Questions about online EMDR therapy for trauma

Here is a curated list of questions about virtual EMDR therapy that should be useful both for qualified EMDR therapists and clients looking for EMDR therapy online. Feel free to download/link/share!

🧠 TL;DR

Download the list in pdf format and read it at your convenience.

🧠 Can I receive EMDR therapy online if I live in a different state or country?

It is possible to receive online EMDR therapy if you live in a different state or country. However, it's crucial to consider licensing regulations and ethical guidelines.

Virtual EMDR therapy licensing

Therapists are typically licensed to practice within specific jurisdictions, and providing services across state or national borders may have legal and regulatory implications. It's essential to ensure that the online EMDR therapist you choose is appropriately licensed or permitted to provide services in your location. Some platforms and therapists may have specific protocols to address these international and multicultural issues.

🧠 What technology do I need to participate in online EMDR therapy sessions?

To participate in online EMDR therapy sessions, you will need a reliable computer or mobile device with a stable Internet connection (high-speed is ideal) and a web browser. A webcam and microphone are also necessary for videoconferencing, which many online therapists use to conduct virtual EMDR therapy.

Security and privacy in online therapy

Some online therapy platforms may have their own secure video conferencing app. It's also important to consider security and privacy when choosing your technology and ensuring a confidential therapeutic environment for your trauma therapy.

🧠 Do online EMDR therapists offer sliding scale fees for those with financial constraints?

Some online EMDR therapists may offer sliding scale fees for clients facing financial constraints. This is a practice where therapists adjust their standard fee based on the client's income and ability to pay.

Check the fee structure for therapy for trauma with your provider

It is best to inquire directly with individual online therapists or online therapy services about their fee structures and whether they offer any reduced-fee options or scholarships.

🧠 Is EMDR therapy suitable for children and adolescents in an online format?

EMDR sessions can be suitable for children and adolescents in an online format, but it requires careful consideration and adaptation. Therapists working with younger clients online need to use developmentally appropriate language and may modify bilateral stimulation (BLS) techniques.

Bilateral stimulation in EMDR online requires extra attention

Parental involvement and support are often crucial. The therapist should also assess the child's ability to engage with online therapy and maintain focus. Screening for dissociative disorders is important for all potential EMDR clients, including children and adolescents.

🧠 What is the success rate of online EMDR therapy compared to in-person therapy?

The effectiveness of EMDR treatment has been well established. Research suggests that online EMDR therapy can be as effective as in-person therapy for various conditions, including trauma and anxiety. Studies have indicated that there may not be a significant difference in treatment outcomes or client satisfaction between the two modalities.

Virtual eye movement desensitization and reprocessing is an evidence-based form of trauma therapy

Telepsychology and telemental health applications, including EMDR online, have shown encouraging results. However, effectiveness can depend on individual factors, the specific issue being addressed, the therapist's expertise in online EMDR, and the strength of the therapeutic relationship. Studies show EMDR works just as well as cognitive-behavioral therapy for PTSD treatment.

🧠 Are there any risks associated with online EMDR therapy?

Yes, there are potential risks associated with online EMDR therapy. These can include technical difficulties with the virtual appointments because of issues with the internet connection or video conferencing software, which may disrupt the therapy session.

Online EMDR works, but you should consider online security

Concerns about confidentiality and privacy of online communications, although often mitigated by secure platforms and encryption, are also important to consider. Assessing and managing crisis situations remotely can present challenges. Additionally, ensuring the client's safety in their physical environment during intense reprocessing is a key consideration for online EMDR therapists. It is crucial for both the qualified therapist and the client to discuss and address these potential risks.

🧠 Are online EMDR therapists as effective as in-person therapists?

Research indicates that online EMDR therapists can be as effective as in-person therapists in providing EMDR therapy for trauma and other mental health conditions. The core elements of EMDR therapy in the treatment of post-traumatic stress disorder, such as the eight phases of EMDR therapy and bilateral stimulation (BLS), can be adapted for the online format.

To overcome trauma and benefit from EMDR, find a therapist you can trust

The key factor in the success of therapy, regardless of the modality, is often the quality of the therapeutic relationship, and this can be effectively established and maintained online through empathy, warmth, and genuineness.

🧠 Can online EMDR therapy be effective for complex trauma cases?

Online EMDR therapy can be effective for complex trauma cases, but it often requires a therapist with specialized training and experience in working with complex trauma and dissociation. Therapists may need to adapt the EMDR protocol and incorporate additional stabilization techniques to manage the intensity of reprocessing and ensure client safety in the online setting. Careful assessment, a strong therapeutic alliance, and a flexible approach are essential when providing EMDR therapy online for complex trauma.

