Understand EMDR therapy
When you’re coping with the aftermath of painful experiences, emdr therapy for trauma may offer the relief you’ve been seeking. Eye movement desensitization and reprocessing, or EMDR, is a trauma-focused therapy designed to help you reprocess distressing memories so they no longer trigger overwhelming emotions. By guiding you through specific eye movements or other bilateral stimulation, EMDR taps into your brain’s natural healing processes, making it an integral part of a comprehensive care plan for co-occurring disorders.
What EMDR involves
- An eight-phase protocol
- History taking and treatment planning
- Preparation and stabilization
- Assessment of target memories
- Desensitization using bilateral stimulation
- Installation of positive beliefs
- Body scan for residual tension
- Closure to ensure stability
- Reevaluation of progress
- Bilateral stimulation methods
- Guided eye movements
- Tactile taps
- Auditory tones
Your therapist helps you identify vivid images, negative beliefs, and physical sensations linked to traumatic events. As you track bilateral cues, your brain integrates and resolves stuck memories, reducing the intensity of negative emotions.
How EMDR reprocesses memories
EMDR works on the principle that trauma can overwhelm your brain’s natural processing system, leaving distressing memories “frozen” in isolation. During sessions:
- You focus on a traumatic memory while engaging in bilateral stimulation
- Multisensory input encourages your brain to form new associations
- Negative beliefs (for example, “I’m powerless”) are replaced with adaptive ones (such as “I’m in control now”)
As a result, the emotional charge of the memory decreases, enabling you to recall the event without reliving the trauma. This shift supports healthier coping strategies and lays the foundation for lasting recovery.
Recognize trauma’s impact
Trauma and substance use often feed into each other, creating a cycle that can feel impossible to break. Understanding this link is critical when you’re seeking healing for both trauma and addiction.
Trauma and substance use
People who’ve experienced emotional or physical abuse, accidents, or other distressing events may turn to substances in an effort to numb pain or regain a sense of control. Over time, tolerance builds, withdrawal symptoms emerge, and substance use can worsen mental health—especially if you already experience depression or anxiety. Childhood trauma, for instance, increases the risk for substance misuse by more than 30 percent in adults [1].
Co-occurring disorder challenges
About 21.5 million adults in the United States live with both a substance use disorder and a mental illness [2]. When these conditions overlap, symptoms can mask each other:
- Depressive episodes may look like anesthesia from substance use
- Anxiety flare-ups can trigger cravings or relapse
- Withdrawal symptoms may be mistaken for worsening mental health
Accurate diagnosis is crucial. Providers use comprehensive assessment tools to differentiate overlapping symptoms and build an individualized plan that addresses all facets of your health [3].
Integrated care benefits
A supportive environment that blends trauma-focused therapies with addiction treatment empowers you to tackle both issues simultaneously. Integrated care frameworks—coordinated, co-located, and fully integrated—help streamline communication between mental health and addiction specialists, reducing the risk of misdiagnosis and fragmented treatment.
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FREE Addiction Hotline – Call 24/7Explore integrated therapies
Alongside EMDR, evidence-based approaches strengthen your capacity for lasting recovery. Combining multiple modalities forms a tailored treatment program that meets your unique needs.
Cognitive behavioral therapy
Cognitive behavioral therapy (CBT) helps you identify and challenge negative thought patterns driving substance use and trauma responses. By replacing unhelpful beliefs with healthier ones, you develop coping skills to manage triggers and reduce relapse risk. Explore more about how cbt therapy for addiction integrates with trauma treatment.
Dialectical behavior therapy
Dialectical behavior therapy (DBT) emphasizes mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. It’s particularly useful when you struggle with intense emotions or self-harm urges. For details on combining DBT with addiction recovery, see our dbt therapy for substance abuse resource.
Biofeedback therapy
Biofeedback teaches you to monitor and control physiological responses—such as heart rate and muscle tension—in real time. By learning relaxation techniques, you can reduce anxiety and cravings as they arise. Read about our biofeedback therapy for addiction program.
Holistic approaches
A whole-person recovery plan may include:
- Family therapy to rebuild trust and communication [4]
- Guided meditation for stress management [5]
- Recreational therapy to boost mood and healthy habits [6]
- Group therapy for peer support [7]
By weaving these modalities into your care, you address emotional, physical, and social dimensions of healing.
See EMDR’s advantages
Though many therapies offer benefits, EMDR stands out for trauma-centered recovery in a dual diagnosis setting.
Unique EMDR features
- Rapid desensitization of traumatic memories
- No need for detailed descriptions of trauma in early sessions
- Focus on both emotional and physical reactions
- Adaptable to individual preferences for bilateral stimulation
These features mean you can progress at your own pace, building confidence as you reprocess painful experiences.
Research evidence
Studies show that EMDR can significantly reduce PTSD symptoms and improve overall functioning. The NIH HEAL Initiative® under NIMH is optimizing services for individuals with opioid use disorders and mental illness, highlighting the promise of trauma-focused therapies in recovery [3].
EMDR and relapse prevention
By resolving underlying trauma, EMDR lowers the emotional triggers that often lead to relapse. As you process distressing memories, you’re less likely to seek relief through substances, giving you greater stability on your recovery journey.
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Hotline (877) 378-4154Choose the right program
Finding a treatment setting that integrates EMDR with comprehensive addiction care is key to success. Look for a dual diagnosis program that offers evidence-based therapies under one roof.
Dual diagnosis rehab models
| Model | Description |
|---|---|
| Coordinated care | Separate providers share treatment plans, ensuring you receive both trauma and addiction services |
| Co-located care | Mental health and addiction specialists in the same facility, improving communication and convenience |
| Fully integrated care | A single team delivers every aspect of your plan, creating a cohesive, individualized approach |
Aim for a dual diagnosis rehab program that uses fully integrated care to streamline your path to healing.
Questions to ask providers
- How do you coordinate EMDR sessions with other therapies in your dual diagnosis treatment center?
- What training do EMDR therapists have in addiction and trauma care?
- How do you measure progress and adjust individualized plans?
- Can you explain your discharge planning and aftercare support?
These questions help ensure your treatment aligns with best practices in co-occurring disorders care.
Preparing for EMDR sessions
- Gather a trusted support network, such as family or peer mentors
- Practice grounding and relaxation exercises before sessions
- Commit to honest self-reflection and open communication with your therapist
- Understand that processing may bring up strong emotions—your therapist will guide you safely
With thoughtful preparation, you’ll enter sessions feeling more secure and ready to engage fully.
Take next steps
You don’t have to face trauma and addiction alone. By choosing EMDR therapy for trauma within a holistic, dual diagnosis treatment program, you gain access to the support necessary for lasting recovery. If you’re ready to explore an integrated approach, reach out today to learn about our dual diagnosis rehab program and begin your journey toward renewed hope and healing.
References
- (NIDA)
- (SAMHSA)
- (NIMH)
- (family therapy for addiction)
- (guided meditation therapy rehab)
- (recreational therapy for addiction)
- (group therapy addiction program)
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