I Don't Get It

EP279: EMDR THERAPY

I Don't Get It with Erica Curtis 2022-06-06

Summary

Hosts Naz, Ashley, and Lauren interview EMDR practitioner Erica Curtis, a licensed marriage and family therapist and board-certified art therapist with 20 years of experience. Naz shares her personal experience with EMDR for anxiety, describing how the therapy helped her access hidden traumas, including a forgotten memory of her dog dying in college. Erica explains the connection between EMDR and REM sleep, using a digestive system analogy: just as the gut extracts nutrients and eliminates waste, the brain during REM sleep processes emotional material and converts it into long-term memory. Erica walks through what happens in a session, from establishing safety resources to the bilateral stimulation sets and the reprocessing that follows. She shares her own EMDR experience processing a childhood bike accident, explaining how the traumatic moment was not the fall itself but seeing the horrified looks on faces in the doctor's waiting room, which programmed her brain to flood her with anxiety whenever anything was wrong with her face. The conversation covers how EMDR differs from hypnosis, why the brain naturally gravitates toward healing and resilience, and how the therapy can resolve phobias like fear of flying by addressing the underlying root trauma.

Key Points

  • EMDR activates the same brain regions as REM sleep; bilateral stimulation mimics the rapid eye movements that process emotional material during sleep
  • The brain processes emotions like the digestive system processes food: extracting useful meaning and eliminating what is not needed
  • Brain scans show less activity in the amygdala and limbic system after EMDR, with more activity in cortical thinking regions and the anterior cingulate
  • Studies comparing EMDR with and without eye movements confirm that the bilateral stimulation component is a significant factor
  • EMDR is not hypnosis; clients are fully awake, conscious, and can disagree with the therapist at any point
  • If your emotional response seems out of proportion to what is actually happening, there is likely an unprocessed memory driving it
  • The brain naturally gravitates toward resilience and healing during EMDR, often shifting from negative memories to positive ones
  • EMDR can resolve seemingly logical fears like flying by addressing the underlying root trauma that has nothing to do with the feared situation

Key Moments

EMDR mimics REM sleep and how the brain digests emotional material

Erica Curtis explains that EMDR activates the same brain regions as REM sleep. She compares emotional processing to digestion: just as the gut extracts nutrients and eliminates waste, the brain during REM converts emotional experiences into usable long-term memory and meaning.

"So, our brain does the same thing. It takes out the nutrients from our experiences during the day and not just like what you ate for breakfast, but like that guy cut me off, or my boyfriend dumped me, or I had a rough day at work, or so it's emotional material that we're consuming all day, right? And then when we're in REM."

Brain scan evidence for how EMDR changes neural activity

Erica describes brain scan research showing that after EMDR, there is less activity in the limbic system and amygdala (emotional processing) and more activity in cortical regions (thinking) and the anterior cingulate (threat assessment). Studies confirm the eye movements are a significant factor even after controlling for other elements.

"they see less brain activity in the feeling and survival parts of our brain, right? So, after EMDR, we see less activity in like the limbic system and the amygdala, which is like the emotional processing part of the brain, right? We see more activity in the cortical regions, which is the thinking part of the brain, right?"

Out-of-proportion emotional responses signal unprocessed trauma

Erica shares her own experience of disproportionate anxiety about puffy eyes, which traced back to a childhood bike accident. She offers the key insight that if your emotional response seems out of proportion to what is actually happening, it is likely because an unprocessed memory is driving the reaction.

"if your emotional response seems out of proportion to what's actually happening, it's likely because there's something."

The brain gravitates toward resilience during EMDR processing

Erica describes how during EMDR processing, the brain naturally shifts from focusing on negative aspects of a traumatic memory toward positive, resilient memories. In her own case, she moved from fixating on horrified faces to remembering her father holding her.

"So the brain wants to move towards resilience. It wants to move towards healing. Just like if we get a cut, our body will heal itself, right? So we just have to kind of get the train moving and the mind will want to gravitate towards the things that are pleasant, positive."

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