EMDR Intensives for PTSD

An EMDR Intensive, typically involving longer and more frequent EMDR sessions over a compressed timeframe, can take place online via secure videoconferencing platforms. The intensity of multiple individual teletherapy sessions per day requires extra attention for establishing a safe place, a way for the client to comfort themselves, and access to the therapist in case of distress or technical issues. A good therapist will aks themselves and their client if the benefits of online therapy outweigh the advantages of therapy in person.

Requirements, safeguards and benefits of online EMDR, which would also apply to an intensive format, include:

Ensuring a stable and secure internet connection for uninterrupted sessions.
Utilizing secure and confidential platforms for video communication to protect client privacy, potentially with encryption.
Establishing clear emergency protocols and having a contingency referral plan in place should in-person support be needed.
Providing comprehensive informed consent that specifically addresses the potential risks and benefits of online EMDR, including technical limitations and emergency procedures. This is no different from therapy work in traditional talk therapy like cognitive behavioral therapy.
The therapist will ask the client to create a safe and private space for the intensive sessions, free from interruptions.
Potentially incorporating adjunctive self-soothing techniques and grounding exercises to manage the intensity of the processing.
Careful assessment of the client's suitability for intensive online trauma work, considering their stability and coping strategies to deal with trauma or distressing memories.

🧠 How do I know if online EMDR therapy is right for me?

To determine if online EMDR therapy is right for you, consider factors such as your comfort level with technology and online communication, the accessibility of in-person therapy in your area, and your specific needs and preferences. Online therapy offers convenience and accessibility, but some individuals may prefer the face-to-face interaction of in-person sessions. A preliminary phone or online consultation with an EMDR therapist can help you discuss your situation and assess whether online EMDR is a suitable option. Consider if you have a private and safe environment to conduct your online sessions.

🧠 How can I prepare for an online EMDR therapy session?

To prepare for an online EMDR therapy session, ensure you have a stable Internet connection and a private, quiet space where you won't be interrupted. Have your device (computer, laptop, tablet, or smartphone) set up with the necessary video conferencing software or platform. Test your webcam and microphone beforehand to ensure they are working correctly. It may be helpful to have a glass of water and some tissues nearby. Discuss any concerns or questions you have with your therapist before the session begins.

🧠 How do online EMDR therapists handle payment and scheduling?

Online EMDR therapists typically handle payment and scheduling through various methods. Payment may be processed securely online using credit cards, PayPal, or other online payment platforms. Some therapists may also accept checks. Scheduling is often done through online calendars, email communication, or through the platform provided by the online therapy service. Clear agreements about fees, payment methods, and session times should be established during the initial contact.

🧠 What qualifications should I look for in an online EMDR therapist?

When looking for an online EMDR therapist, you should seek a licensed mental health professional (such as a psychiatrist, psychologist, social worker, or counselor) who has specific training in EMDR therapy. Verify their credentials, including their license number and the state or country in which they are licensed. Many EMDR therapists receive their training through the EMDR International Association (EMDRIA) or the IFS Institute (if they integrate IFS with EMDR). You may want to check if the therapist is EMDRIA certified or has completed basic EMDR training. Read therapist profiles and consider a brief consultation to assess their experience and whether you feel comfortable working with them.

🧠 Can online EMDR therapy be combined with medication?

Yes, online EMDR therapy can be combined with medication. Many individuals undergoing EMDR therapy may also be taking psychiatric medications prescribed by a psychiatrist or other medical doctor. The decision to use medication and EMDR therapy concurrently should be made in consultation with both your prescribing physician and your EMDR therapist, ensuring coordinated care. IFS, another modality, also has considerations for integrating with psychopharmacology.

🧠 Are online EMDR therapists regulated by any professional organizations?

Yes, online EMDR therapists are regulated by the same professional organizations that regulate in-person therapists within their respective states or countries. These organizations, such as state licensing boards for psychology, social work, counseling, and psychiatry, set ethical guidelines and standards of practice that online therapists must adhere to. Additionally, therapists who are certified in EMDR may also be regulated by the EMDR International Association (EMDRIA). Clients have the right to file complaints with these regulatory bodies if they have concerns about the services they receive.

🧠 What is the difference between online EMDR therapy and traditional therapy?

The primary difference between online EMDR therapy and traditional in-person therapy lies in the modality or how the sessions are delivered. Online EMDR therapy utilizes Internet-based communication tools such as video conferencing, chat, or secure messaging, whereas traditional therapy involves face-to-face sessions in an office setting. While the therapeutic processes and goals of EMDR therapy remain the same, the online format offers benefits such as convenience, accessibility, and potentially increased comfort for some individuals. However, it also presents unique challenges related to technology, nonverbal cues, and managing crises remotely.

