When searching for a psychotherapist in Lisbon, understanding the different therapeutic approaches available can help you make an informed decision. Two evidence-based therapies that are highly effective in treating trauma and other mental health conditions are EMDR (Eye Movement Desensitization and Reprocessing) and Brainspotting. Both therapies utilize the visual field to help clients access and process unprocessed material, ultimately facilitating healing from traumatic experiences. However, there are key differences between the two approaches, particularly in terms of eye movement, focus, and structure.

Eye Movements

EMDR therapy employs rapid eye movements based on the principle of bilateral stimulation. During a session, clients are asked to follow their therapist's fingers with their eyes, moving back and forth from left to right. This effect can also be achieved through tactile stimulation using devices that emit light, sound, or vibration. For example, a client might hold a buzzing device in each hand or follow a moving light with their eyes.

In contrast, Brainspotting utilizes a fixed eye position. Clients focus on a specific spot in their visual field, which the therapist helps identify using a pointer or by noting where the client's gaze naturally falls. While processing material in Brainspotting, clients may use multiple spots, such as an activation spot and a resource spot, within the same session. This approach also includes variations like body spotting or image spotting.

Focus

EMDR is typically centered on specific traumatic memories. Clients identify a distressing event, image, thought, feeling, or physical sensation related to the trauma and focus on this target while engaging in bilateral stimulation, following a structured protocol with their therapist.

Brainspotting, on the other hand, focuses more on the client's current experience. Clients identify a "brain spot," a point in their visual field associated with the trauma, and the focus shifts to the client's present moment process. This can include emotional activation, changing bodily sensations, or emerging thoughts and memories, which may or may not seem directly related to the trauma. Sometimes, Brainspotting sessions are enhanced with the use of bio-lateral or bi-lateral music.

Structure

EMDR follows a more structured, protocol-driven approach, typically involving eight steps: history taking, preparation, assessment, desensitization, installation, body scan, closure, and re-evaluation.

In contrast, Brainspotting is more flexible and client-centered. Brainspotting therapists adapt their approach to meet the individual needs of each client, guided by principles such as "the curiosity principle" and "staying in the tail of the comet." This means that while the practitioner brings expertise and experience, they remain open and attuned to the client's unique nervous system needs.

Which Therapy is Right for You?

Both EMDR and Brainspotting are highly effective, evidence-based treatments for trauma. The best choice for an individual often depends on personal preferences and needs. If you prefer a more structured and protocol-driven therapy, EMDR might be a suitable option. Alternatively, if you seek a flexible and client-centered approach, Brainspotting could be a better fit.

A strong therapeutic relationship is crucial for the success of any psychotherapy. Finding a practitioner in Lisbon with whom you feel comfortable and safe is more important than choosing between EMDR and Brainspotting. Working with trauma can be emotionally challenging, so take your time selecting a qualified and approachable therapist who can support you throughout the process.

In Lisbon, some of the trained and qualified therapists include Alicja Ligeza from Lisbon Counselling, who specialises in Brainspotting, and Joe Wetherell from Castelo Counselling, who offers EMDR therapy. Whether you choose EMDR or Brainspotting, these professionals can provide the support and guidance needed for your healing journey.

If you would like to speak to Alicja about Brainspotting therapy, click here to schedule your free initial chat online today.

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*The information provided in this blog post is for general educational and informational purposes only and should not be construed as medical or mental health professional advice. If you are struggling with any of the issues described in this post, please seek appropriate personalised help from a qualified mental health professional.

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Sources:

EMDR and Brainspotting: A Comparison of Two Trauma Treatments by F. Shapiro and D. Grand

Brainspotting: The Revolutionary New Therapy for Trauma, Anxiety, and Performance Anxiety by D. Grand

Eye Movement Desensitization and Reprocessing (EMDR): A Comprehensive Guide by F. Shapiro

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