The Proven Power of Bilateral Stimulation (and How to Self-Administer It)

Headphones playing bilateral stimulation audio for EMDR therapy, enhancing mental health treatment.
 

Key Highlights

  • Bilateral stimulation engages both sides of your brain, potentially helping you process emotions and reduce stress more effectively.

  • While commonly used in EMDR therapy for trauma, bilateral stimulation techniques can be safely practiced at home to manage everyday anxiety and stress.

  • From eye movements to tapping exercises, there are multiple ways to experience bilateral stimulation - allowing you to find a method that works best for you.

  • Research indicates bilateral stimulation may boost levels of feel-good neurotransmitters like serotonin and dopamine in your brain.

 

Bilateral stimulation is a simple back-and-forth movement that has shown remarkable effectiveness in reducing stress, anxiety, and even processing trauma. Whether you're dealing with everyday stress or more complex mental health challenges, bilateral stimulation offers a unique approach to emotional healing.

In this article, we'll explore how this technique works and how it's being used in therapies like at our EMDR therapists Calgary counselling clinic. You'll discover the science behind bilateral stimulation, learn about different methods you can try at home, and understand why it's becoming an essential tool for mental health professionals.

 

Table of Contents



 

EMDR, which incorporates bilateral stimulation, demonstrates strong effectiveness in treating trauma and PTSD compared to other therapies. This chart highlights the superior outcomes of EMDR, suggesting its potential as a primary treatment option for PTSD.

Source: https://www.ptsd.va.gov/professional/treat/txessentials/emdr_pro.asp

 

Introduction to Bilateral Stimulation

Bilateral stimulation is a powerful technique used in mental health therapy. It involves rhythmic, side-to-side movements or alternations that engage both hemispheres of the brain. This method can be visual, auditory, or tactile, and it's used to help process traumatic memories and reduce stress.

What is Bilateral Stimulation?

Bilateral stimulation is simpler than it sounds. It's a way to activate both sides of your brain through alternating stimuli. This can be:

  • Moving your eyes from side to side

  • Listening to sounds that alternate between your left and right ear

  • Tapping your knees or shoulders alternately

These techniques help balance and calm your brain, potentially making it easier to process difficult emotions or memories.

A review of 494 EMDR studies found it to be highly effective for post-traumatic stress symptoms.

Common Misconceptions about Bilateral Stimulation

Myth Description
It's only for severe trauma. False. It's useful for various levels of emotional distress.
It's a form of hypnosis. Not true. You remain fully aware and in control.
It's complicated. Actually, it's quite simple and can be easily incorporated into daily routines.
 
Symbol of light bar device used for bilateral stimulation in EMDR therapy sessions.
 

Bilateral Stimulation in EMDR & Other Therapy Methods

Bilateral stimulation is a cornerstone of Eye Movement Desensitization and Reprocessing (EMDR) therapy, a treatment approach that has shown remarkable effectiveness in addressing trauma and other mental health issues. Bilateral stimulation plays a crucial role in how EMDR works to help clients process traumatic memories and reduce symptoms.

Types of Bilateral Stimulation

EMDR therapists use various forms of bilateral stimulation to engage both hemispheres of the brain:

  1. Eye Movements: The therapist guides the client's eyes to move back and forth, mimicking the rapid eye movement phase of sleep.

  2. Tactile Stimulation: Alternating taps on the client's hands or knees provide physical sensations that stimulate both sides of the body.

  3. Auditory Stimulation: Sounds or tones alternating between the left and right ears create an auditory form of BLS.

How Bilateral Stimulation Works in EMDR

During EMDR therapy, bilateral stimulation is used while the client focuses on a traumatic memory. This combination helps the brain process the memory more effectively. Here's what typically happens:

  1. Memory Activation: The client recalls a traumatic event.

  2. Bilateral Stimulation: The therapist applies one of the bilateral stimulation techniques.

  3. Processing: The client's brain processes the memory, often leading to new insights or perspectives.

  4. Integration: The memory becomes less distressing and integrates into the client's life story.

Observable Changes During EMDR Sessions

Clients often experience noticeable shifts during the bilateral stimulation process in EMDR therapy:

  • Emotional changes: Moving from distress to calmness

  • Physical sensations: Tingling or warmth in the body

  • Cognitive shifts: Gaining new perspectives on traumatic memories

Bilateral Stimulation in Other Therapy Methods

Therapists are also finding success in combining bilateral stimulation with other therapeutic techniques:

  1. Mindfulness: Pairing bilateral stimulation with mindfulness exercises can enhance emotional regulation and reduce anxiety.

