A Qualitative Study of EMDR Clinician Treatment Modality Choice and Client Needs

The purpose of this transcendental phenomenological qualitative research study was to explore and understand the lived experiences of clinicians practicing eye movement desensitization and reprocessing (EMDR) in the state of Nebraska and their choice of treatment modality, between the audio, visual, and kinesthetic techniques of EMDR. As an evidenced-based treatment therapy, EMDR has been shown to decrease the symptoms of distress in clients with a history of trauma and the treatment of choice for clients with a diagnosis of PTSD. A qualitative approach was used to assess the possible connection between the EMDR techniques as factors in individual preferences and needs resulting from a brain-body connection, including learning styles. The study process included a screener survey, a demographics form, and recorded virtual interviews of 12 participants. The theoretical framework guiding this study was Piaget’s cognitive learning theory (CLT). Criterion sampling was used to select EMDR-trained clinicians licensed in the state of Nebraska. Following the transcendental phenomenological methodology, 12 participants were interviewed utilizing a semistructured interview format, via an online platform. Through analysis of data, five themes and 15 subthemes were revealed. Themes included (a) client preferences, (b) clinician preferences, (c) key factors influencing modality choice, (d) assessments, and (e) general consensus of belief and efficacy of EMDR. The study findings indicated no specific EMDR modality that aligns with one specific factor but is based on the individual preferences of clients. The concept of a brain-body connection to include learning and learning styles was a common response in this study.