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EMDR Therapy for Anxiety and Panic Attacks
How It Works and What the Research Shows 
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    EMDR Therapy for Anxiety and Panic Attacks

    Anxiety Panic Attacks

    Anxiety and panic attacks reflect a nervous system that has learned and adapted, often in response to trauma, to remain on high alert. Understanding what happened through logic, insight, and reasoning doesn’t fully resolve or change how the body responds. Even when you know why you feel anxious, your body may continue to react as if something threatening is still present. This is why talking about what happened doesn’t alleviate all of the anxiety symptoms. EMDR works directly with how distress is stored in the brain and nervous system. It is an evidence-based approach that helps access, release and reorganize the way trauma is stored. This helps you reconnect with your body and allows your nervous system to be more present, balanced and grounded.

    Anxiety Disorders

    Anxiety disorders range from generalized anxiety disorder, social anxiety, panic disorder, specific phobias, obsessive compulsive disorder (OCD), posttraumatic stress disorder (PTSD), agoraphobia, adjustment disorder, unspecified anxiety disorder, substance induced anxiety disorder and separation anxiety disorder.

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    Digital illustration of a human brain with neural pathways highlighted in blue and a central region glowing orange, representing brain activity.

    Understanding Anxiety and the Brain

    Anxiety Symptoms

    Anxiety is not only experienced as ruminating, worrisome thoughts it is also felt deeply throughout the body.  From a neuroscience perspective, anxiety is driven primarily by the amygdala and limbic system, areas of your brain responsible for detecting threat and ensuring survival. When a person experiences overwhelming stress, shock or trauma the brain can’t fully process the experience, leaving it unprocessed. Even when the threat has passed, these unprocessed memories can continue to fire, sending signals of fear, alarm or dread into the body. 

    This is why many people continue to experience anxiety and panic attacks even after gaining insight into past trauma. It also helps explain why traditional talk therapy often falls short in addressing the ongoing impacts of trauma. Even when you understand what happened, insight alone does not deactivate the body’s survival response. EMDR therapy works at a deeper level, helping the brain process, release and repair from unresolved trauma.  

    How EMDR Rewires the Stress Response

    EMDR Treatment

    EMDR therapy is a trauma-informed therapy that involves recalling a stressful past event and re-processing the memory using bilateral stimulation. Bilateral stimulation alternating right and left movements such as eye movements, tapping or auditory tones to activate both hemispheres of the brain while a person connects with a distressing memory. This process allows stuck trauma memories to move through the brain's natural healing pathways. Bilateral stimulation supports neural integration as both sides of the brain are activated when recalling a past trauma or stressful experience.

    In simple terms, EMDR helps the brain do what it was designed to do, process and resolve experiences that were too overwhelming at the time they occurred. The bilateral stimulation ensures both sides of the brain are active and present while reprocessing the traumatic experience. This is often not the case when going through trauma. And in fact, it is considered a primary reason for feeling stuck in a past trauma and why EMDR is effective. Theories as to why EMDR works are still evolving, but many people have found it to be extremely beneficial.

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    EMDR Helps Traumatic
    Memories to be Reconsolidated

    EMDR also works by supporting memory reconsolidation. When a traumatic memory is reprocessed during EMDR, it becomes malleable or available to be updated. As the mind and body reprocess the experience while the nervous system remains regulated, the memory has the opportunity to be reconsolidated without the same emotional charge. The memory doesn’t disappear, but it is no longer stored as a present day threat. Instead of potentially triggering anxiety, panic or overwhelm it becomes integrated as something that happened in the past. This allows both the body and mind to be in the present with greater calm and safety. 

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    What the Research Says About EMDR for Anxiety

    There is a large body of research that supports the use of EMDR therapy not only for healing trauma but also for treating anxiety. A 2020 meta-analysis of 17 randomized controlled trials found that EMDR was associated with significant reductions in anxiety symptoms overall, including panic attacks, phobias, nervous system activation and somatic -body sensations. Smaller clinical studies have also shown EMDR to be effective in reducing worry, panic and rumination in people with generalized anxiety disorder (GAD).

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    Success Stories

    Laura Reeves

    Dr. Hilary is an amazing therapist and working with her has been transformative. She's empathetic, intuitive, a great listener and really smart. This combination, along with her skilled use of brainspotting, has helped me become clearer, move through challenging circumstances from my past and open up my future. I'd highly recommend her to anyone seeking a commpassionate and supportive therapist.

    Ali Gould

    I have worked with Dr. Hilary for a few years and could not have had a better experience. Dr. Hilary is one of the most kind, compassionate, understanding, and insightful individuals I have had the pleasure of getting to know. She is incredibly knowledgeable about a plethora of therapeutic techniques and exercises. Over the years, I have grown immensely with the help of Dr. Hilary.

