What’s the difference between EMDR and Brainspotting?
Today, we’re going to dive into trauma therapy, focusing on two powerful techniques: Brainspotting (BSP) and Eye Movement Desensitization and Reprocessing (EMDR). These methods have been making waves in therapy for their effectiveness in helping individuals process and heal from traumatic experiences and dysfunctional and abusive relationships. While both aim to ease the distress linked to traumatic memories, they each have unique approaches and mechanisms. So, let’s break it down and see which one might be a better fit for you!
What is EMDR?
First up, let’s talk about EMDR. This therapy was developed by Francine Shapiro back in the late 1980s by guiding your eye movements while you recall distressing events. Why eye movements, you ask? Well, EMDR is based on the concept that traumatic memories can get "stuck" in our brains, and by using bilateral stimulation (those eye movements, taps, or sounds), we can help reprocess these memories, making them less emotionally charged.
Key Components of EMDR:
History Taking and Treatment Planning: Identifying the specific problems and memories to target.
Preparation: Explain the process and double check for a safe therapeutic environment.
Assessment: Pinpoint and access the traumatic memory.
Desensitization: Here’s where the bilateral stimulation comes in to help reduce the distress tied to that memory.
Installation: Work on strengthening positive beliefs related to the memory.
Body Scan: Check that any physical sensations linked to the trauma are resolved.
Closure: Guided return to a state of calmed equilibrium.
Reevaluation: Check your progress in the next sessions.
What is Brainspotting?
Now, let’s shift gears to Brainspotting, a newer technique that came out of EMDR and was developed by David Grand in 2003. This method zeroes in on “brainspots,” which are specific eye positions that correlate with traumatic memories or emotions. By maintaining focus on these brainspots, you can process and release the trauma stored deep in the brain.
Key Components of Brainspotting:
History Taking and Treatment Planning: Identifying the specific issue you’d like to target.
Preparation: Check in about resources for maintaining a safe therapeutic environment.
Finding the Brainspot: Various techniques to locate the brainspot(s) with the pointer.
Focused Mindfulness: Keep your focus on the pointer/brainspot while observing your internal experiences—emotions, physical sensations, just being present with the process.
Dual Attunement: This part is all about the therapist being attuned to both you and the brainspot, creating a safe and supportive environment, so you continue to feel safe and supported throughout the process.
Differences Between Brainspotting and EMDR
Mechanism and Approach:
EMDR: Uses structured protocols and bilateral stimulation to reprocess traumatic memories.
Brainspotting: Finds specific eye positions (brainspots) to access and process trauma, with less rigid protocols.
Therapeutic Focus:
EMDR: Very structured and directive, with a clear sequence of steps.
Brainspotting: More flexible, intuitive, and client-led, letting your experience guide the process.
Underlying Theory:
EMDR: Based on the Adaptive Information Processing (AIP) model, which suggests trauma disrupts the brain’s natural processing abilities.
Brainspotting: Utilizes brainspots to access deep brain structures where trauma is believed to be stored.
Technique and Tools:
EMDR: Uses specific tools for bilateral stimulation (e.g., light bars, audio tones, hand taps).
Brainspotting: Mainly uses a pointer and your visual field to locate brainspots, with minimal extra tools needed.
Client Experience:
EMDR: Can feel more intense and structured, which might be challenging for some.
Brainspotting: Often feels more organic and client-centered, making it potentially more accessible for those who struggle with structured approaches.
Choosing Between The Two
So, how do you choose between Brainspotting and EMDR? It really comes down to personal preference and therapeutic needs. Some people thrive with the structured, evidence-based approach of EMDR, while others prefer the intuitive, client-driven nature of Brainspotting. Both Brainspotting and EMDR are powerful tools for trauma healing and their effectiveness often hinges on the skill of the therapist and the quality of the therapeutic relationship. Whether you’re drawn to the structured reprocessing of EMDR or the intuitive exploration of Brainspotting, the goal is the same: to process and heal from trauma, reclaiming your sense of peace and well-being.
Conclusion
Understanding the differences between Brainspotting and EMDR can empower you to make informed decisions about your therapeutic journey. Both methods offer unique pathways to healing, and exploring them with a knowledgeable therapist can help you find the approach that resonates best with your needs. Remember, the journey of healing is personal, and finding the right method is a significant step towards reclaiming your life from the shadows of trauma. If you have any questions or want to dive deeper, feel free to reach out.
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About the Author
Sara Walter Shihdanian (she/they) is a Licensed Mental Health Counselor specializing in trauma and gender + transition, providing virtual psychotherapy in Washington state. Her extensive training and unique expertise allows her to support clients who are ready for accelerated and lasting change.