{"id":36979,"date":"2025-11-12T15:10:09","date_gmt":"2025-11-12T14:10:09","guid":{"rendered":"https:\/\/blog-monpsy.hellocare.net\/blog\/?p=36979"},"modified":"2025-11-12T15:59:59","modified_gmt":"2025-11-12T14:59:59","slug":"emdr","status":"publish","type":"post","link":"https:\/\/blog-monpsy.hellocare.net\/blog\/patients\/les-grandes-methodes-therapeutiques\/emdr\/","title":{"rendered":"L’EMDR"},"content":{"rendered":"

L’<\/span><\/span><\/span>EMDR (d\u00e9sensibilisation et reprogrammation par des mouvements oculaires \u2013 en anglais, Eye Movement Desensitisation and Reprocessing), apparue en 1987, est essentiellement connue comme une alternative aux traitements du stress post-traumatique, des d\u00e9pendances ou du deuil. Lors d\u2019un choc traumatique (accident, agression morale ou physique), le cerveau m\u00e9morise tout ce qui compose l\u2019\u00e9v\u00e9nement. Ces m\u00e9moires r\u00e9siduelles peuvent perturber la qualit\u00e9 de vie et parfois m\u00eame l\u2019\u00e9quilibre psychique d\u2019un individu. Pour y rem\u00e9dier, l\u2019EMDR, de la famille des th\u00e9rapies br\u00e8ves, propose d\u2019identi\ufb01er, d\u2019\u00e9valuer les croyances li\u00e9es au traumatisme, et de modi\ufb01er la perception de l\u2019\u00e9v\u00e9nement. Par des mouvements oculaires alternatifs (de gauche \u00e0 droite), qui ont pour effet d\u2019activer toutes les parties du cerveau, et des entretiens avec le th\u00e9rapeute, le patient puise de nouvelles ressources \u00e9motionnelles et retrouve sa capacit\u00e9 \u00e0 faire des choix.<\/p>\n

<\/span><\/p>\n<\/div>

<\/div><\/div><\/div><\/div><\/div>

Le fonctionnement de l’EMDR<\/h2><\/h2><\/div>

Le principe fondateur de l\u2019EMDR r\u00e9side dans une conception nouvelle du traumatisme faisant appel \u00e0 la neurologie. Les traumatismes violents cr\u00e9ent des souvenirs dits \u00ab anormaux \u00bb (des images, des sons ou des sensations corporelles) que le cerveau a du mal \u00e0 assimiler. Cod\u00e9s sous une forme sensorielle plut\u00f4t que cognitive, ils peuvent \u00eatre r\u00e9activ\u00e9s \u00e0 tout moment. Ils sont souvent sans mots, qui permettraient de replacer l\u2019\u00e9v\u00e9nement dans des dimensions humaines, avec un pass\u00e9 et un futur. Le mouvement oculaire a donc pour principal effet de synchroniser l\u2019activit\u00e9 des deux h\u00e9misph\u00e8res c\u00e9r\u00e9braux \u2013 aires sensorielles et cognitives \u2013, et permet de reconnecter les \u00e9motions primaires du traumatisme (le souvenir \u00ab photographique \u00bb) avec la sagesse de la pens\u00e9e et du langage. Le \u00ab balayage \u00bb d\u00e9bloque ainsi l\u2019information traumatique et r\u00e9active le syst\u00e8me naturel de gu\u00e9rison du cerveau pour qu\u2019il compl\u00e8te le travail. En facilitant ce contact, l\u2019EMDR s\u2019apparente \u00e0 une forme acc\u00e9l\u00e9r\u00e9e de la \u00ab cure par la parole \u00bb.<\/p>\n<\/div>