  2. Cognitive Behavioral Therapy (CBT): Using bilateral stimulation during CBT sessions may help patients reframe negative thoughts more effectively.

  3. Neurofeedback: Combining real-time brain activity feedback with bilateral stimulation can improve emotional control and anxiety management.

Bilateral stimulation isn't just for EMDR - it's being used to enhance various therapy approaches, both in-person and online, offering new hope for those struggling with anxiety and depression.

 

EMDR therapy shows remarkable effectiveness across various trauma types. This data highlights the potential of bilateral stimulation techniques in addressing diverse traumatic experiences.

Source: https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.845520/full

 

The Brain Science Behind Bilateral Stimulation

Bilateral stimulation engages both hemispheres of the brain, fostering communication between different regions. This process is thought to mirror the natural information processing that occurs during REM sleep, a crucial phase for memory consolidation and emotional regulation.

Research using near-infrared spectroscopy found that bilateral stimulation significantly increases activation in the right superior temporal sulcus, a region closely linked to memory representation.

Brain Region Interactions

During bilateral stimulation, two key brain areas come into play:

  1. The amygdala: Responsible for processing emotions

  2. The prefrontal cortex: Involved in logical thinking and decision-making

By stimulating both sides of the brain, bilateral techniques help these regions work together more effectively. This improved communication can lead to better emotional regulation and stress reduction.

Bilateral stimulation acts as a bridge between emotion (the amygdala) and logic (the prefrontal cortex) in the brain, helping you process difficult experiences more effectively.

How Bilateral Stimulation Impacts Information Processing

Bilateral stimulation is believed to have these benefits:

  • Enhance neural connectivity

  • Facilitate the integration of cognitive and emotional elements

  • Unlock the brain's natural ability to process and integrate information

  • Aid in the reprocessing of traumatic memories

While more research is needed to fully understand the mechanisms at work, many people report feeling more relaxed and clear-headed after engaging in bilateral stimulation techniques.

 
EMDR therapist's office setup for bilateral stimulation treatment, promoting trauma healing.
 

Types of Bilateral Stimulation: Tapping Shoulders & Other Techniques

Visual Techniques

Eye movements remain a cornerstone of bilateral stimulation:

  • Follow a therapist's finger, object, or light bar moving horizontally across your field of vision

  • Use online tools or apps that display moving objects on a screen

  • Practice self-administered eye movements by looking left to right repeatedly

Tactile Techniques

Touch-based methods offer a hands-on approach to bilateral stimulation:

  • Shoulder tapping: Alternately tap your left and right shoulders

  • Hand tapping: Tap your hands on your thighs in a left-right pattern

  • Butterfly hug: Cross your arms over your chest and tap your shoulders

Butterfly Hug Technique:

1. Cross your arms over your chest

2. Rest each hand on the opposite shoulder

3. Tap your hands alternately on your shoulders

4. Practice for 5-10 minutes, 2-3 times daily as needed

Auditory Techniques

Sound-based bilateral stimulation can be particularly effective:

  • Use headphones that play alternating tones in each ear

  • Listen to music with distinct left-right sound separation

  • Create your own rhythmic sounds, like snapping fingers on each side

Wearable Technology

Recent innovations have made bilateral stimulation more accessible:

  • Handheld devices that provide rhythmic tapping sensations

  • Smart headphones with programmable bilateral sound patterns

  • Wristbands that offer gentle vibrations in alternating patterns

Innovative Techniques

Some therapists use more creative methods to engage clients, especially children:

  • Musical instruments like xylophones or bongo drums for rhythmic bilateral activities

  • "Pool noodle swords" for playful, movement-based stimulation

  • Scarf exercises that connect both hands in synchronized movements

 
 

Benefits of Bilateral Stimulation

Stress Reduction

One of the primary benefits of bilateral stimulation is its ability to activate the parasympathetic nervous system. This shift helps your body transition from a heightened state of stress to a more relaxed state. By engaging in bilateral stimulation exercises, you can:

  • Lower your heart rate

  • Reduce muscle tension

  • Improve your overall sense of calm

Bilateral stimulation can boost levels of serotonin and dopamine in your brain, which are associated with feelings of well-being and happiness.

