EMDR vs. Brainspotting

EMDR vs. Brainspotting: Key Differences from a Dual-Trained Therapist

As a therapist trained in both EMDR (Eye Movement Desensitization and Reprocessing) and Brainspotting, I often get asked how they differ. Both are powerful, brain-based therapies for trauma, but they take distinct approaches.

EMDR

EMDR is highly structured, following an 8-phase protocol that includes identifying target memories, using bilateral stimulation (like eye movements), and reprocessing trauma through guided phases. It’s goal-oriented and works well for clients who want clear steps and measurable progress.

EMDR tends to be more cognitive and narrative. Clients often talk through memories, track their distress, and work toward adaptive beliefs.

Brainspotting

Brainspotting is more fluid and intuitive. It centers on finding an eye position (a “brainspot”) that links to deep emotional activation. Clients are encouraged to stay with their inner experience while the therapist holds attuned space, often with minimal verbal direction.

Brainspotting is somatic and subcortical. It often bypasses narrative altogether, allowing the body and nervous system to process emotional material that may be preverbal or hard to articulate.

Therapist Role

In EMDR, the therapist is active—directing phases and offering cognitive interweaves when needed.

In Brainspotting, the therapist acts more as a witness—deeply attuned and present, trusting the client’s inner process to unfold.

Bottom Line

Both therapies are effective. EMDR is more structured and directive; Brainspotting is more intuitive and somatic. The best approach depends on the client’s needs—and often, a combination of both creates the most healing.

Written by: Kimberly Bonsiero, LCSW-C