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Mood Disorders, Psychopharmacology, trauma

Combining EMDR and Medications in the Treatment of PTSD and Trauma 

September 29, 2023

5 Min Read

Dr. Bliss Lewis, MD
Written by: Dr. Lewis

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Home / Blogs / Combining EMDR and Medications in the Treatment of PTSD and Trauma 

Written By: Dr. Beata Lewis

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As mental health professionals specializing in psychiatric care at Mind Body Seven, we are committed to providing empathetic, comprehensive, and integrative treatment to those dealing with mood disorders and trauma. This article seeks to explore the benefits of integrating these two treatment modalities, anchored by empirical evidence supporting their combined efficacy.

Psychopharmacology, the science of applying medication in treating mental health disorders, is a long-established approach to managing mood disorders such as depression and bipolar disorder. Medications like antidepressants, mood stabilizers, and antipsychotics have demonstrated efficacy in symptom management and enhancing the overall quality of life for individuals with mood disorders (Geddes & Miklowitz, 2013). Furthermore, these pharmacological interventions can also mitigate symptoms associated with post-traumatic stress disorder (PTSD) and other trauma-related conditions, including anxiety and sleep disorders (Steckler & Risbrough, 2012).

The Function of EMDR Therapy in Mood Disorders and Trauma Management

EMDR is a unique form of psychotherapy designed to assist individuals in processing and resolving traumatic memories. In EMDR sessions, the therapist guides the patient to concentrate on distressing memories and related emotions while inducing a series of lateral eye movements or other types of bilateral stimulation. This method has been shown to decrease the severity of negative emotions and foster adaptive cognitive processing related to traumatic experiences (Shapiro, 2014).

Emerging research also indicates the potential benefits of EMDR for those with mood disorders, particularly when trauma plays a role in the onset or worsening of symptoms (Valiente-Gómez et al., 2017).

Integration of Psychopharmacology and EMDR: A Comprehensive Approach

The integration of psychopharmacology and EMDR offers a comprehensive approach to treating mood disorders and trauma by addressing both the neurobiological and psychological aspects of these conditions, potentially enhancing treatment outcomes. Several studies have endorsed this integrated approach, demonstrating greater improvements in PTSD symptoms for those who received both EMDR therapy and pharmacological treatment (Shapiro, 2014). Similarly, individuals with bipolar disorder experienced significant reductions in depressive symptoms and improvements in overall functioning when EMDR therapy was added to their pharmacological treatment (Pagani et al., 2012).

A Compassionate and Accessible Treatment Approach

At Mind Body Seven, we are dedicated to providing compassionate and accessible care for individuals struggling with mood disorders and trauma. By integrating both psychopharmacology and EMDR therapy into our treatment approach, we aim to create a safe and supportive environment that fosters healing and recovery.

Recognizing the unique circumstances of each individual, we prioritize a tailored approach to care. By merging the advantages of medication management with the therapeutic potential of EMDR, we equip patients with the necessary tools and resources to process their experiences and surmount their challenges.

Incorporating EMDR into a Comprehensive Psychopharmacological Treatment Plan

To optimize treatment outcomes, EMDR therapy should be thoughtfully incorporated into a comprehensive psychopharmacological treatment plan. The timing and sequence of EMDR can be customized based on individual needs and responses to medication. For example, EMDR therapy may commence once an individual has achieved a certain level of symptom stabilization through medication, thereby ensuring that they are in the best possible state to process traumatic memories.

Simultaneously, pharmacological treatment can be adjusted in response to progress made in EMDR therapy. As individuals resolve traumatic memories and develop better emotion regulation skills, they may require lower doses of medication or be able to transition off certain medications entirely. This dynamic, responsive approach to treatment planning is central to our integrated practice at Mind Body Seven.

Potential Challenges and Considerations

While the combination of psychopharmacology and EMDR offers considerable benefits, it also presents certain challenges and considerations. Some medications can potentially impede the processing of traumatic memories during EMDR therapy. Hence, it is imperative for healthcare providers to maintain open communication and collaborate closely to ensure effective coordination between medication management and EMDR therapy.

Moreover, individuals may experience increased emotional distress or instability during the initial stages of EMDR therapy. Ensuring that individuals are adequately supported – through medication, additional therapeutic interventions, and supportive resources – is crucial to promote a positive treatment experience.

The Importance of a Strong Support System

The inclusion of a robust support system is vital for individuals undergoing the combined treatment approach of psychopharmacology and EMDR. This support can involve family members, friends, support groups, and mental health professionals who can provide guidance, encouragement, and a safe space for sharing experiences. A comprehensive support system can significantly influence the treatment process and enhance overall recovery.

Conclusion

The integration of psychopharmacology and EMDR therapy presents a promising and empirically supported treatment approach for individuals struggling with mood disorders and trauma. By providing compassionate, evidence-based care, mental health professionals can assist patients in navigating their mental health journey, fostering healing, resilience, and overall well-being.


Mind Body Seven clinicians offer treatment in Brooklyn and via teletherapy for adolescents and adults. If have not worked with us and want to get started please contact us here, so we can set you up with the clinicians that best suit your individual needs. If you are an existing patient get in touch with us here to set up your next appointment.

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Related Topics

  • When to Seek Trauma Therapy (and How to Know It’s Worth Exploring)
  • Why Trauma Can Be Hard to Recognize (Even When It’s Affecting You)
  • Trauma in Childhood vs Adulthood: Why Timing Changes the Impact
  • How EMDR Works for Trauma (and Why It Feels Different From Talk Therapy)
  • Why Trauma Affects the Body (Not Just Your Thoughts or Emotions)
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Author

Beata "Bliss" Lewis, M.D.

Owner

I'm Dr. Beata "Bliss" Lewis, a Harvard-trained psychiatrist specializing in integrative approaches to mental health. I blend traditional psychiatry with functional medicine, incorporating psychotherapy, medications, supplements, functional lab testing, mind-body techniques, and lifestyle interventions to treat the whole person. My training includes adult psychiatry at Columbia and child psychiatry at NYU Child Study Center, with advanced certifications in functional and integrative medicine. I specialize in anxiety, depression, ADHD, and trauma. As a mother of twin elementary school girls, I stay connected to the everyday realities families face.

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