Video-Based EMDR Work?
Online EMDR sessions follow the same structure as in-person sessions, with just a few adjustments for technology. You’ll meet your therapist through a secure, HIPAA-compliant video platform (such as Zoom for Healthcare, SimplePractice Telehealth, or, for our practice, Headway Telehealth).
Here’s what you can expect:
Setting Up for Comfort and Privacy
Before your first session:
- Find a private, quiet space. Choose a room where you won’t be interrupted.
- Create comfort. Settle into your favorite chair, adjust lighting, and wear comfortable clothing. Keep items like water or tissues within reach.
- Check your internet connection before first session. A stable connection helps your session flow smoothly.
- Use headphones if possible. This can improve sound quality and help you stay focused.
- Plan for privacy. Mark the session time on your calendar, arrange childcare if needed, and keep pets in another space.
Your first few EMDR sessions will likely focus on history gathering and preparation — much like traditional talk therapy. If you’re seeing a new provider, they’ll take time to get to know you and explain every step of the process. Don’t hesitate to ask questions at any time.
Bilateral Stimulation Online
Bilateral stimulation (or “BLS”) — the back-and-forth movement or sensation that helps your brain reprocess memories — can be done in several ways during online or video-based EMDR. Your therapist will guide you in finding what feels most comfortable and effective for you:
- Visual: Following a moving light or object across your screen.
- Tactile: Using self-tapping (gently alternating taps on your shoulders, knees, or arms).
- Audio: Listening to alternating tones that move from one ear to the other.
If something doesn’t feel right, you can always ask to try another method. The goal is for you to feel safe and supported throughout your sessions.
Safety and Connection
Just like in-person EMDR, your therapist will guide you through grounding and relaxation techniques before and after processing. You’ll stay connected through video for the entire session, and your therapist will check in often to make sure you feel comfortable and in control.
Many clients are surprised by how connected and supported they feel, even through a screen. Sessions can be paused or stopped at any time if you need a break.
Processing and Reflection
As you work through memories, your therapist helps you notice the thoughts, emotions, and body sensations that arise — gently guiding you toward resolution. The goal of EMDR is for painful memories to lose their emotional intensity and for new, more adaptive beliefs to take root.
Benefits of Online or Video-Based EMDR
- Accessibility: Receive care even if you live far from an EMDR-certified therapist, have mobility challenges, struggle with travel, or even just a busy schedule.
- Comfort: Being in your own space can enhance feelings of safety and relaxation.
- Consistency: Virtual sessions make it easier to keep therapy going — no matter what life throws your way.
- Effectiveness: Research and clinical experience show that online EMDR is just as effective as in-person sessions.
Final Thoughts
Whether in person or online, EMDR therapy helps your brain and body heal from experiences that have been too painful or overwhelming to process on your own.
If you’ve been considering EMDR but wondered how it might work over video, you may be pleasantly surprised by how natural, safe, and powerful it can feel.
Healing doesn’t have to wait until you can come into the office — it can begin right where you are.
Reach out today to get started.