<\/div><\/div><\/div><\/div><\/div>

D\u00e9roulement d’une s\u00e9ance EMDR<\/h2><\/h2><\/div>

Apr\u00e8s avoir expliqu\u00e9 au patient le protocole, le th\u00e9rapeute ancre celui-ci dans des perceptions sensorielles et internes agr\u00e9ables. A tout moment de la s\u00e9ance, il lui est possible d\u2019y retourner s\u2019il le souhaite. L\u2019\u00e9tape suivante consiste \u00e0 choisir la cible, une sc\u00e8ne traumatique pass\u00e9e, ou une situation perturbante actuelle (crise d\u2019angoisse ou phobie). En restant en contact avec l\u2019\u00e9motion qu\u2019elle suscite, le patient \ufb01xe les mouvements que le th\u00e9rapeute fait avec sa main, de gauche \u00e0 droite. Lors de chaque s\u00e9ance, le patient doit ainsi suivre une quinzaine de mouvements cadenc\u00e9s, amples et pr\u00e9cis, larges d\u2019un m\u00e8tre environ. Entre deux exercices, des pauses permettent \u00e0 la fois de mettre des mots sur l\u2019\u00e9v\u00e9nement et d\u2019\u00e9valuer l\u2019intensit\u00e9 de l\u2019\u00e9motion. Le protocole se poursuit jusqu\u2019\u00e0 ce que le patient constate une diminution satisfaisante de son stress. Puis le th\u00e9rapeute installe une croyance positive \u00e0 la place de celle, n\u00e9gative, en lien avec le traumatisme. Ce dernier ne dispara\u00eet pas, il se d\u00e9livre de sa charge \u00e9motionnelle, comme apr\u00e8s un deuil.<\/p>\n<\/div>

<\/div><\/div><\/div><\/div><\/div>

Indications de l’EMDR<\/h2><\/h2><\/div>

L\u2019EMDR s\u2019impose comme m\u00e9thode efficace pour les personnes pr\u00e9sentant des sympt\u00f4mes post-traumatiques majeurs (victimes d\u2019attentats, de violences sexuelles, de catastrophe naturelle), mais aussi quand certaines exp\u00e9riences p\u00e9nibles laissent un souvenir empreint de souffrance.<\/p>\n

Cette m\u00e9thode peut se r\u00e9v\u00e9ler efficace dans d\u2019autres types d\u2019affection comme la toxicomanie, l\u2019anorexie ou la d\u00e9pression.<\/p>\n

Cette r\u00e9activation traumatique n\u2019est pas sans risque.<\/p>\n

Un traumatisme pouvant en cacher un autre, il est indispensable de pratiquer l\u2019EMDR avec un psychiatre ou un psychologue d\u00fbment form\u00e9. Les cas de psychose, les \u00e9tats suicidaires et les troubles cardiaques figurent parmi les contre-indications.<\/p>\n<\/div>

<\/div><\/div><\/div><\/div><\/div>

Prix et dur\u00e9e d’une s\u00e9ance<\/h2><\/h2><\/div>

Cette technique, dite br\u00e8ve, souvent offerte en compl\u00e9ment d\u2019une th\u00e9rapie classique, permet d\u2019acc\u00e9l\u00e9rer le processus de gu\u00e9rison.<\/p>\n

On ne pratique jamais l\u2019EMDR d\u00e8s la premi\u00e8re fois, quelques s\u00e9ances traditionnelles sont requises pour \u00e9valuer le contexte, l\u2019histoire du patient, la nature de son sympt\u00f4me.<\/p>\n

Ensuite, une d\u00e9sensibilisation peut se faire en quelques s\u00e9ances, voire une seule s\u00e9ance. Une s\u00e9ance individuelle dure une heure et co\u00fbte entre 70 et 120 euros.<\/p>\n<\/div>

<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

EMDR (d\u00e9sensibilisation et reprogrammation par des mouvements oculaires \u2013 en anglais, Eye Movement Desensitisation and Reprocessing), apparue en<\/p>\n","protected":false},"author":46,"featured_media":37221,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[898,897],"tags":[],"class_list":["post-36979","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-grandes-methodes-therapeutiques","category-patients"],"acf":[],"yoast_head":"\nL'EMDR<\/title>\n<meta name=\"description\" content=\"Face \u00e0 nos probl\u00e8mes existentiels, la psychologie de la motivation interroge nos d\u00e9sirs profonds pour nous faire accepter la r\u00e9alit\u00e9 de notre condition et parvenir \u00e0 une meilleure acceptation de soi.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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