Can I use EMDR with Play Therapy?

EMDR (Eye Movement Desensitization and Reprocessing) and Play therapy are both used in processing traumatic experiences. Integrating EMDR and Play therapy is done by trained practitioners, requiring a nuanced understanding of both modalities. Let's explore the potential for using EMDR in conjunction with Play therapy.

Quick Look

While the integration of EMDR and play therapy shows promise, it is essential to remember that there are special considerations when using EMDR and play therapy together. Play therapists should not proceed in using EMDR without first undertaking the requisite training under extensive supervision. If you are considering this helpful and integrated approach for your child, it is essential to consult with a professional who has experience in both EMDR and play therapy to determine the best course of action.

by Georgie Wisen-Vincent, LMFT RPT-S

Director, Play Strong Institute

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What is EMDR?

Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapeutic approach developed by Francine Shapiro in the 1980s. It is primarily known for its effectiveness in treating trauma and PTSD (Post-Traumatic Stress Disorder). The method utilizes bilateral stimulation, usually in the form of guided eye movements, to help individuals process traumatic memories and reduce their emotional charge.

What is Play Therapy?

Play therapy is a therapeutic approach where play is used as a medium for expression, understanding, and healing. It's particularly beneficial for children, as they naturally communicate and process their emotions through play. Through toys, drawings, and role-playing, therapists can understand a child's inner world, helping them navigate and process difficult emotions or experiences.

Combining EMDR with Play Therapy: Is it Possible?

In short, yes, it is possible to integrate EMDR and play therapy, according to well-known trainer Ana Gomez (2012) but it requires specific training and ethical considerations:

Child’s Readiness for EMDR: Not every child is ready or appropriate for EMDR. Factors such as age, cognitive development, and the nature of the trauma can influence this. A skilled therapist trained in EMDR and play therapy must assess whether EMDR is suitable for a child.
Modification to Traditional EMDR Protocols: Children, especially younger ones, might have difficulty understanding or engaging with the traditional EMDR process. Therapists might need to adapt the protocol to be more child-friendly and play-based. For example, instead of asking a child to recall a traumatic event verbally, they might be encouraged to draw it or use toys to depict it.
Safe Space Creation: Before introducing EMDR, therapists often use play therapy to establish a safe therapeutic space for the child. This space becomes essential when transitioning to more intensive therapeutic techniques.
Integration: Some therapists have successfully integrated play-based activities within the EMDR session. For instance, during the desensitization phase of EMDR, a child might use toys to "tell the story" of the traumatic event while the therapist introduces bilateral stimulation.

Benefits of Combining EMDR and Play Therapy

Holistic Healing: Combining the strengths of both modalities can offer a more comprehensive healing approach, targeting both cognitive processing and emotional expression.
Flexibility: Having a range of techniques to draw from allows therapists to adjust their strategies based on a child's unique needs and responses.
Enhanced Safety and Comfort: Play therapy can provide a foundation of trust and safety, which can be invaluable when introducing more challenging therapeutic techniques like EMDR.