Anxiety Relief

For those struggling with anxiety, bilateral stimulation can be a powerful tool. It works by:

  • Enhancing neural communication between brain hemispheres

  • Creating new neural pathways

  • Strengthening existing pathways that aid in emotional regulation

Trauma Processing

Bilateral stimulation has shown remarkable effectiveness in processing traumatic memories. By engaging both sides of the brain, it helps:

  • Reduce the emotional impact of distressing memories

  • Promote healthier responses to stressors

  • Improve overall emotional resilience

Ease of Use at Home

One of the most appealing aspects of bilateral stimulation is its potential for self-administration. You can easily incorporate simple techniques into your daily routine, such as:

  1. Alternating tapping on your knees or shoulders

  2. Practicing the "butterfly hug" method

  3. Walking while moving your eyes from left to right

These exercises can be done for 5-10 minutes, 2-3 times a day, to help manage stress and anxiety.

While bilateral stimulation shows great promise for self-care, it's important to remember that working with a qualified EMDR therapist can help tailor these techniques to your specific needs and ensure you're using them effectively.

 

Self-Administered Bilateral Stimulation

Self-administered bilateral stimulation is a simple yet effective way to calm your mind and process emotions. You don't need special equipment or extensive training to begin. Here are some easy methods you can try:

Type of Stimulation Description
Auditory Stimulation Use headphones to listen to bilateral music.
The sound alternates between your left and right ear.
This can help reduce anxiety and improve focus.
Tactile Stimulation Try tapping your shoulders alternately.
Hold small objects in each hand and move them side to side.
This stimulates both sides of your brain.
Visual Stimulation Place sticky notes or pictures on a wall.
Move your eyes back and forth between them.
This activates both hemispheres of your brain.

Creating Your Personal Practice Routine

To get the most out of self-administered bilateral stimulation, it's helpful to create a routine:

  1. Start small: Begin with 5-10 minute sessions and gradually increase the duration.

  2. Be consistent: Try to practice daily, perhaps as part of your morning or evening routine.

  3. Experiment: Test different techniques to find what works best for you.

Remember, everyone responds differently to bilateral stimulation. It's okay to adjust your practice based on what feels most comfortable and effective for you.

Benefits of Regular Practice

Regular use of self-administered bilateral stimulation can lead to significant improvements in your mental well-being. It can help you:

  • Reduce anxiety and stress

  • Improve emotional regulation

  • Enhance your ability to process emotions and memories

By incorporating these simple yet powerful techniques into your daily routine, you can take an active role in managing your mental health and well-being.

 
Bilateral stimulation is not just something that’s used in EMDR or trauma processing sessions. You can also use BLS to reduce anxiety, feel happier and more connected, and use it as an effective tool to manage day to day stress!
— Katie Porter, Licensed Psychotherapist
 

Customizing Bilateral Stimulation to Your Needs

Everyone responds differently to various stimulation methods. You might find one type more soothing or effective than others. Here are some ways to customize your experience:

Type of Stimulation Description
Visual Stimulation Adjust the speed of eye movements.
Experiment with different patterns (horizontal, diagonal, figure-eight).
Try using a light bar with customizable colors and intensities.
Tactile Stimulation Vary the pressure and rhythm of tapping.
Explore different tapping locations (shoulders, thighs, hands).
Use vibrating devices with adjustable settings.
Auditory Stimulation Choose between tones, nature sounds, or music.
Adjust volume and frequency of alternating sounds.
Experiment with binaural beats at different frequencies.

