EMDR 2.0: A New Frontier in Trauma Treatment

Eye Movement Desensitization and Reprocessing (EMDR) has been a transformative tool in trauma therapy for decades. Now, EMDR 2.0 is gaining traction as an enhanced approach designed to make the process even more efficient, especially for people with complex PTSD.

Let’s explore how EMDR 2.0 differs from standard EMDR, how it works, and its potential benefits.

What Is EMDR 2.0?

EMDR 2.0 builds upon the eight-phase approach of traditional EMDR therapy, incorporating innovative techniques that enhance the therapy’s efficiency and effectiveness. While it doesn't replace the standard EMDR approach, it refines certain elements to address specific challenges associated with treating trauma, such as working with clients experiencing high anxiety, dissociation, or severe related conditions.

The Science Behind EMDR 2.0

EMDR 2.0 leverages working memory theory — a concept that explains how our brain processes and temporarily holds information. Working memory is a cognitive system responsible for holding and processing information needed for tasks like problem-solving, decision-making, and learning. It’s often described as the brain’s “scratchpad” because it allows us to juggle multiple pieces of information simultaneously.

However, working memory has a limited capacity, meaning it can only handle a certain amount of information at once.

EMDR 2.0 capitalizes on this limitation by recalling a traumatic memory while simultaneously engaging in several cognitively demanding tasks (e.g., eye movements, counting, and tapping). This dual engagement reduces the vividness and emotional intensity of the traumatic memory.

Working Memory Theory is a cornerstone of the EMDR 2.0 approach. Understanding this theory helps explain why certain adjustments in the approach, like fast bilateral stimulation (BLS) and other cognitive demanding tasks, may enhance treatment outcomes[1][2].

How Does Working Memory Theory Apply to EMDR 2.0?

The working memory taxation principle is the driving force behind EMDR and is enhanced in EMDR 2.0. When a person recalls a traumatic memory, it activates their working memory. Adding a competing task (e.g., bilateral stimulation) uses up the brain’s limited resources, making it harder to fully “hold” the traumatic memory in its original form.

This competition results in:

• Fragmentation of the memory’s sensory components: Fragmentation of the sights, sounds and feelings associated with the memory.
• Reduction in the emotional intensity of the memory.
• Facilitation of memory reprocessing: Helping the brain reconsolidate the memory in a less distressing way.

EMDR 2.0 amplifies this principle by:

• Stronger memory activation: Clients are guided to recall the memory with all its sensory and emotional details to fully engage the working memory.
• Faster or modality-specific tasks: Tasks like rapid eye movements, tapping, or auditory cues are used to push working memory to its limits, making the therapy more efficient.

How Does EMDR 2.0 Work?

The EMDR 2.0 approach introduces adjustments to enhance memory activation and challenge working memory.

Here’s a breakdown of the process.

1. Memory Activation

The psychologist works with the client to bring the traumatic memory into focus. This involves vividly recalling the memory, paying attention to its sensory components—such as sights, sounds, smells, and emotions. By fully activating the memory, the client prepares for deeper processing.

2. Intensifying Memory Recall

The psychologist encourages the client to amplify the memory by focusing on all its aspects. This heightened recall is critical for ensuring the therapy targets the memory as effectively as possible.

3. Working Memory Taxation

Here’s where EMDR 2.0 introduces its innovative techniques. Psychologists employ tasks designed to challenge the brain’s working memory while the traumatic memory is active.

These tasks may include:

• Superfast eye movements – These can be horizontal, vertical or any direction/pattern[3].
• Tapping sequences
• Counting or spelling exercises
• Clapping or coordinated movements

The type of task is often tailored to the memory’s sensory characteristics. For example, if a memory involves a strong auditory component (like a scream), the therapist may incorporate tasks involving sound, such as counting out loud or rhythmic tapping.

What has been shown in clinical practice and research studies is that eye movements, auditory tasks, and movement are capable of decreasing vividness, emotionality, and completeness of disturbing memories.

Is EMDR 2.0 More Effective Than Standard EMDR?

The research is still emerging, but early studies suggest that EMDR 2.0 may be more efficient. For instance, a study published in the European Journal of Psychotraumatology (2021) found that EMDR 2.0 often requires fewer desensitization sets to achieve the same therapeutic outcomes as standard EMDR. This makes it a promising option for clients needing faster or more intensive intervention[4]

However, it’s important to note that the choice between standard EMDR and EMDR 2.0 depends on the client’s unique needs and their stage of trauma processing. Experienced psychologists often integrate both approaches as needed.

The Minds Behind EMDR 2.0

EMDR 2.0 was developed by leading trauma experts and psychologists Dr. Ad de Jongh and Dr. Suzy Matthijssen, who combined their clinical expertise with cutting-edge research.

• Dr. Ad de Jongh is a clinical psychologist leading extensive research into the treatments for trauma survivors with complex conditions. He holds professorships at institutions including the University of Amsterdam and co-founded the Psychotrauma Expertise Center (PSYTREC), where he leads the research department, focusing on innovative approaches to treating PTSD, anxiety disorders, and related conditions.
• Dr. Suzy Matthijssen is a clinical psychologist and senior researcher who focuses on enhancing trauma treatments through innovative approaches, including working memory theory and intensive therapy models. She serves as the head of the Altrecht Academic Anxiety Centre and leads the intensive trauma treatment program.

Their collaboration has brought new inspiration to therapists worldwide, offering tools to address even the most complex trauma cases.

Final Thoughts

EMDR 2.0 represents a significant evolution in trauma therapy. By focusing on memory activation, sensory recall, and working memory challenges, it enhances the therapeutic process for people with complex PTSD. While more research is needed, its early results are promising, offering hope for those seeking faster and more effective trauma resolution.

If you’re curious about whether EMDR 2.0 could be right for you, contact our friendly team and take the first step towards your healing journey.