    Linda Mantel

    I began working with Dr. Kim Ward while I was in deep grief after my husband's passing. She walked me through the darkness with her kindness, compassion and professional skills and I've continued to work with her for several years. In addition to talk therapy, brainspotting has been amazingly helpful in unlocking emotions and beliefs I wasn't aware of. Working with Dr. Ward has been life-changing! She continues to be a wonderful gift in my life.

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    EMDR Compared to Cognitive Behavioral Therapy for Anxiety

    Cognitive Behavioral Therapy

    Compared with traditional approaches such as cognitive behavioral therapy (CBT), research shows EMDR is equally as effective with some studies showing stronger anxiety symptom reduction posttreatment. Although CBT and medication are still considered standard forms of treatment for GAD and panic disorders, EMDR offers a trauma-informed alternative that addresses deeper unresolved emotional memories and nervous system activation rather than primarily focusing on current thought patterns. 

    Overall research shows the effectiveness of EMDR in treating anxiety particularly when anxiety is linked to traumatic or distressing life experiences. Further research is needed to compare EMDR with CBT for long term health outcomes.

    What to Expect in an EMDR Session for Anxiety

    EMDR Sessions: Typical session structure

    An EMDR therapy session for anxiety follows a clear structure and typically lasts around 60 minutes. There are eight phases of EMDR therapy. The initial phases focus on assessment and preparation, helping to identify anxiety triggers, relevant memories and capacity for internal resourcing or self-soothing. This allows for safety and a supportive container to address traumatic and distressing memories more effectively. During the reprocessing therapy and desensitization phase, bilateral stimulation is used while connecting with the traumatic experience and disturbing event. This allows the brain and body to process what is unresolved or feeling stuck. Negative beliefs associated to the traumatic events are identified and processed. This is followed by installation, where more productive or adaptative beliefs are strengthened and the body becomes more regulated and grounded.

    Adaptive Information Processing (AIP)

    The adaptive information processing model was developed by Dr. Francine Shapiro who demonstrated that the brain is inherently wired to heal will give the right conditions. The model explains that psychological distress occurs when experiences become "stuck " in the nervous system, rather than fully processed, and your therapy activate the brains, natural healing capacity, allowing these memories to integrate, emotional intensity to decrease and healthier beliefs to emerge.

    Between sessions, anxiety symptoms often begin to shift in meaningful ways such as reduced intensity, frequency and duration leading to quicker recovery when anxiety arises. Some people notice increased emotional awareness as the brain continues to process, this is a normal part of healing. Trauma-informed EMDR does not involve reliving or retelling every traumatic detail. The process is carefully paced and structured to minimize overwhelm. Both virtual and in-person EMDR can be effective. Virtual sessions work well for individuals who are comfortable at home while in person may offer added support for those who benefit from physical presence, additional containment and co-regulation for complex nervous system activation.

    EMDR for Panic Attacks and Chronic Stress

    Anxiety EMDR Therapy

    EMDR can be especially effective for panic attacks and chronic stress because it directly targets the nervous system patterns that drive these experiences. Panic often involves chest tightness, a rapid heart rate, shallow breathing, body tingling, and sudden waves of fear. EMDR helps process and regulate these patterns by addressing the underlying memories and body sensations that keep the nervous system activated in fight, flight or freeze. As the emotional charge is released from these memories, the nervous system is able to return to a more regulated, present state which lessens overall anxiety patterns. Grounding practices are woven into this work to help individuals stay present, track internal sensations, and feel safe in the moment. This restores a sense of control and inner stability. 

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    FAQ's

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    About the Authors

    headshot of Dr. Hilary Stokes, licensed psychotherapist

    Hilary Stokes Phd

    HIlary Stokes, Ph.D., LCSW is a licensed psychotherapist in California with more than 25 years of clinical experience, specializing in trauma therapy, PTSD treatment, anxiety, depression, and nervous system healing. She holds Master's degrees in Clinical Social Work and Kinesiology and Sports Psychology and a Ph.D. in Transpersonal Psychology with a specialization in Tibetan Buddhist Psychology. Dr. Stokes is extensively trained and certified in brainspotting, EMDR, somatic therapy and other mind body approaches. Her integrative work bridges neuroscience, mindfulness, and holistic psychology to help clients process unresolved trauma, rewire stress patterns, and build emotional resilience.

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    headshot of Dr. Kim Ward, certified trauma-informed coach and life coach

    Kim Ward Phd

    Kim Ward, Ph.D. holds both a masters and a doctorate in Transpersonal Psychology with a specialization in Tibetan Buddhist Psychology. She brings more than 25 years of experience in trauma recovery, Brainspotting and mind-body transformation. She is extensively trained and certified in Brainspotting, somatic therapy, and trauma-informed approaches. Dr. Ward integrates neuroscience, nervous system regulation and consciousness-based psychology to help individuals process unresolved trauma, shift limiting beliefs, and access greater emotional resilience. Her work focuses on healing at the root, beyond symptom management, through brain-body therapies that create lasting change.

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    Anxiety EMDR Therapy

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      Email: contact@authenticityassociates.com

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