Finding Your Comfort Zone

The key to effective bilateral stimulation is finding what works best for you. Start with shorter sessions and gradually increase duration as you become more comfortable. Pay attention to how your body and mind respond to different techniques.

Tip: Keep a journal to track which methods feel most effective for you. Note any changes in your stress levels or emotional state after each session.

Tailoring for Specific Needs

Bilateral stimulation can be adapted to address various concerns:

  • For anxiety: You might prefer gentler, slower stimulation to promote relaxation.

  • For processing traumatic memories: A more intense or faster-paced stimulation might be more effective.

  • For improving focus: Rhythmic, consistent stimulation could help maintain attention.

Experimenting at Home

You can safely explore different bilateral stimulation techniques at home. Here are some practical tips:

  1. Create a calm environment free from distractions.

  2. Start with 5-minute sessions and gradually increase to 10 minutes or more.

  3. Try different stimulation types (visual, tactile, auditory) on different days to compare their effects.

Consistency is key. Regular practice can help you discover which customizations work best for you and maximize the benefits of bilateral stimulation.

 
Therapist demonstrating tapping shoulders technique for bilateral stimulation during EMDR session.
 

Safety First: Important Considerations for Bilateral Stimulation

Bilateral stimulation can bring up intense emotions or memories. This is why it's typically done under professional guidance, especially in order to avoid the dangers of EMDR therapy. Some of these risks and side-effects are:

  • Strong emotional reactions during or after practice

  • Resurfacing of repressed memories

  • Feelings of discomfort or distress

These responses are normal but can be challenging to manage on your own.

Bilateral stimulation is a powerful tool. If you're dealing with severe trauma or complex mental health issues, always seek professional help before trying it on your own.

When to Seek Professional Help

You should consult a mental health professional if:

  • You have a history of trauma or PTSD

  • You're experiencing severe anxiety or depression

  • You feel overwhelmed by emotions during or after practice

  • You're unsure about how to properly perform the techniques

Safe Self-Practice Guidelines

If you've been cleared by a professional to practice bilateral stimulation on your own, here are some tips:

  1. Start slowly: Begin with short sessions (1-2 minutes) and gradually increase duration.

  2. Choose a comfortable method: Whether it's visual, auditory, or tactile, pick what feels right for you.

  3. Practice in a safe environment: Find a quiet, peaceful space where you won't be disturbed.

  4. Be aware of your reactions: If you feel overwhelmed, stop and take a break.

  5. Keep a journal: Record your experiences to track progress and identify any concerns.

Recognizing Your Limits

It's important to be honest with yourself about your capacity to handle bilateral stimulation. If you find that the practice is causing more distress than relief, it's time to pause and reassess with a professional.

By taking these precautions and considerations seriously, you can explore the benefits of bilateral stimulation while minimizing potential risks. Your mental health journey is unique, and it's okay to take things at your own pace.

 

Conclusion

Bilateral stimulation is a powerful tool that has shown significant promise in addressing various mental health concerns, particularly when used within EMDR therapy. As we've explored throughout this article, bilateral stimulation can help reduce stress, alleviate anxiety, and aid in processing traumatic memories.

While self-administered bilateral stimulation techniques can be beneficial for managing everyday stress and anxiety, it's important to remember that professional guidance is essential when dealing with more complex mental health issues or trauma.

If you're in Calgary or Alberta and interested in exploring how bilateral stimulation and EMDR therapy could benefit you, we encourage you to book a free 20-minute consultation with our clinic, Emotions Therapy Calgary.

For those outside of Alberta, reaching out to a qualified EMDR therapist in your region can be an important step towards healing and improved mental well-being. Taking care of your mental health is a journey, and techniques like bilateral stimulation can be valuable tools along the way.

Rod Mitchell, R. Pysch.

Rod is the founder of Emotions Therapy Calgary and a Registered Psychologist with advanced degrees in Science and Counselling Psychology. He specializes in helping people transform intense emotions like anger, anxiety, stress, and grief into catalysts for personal growth.

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How Does EMDR Work to Heal Trauma? The Neuroscience Explained