🧠 How can I assess the experience of an online EMDR therapist?

You can assess the experience of an online EMDR therapist by reviewing their professional profile, which often includes information about their training, experience, specializations, and years in practice. Look for information about their EMDR-specific training and certification (e.g., EMDRIA certification). Reading testimonials or reviews from other clients (if available and ethically permissible) can also provide insights into their experience and effectiveness. Many therapists offer a brief initial consultation, which gives you an opportunity to ask questions about their approach to online EMDR therapy and determine if they are a good fit for your needs.

🧠 Can I receive EMDR therapy online if I have a busy schedule?

Yes, one of the significant benefits of online EMDR therapy is its accessibility and convenience for individuals with busy schedules. The online format eliminates the need for travel to and from appointments, allowing you to participate in therapy sessions from the comfort of your own home or another private location that fits your schedule. Online scheduling is often flexible, and some therapists may offer evening or weekend appointments. Asynchronous communication methods, such as secure messaging or email, can also be utilized for check-ins and support between video or chat sessions, providing further flexibility.

🧠 How can I find online EMDR therapists?

You can find online EMDR therapists through various online directories, including the EMDR International Association (EMDRIA) Find a Therapist directory and the IFS Institute Find a Professional directory. Many online therapy platforms also list therapists who specialize in EMDR. You can also search online using keywords such as "online EMDR therapy" or "EMDR therapist [your location]". Check therapist websites and profiles for their qualifications, experience, and the states or countries where they are licensed to practice. Consider seeking recommendations from other healthcare providers or trusted sources.

🧠 What are the benefits of working with an online EMDR therapist?

The benefits of working with an online EMDR therapist include convenience and accessibility, eliminating the need for travel and fitting therapy into busy schedules. It can provide access to specialized EMDR therapists who may not be located in your immediate geographic area. Some individuals may feel more comfortable discussing sensitive issues from the privacy of their own home. The written record of online communication can also be a helpful tool for reflection and reviewing therapeutic insights. Online therapy can also be more affordable for some individuals due to lower overhead costs for therapists.

🧠 What is EMDR therapy and how does it work online?

EMDR therapy is an evidence-based psychotherapy used to treat trauma and other mental health issues by reprocessing disturbing memories to reduce their emotional impact. In the online setting, the core principles of EMDR are maintained. The therapist will guide you to focus on a target memory while engaging in bilateral stimulation (BLS), which can be adapted for the online format using visual (e.g., following the therapist's hand movements on the screen), auditory (e.g., alternating tones through headphones), or tactile (e.g., tapping your own knees alternately) methods. This process is believed to activate the brain's natural adaptive information processing (AIP) system to facilitate healing.

🧠 Are online EMDR therapy sessions confidential?

Online EMDR therapy sessions can be confidential when conducted using secure, encrypted platforms that comply with privacy regulations such as HIPAA (in the United States). Therapists have an ethical and legal obligation to protect client privacy and confidentiality. It is important to use secure communication channels and discuss privacy protocols with your online therapist. While no system is entirely foolproof, adhering to best practices for data security and using secure platforms significantly reduces the risks to confidentiality.

🧠 What are the typical costs of online EMDR therapy sessions?

The typical costs of online EMDR therapy sessions can vary depending on factors such as the therapist's qualifications, experience, location (which may influence their standard rates), and the length of the session. In general, the cost of online therapy may be comparable to or slightly less than in-person therapy in some cases due to lower overhead costs for therapists. Session fees can range from $75 to $200 or more per session. Many online therapists operate on a private pay basis, but some may accept insurance or offer sliding scale fees. It's essential to discuss fees and payment options with your therapist during the initial consultation.

🧠 How many sessions of online EMDR therapy might I need?

The number of sessions of online EMDR therapy needed varies significantly depending on the complexity of your issues, the nature of your trauma history, your individual processing speed, and your therapeutic goals. Some individuals with single-incident trauma may experience significant progress in a few sessions, while complex trauma or multiple issues may require longer-term treatment. Your EMDR therapist will work with you to develop a treatment plan tailored to your specific needs and can provide a more informed estimate after an initial assessment. Progress is regularly evaluated collaboratively.

🧠 Do online EMDR therapists offer free consultations?

Many online EMDR therapists offer a brief initial consultation (typically 15-30 minutes) for free. This provides an opportunity for you to discuss your needs, learn more about the therapist's approach to online EMDR therapy, ask questions, and assess whether you feel comfortable working with them. It also allows the therapist to briefly evaluate your suitability for online EMDR. You can usually inquire about a free consultation when contacting a therapist through their website or an online therapy platform.

