EMDR and Eating Disorders — Heidi Dalzell, Psy.D., Newtown, Pa.

 

EMDR and Eating Disorders

EMDR (Eye movement desensitization and reprocessing) is is a research-based method of treatment that is used for a wide variety of concerns, including eating disorders and body image. Using EMDR, the therapist leads the client through a series of eye movements (or tapping) that allows gentle resolution of the root cause of the problem.


EMDR is especially helpful in working

with eating disorders. EMDR protocols can help decrease urges (such as to binge or purge), helping to change the frequency of symptom use. EMDR is also a way to resolve past experiences which can lead to or prolong eating disorders, low self-esteem and body image concerns.


How can EMDR help?


Many people with eating disorders can identify specific events that trigger an eating disorder. The first step in reducing symptoms (such as binge eating) is to identify these triggers. EMDR then can be used to disconnect the trigger from the symptom. Pairing EMDR with self-soothing skills is especially useful. Additionally, EMDR can be used to help reduce the “feeling state,” often a feeling of power or high, that can accompany eating disorders and other addictive behaviors.


In addition to working at the symptom level, EMDR can help to resolve root causes of eating disorders and body-image distress. Individuals with trauma are more likely to develop eating disorders than those without traumas, such as bullying, relationship disruptions, significant losses, physical and or/sexual abuse, or neglect.


When trauma occurs, the brain often does not process the event fully. The trauma gets stuck in the unconscious mind and can be retriggered. Eating disorder symptoms can begin as a way to numb emotions or to cope with the trauma.


EMDR provides a way to work on and resolve stuck traumas or aspects of traumas in a way that allows for full resolution. It can be especially effective for people who have found that talk therapy does not fully allow them to reduce or resolve symptoms. Using EMDR, we can:


  1. Identify sources of trauma and how these may be connected to disordered eating

  2. Uncover negative thoughts and thought processes (“cognitions”). Examples include “I’m not good enough” or “I’m not in control”

  3. Install more positive cognitions that support better overall functioning

  4. Process the traumatic memory so that it is no longer consciously or unconsciously distressing, so that there is no need for eating disorder symptoms


To learn more about how EMDR may be helpful in the treatment of eating disorders, please contact Dr. Dalzell to schedule a confidential assessment.

Jalal Volker [CC BY-SA 3.0]