🧠 Can I access online EMDR therapy on my mobile device?

Yes, you can often access online EMDR therapy sessions on your mobile device (smartphone or tablet). Most modern video conferencing software and online therapy platforms have apps or mobile-friendly websites that allow you to participate in video or chat sessions from your mobile device. Ensure you have a stable Wi-Fi or cellular data connection for uninterrupted sessions. Consider using headphones for privacy and to minimize distractions.

🧠 How can I verify the credentials of an online EMDR therapist?

You can verify the credentials of an online EMDR therapist by checking their licensing information with the relevant state or national regulatory board for their profession (e.g., psychology board, social work board, counseling board). These boards often have online directories where you can search for licensed professionals. If the therapist is EMDR certified, you can verify their certification through the EMDR International Association (EMDRIA) website. Be cautious of therapists whose credentials cannot be easily verified.

🧠 Are online EMDR therapists required to adhere to ethical guidelines?

Yes, online EMDR therapists are required to adhere to the same ethical guidelines as in-person therapists. These guidelines are established by professional organizations (e.g., APA, ACA, BACP) and licensing boards and cover areas such as confidentiality, informed consent, competence, avoiding harm, and maintaining professional boundaries. EMDRIA certified therapists also adhere to EMDRIA's ethical standards.

🧠 How do online EMDR therapists ensure client safety and privacy?

Online EMDR therapists ensure client safety and privacy by using secure, encrypted video conferencing platforms or messaging systems that comply with regulations like HIPAA. They obtain informed consent, discussing the limits of confidentiality in the online environment. Therapists assess for safety risks, including suicidal ideation or potential harm to others, and have protocols in place for managing emergencies remotely, including having emergency contact information for clients. They also maintain secure electronic health records and use best practices for data protection.

🧠 How can I find a reputable online EMDR therapist platform?

You can find reputable online EMDR therapist platforms by researching platforms that specialize in mental health services and have positive reviews or accreditations. Look for platforms that prioritize privacy and security, using encrypted communication channels and complying with regulations like HIPAA. Check if the platform verifies the credentials of the therapists listed. Some well-known platforms include BetterHelp, Talkspace, EMDR Virtual Therapy, and those affiliated with professional organizations or academic institutions. Consider reading reviews and comparing features and therapist profiles to find a platform that meets your needs.

🧠 Are online EMDR therapists available for emergency sessions?

Availability for emergency sessions with online EMDR therapists can vary. While online therapy offers flexibility, it is generally not designed for immediate crisis intervention. Many online therapists may not be available outside of scheduled session times for emergencies. If you are experiencing a mental health emergency, it is crucial to seek immediate help through local emergency services, crisis hotlines, or by going to the nearest emergency room. Some online platforms may offer crisis support features, but it's best to have a clear understanding of emergency protocols with your therapist.

🧠 What types of issues can online EMDR therapy help with?

Online EMDR therapy can help with a wide range of issues, similar to in-person EMDR therapy. This includes trauma (e.g., PTSD, single-incident trauma, complex trauma), anxiety disorders (e.g., panic disorder, social anxiety, phobias), depression, grief and loss, self-esteem issues, and disturbing memories. EMDR is based on the Adaptive Information Processing (AIP) model, which posits that many mental health conditions stem from unprocessed memories, making EMDR a versatile approach for various mental health conditions.

🧠 Can online EMDR therapy be a suitable option for individuals with disabilities?

Yes, online EMDR therapy can be a suitable option for individuals with disabilities, particularly those who have difficulty accessing in-person therapy due to physical limitations, transportation issues, or other barriers. The online format offers increased accessibility and convenience. Therapists can adapt bilateral stimulation (BLS) techniques to accommodate different needs and abilities. For example, auditory or tactile BLS can be used for individuals with visual impairments or if eye movements are difficult. Ensure that the online platform and communication methods are compatible with any assistive technologies you may use.

🧠 How long are online EMDR therapy sessions usually?

The length of online EMDR therapy sessions is usually similar to traditional in-person therapy sessions, typically ranging from 45 to 90 minutes. However, the duration can be adjusted based on individual needs, the complexity of the issues being addressed, and the phase of EMDR therapy. For instance, initial assessment sessions might be slightly longer, and some reprocessing sessions, particularly for intense trauma, could potentially extend beyond the standard hour if clinically appropriate and feasible for the client. You can discuss session length expectations with your therapist.

FAQ about Online EMDR Therapy: Virtual Trauma Therapy for Healing and Growth