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Co-Regulation in EMDR Therapy: The Therapist’s Vital Role in Adolescent Healing

Writer's picture: Tracey BrittainTracey Brittain


EMDR & co regulation

For those working in the field of trauma therapy, especially with adolescents, the intensity of the task cannot be overstated. While we often hear of the challenges faced by young people dealing with complex trauma, little attention has been paid to the lived experience of those guiding them through it. This is where the practice of co-regulation, particularly within the EMDR (Eye Movement Desensitisation and Reprocessing) framework, becomes crucial.


As an EMDR therapist, your role isn't just to guide your clients through memories or trauma triggers but to actively engage with them on a deeply relational and neurobiological level. For adolescents, whose nervous systems are particularly volatile due to developmental stages, this engagement is paramount. The therapeutic relationship—one based on trust, attunement, and regulation—becomes the foundation upon which healing is built.


The study, led by Tracey Brittain, sheds light on the often-overlooked therapist’s experience and uncovers fascinating insights into how practitioners manage their own nervous system in tandem with that of their adolescent clients. At the heart of this work is a practice that many may overlook in traditional therapy: co-regulation. Through specific, nuanced strategies—such as breathing together, mirroring movements, or even engaging in playful acts like “channeling your inner Beyoncé” to help a client reconnect with their body—therapists shape a space of safety that allows the traumatic memories to be processed. It’s no longer just about the client; the therapist’s ability to manage their own emotional responses to the trauma is just as critical.


For those who work at Harley St EMDR or any other prestigious setting, these strategies are more than theoretical—they are vital, practical approaches to ensuring that the nervous system of both therapist and client is regulated. Therapists working in environments like EMDR Harley St know that this work goes beyond the classic 8-phase protocol—it demands a delicate balance of listening, observing, and regulating.

The research shows that without this deep relational work, trauma healing cannot reach its full potential. A skilled therapist doesn’t just guide; they co-regulate, creating a safe, collaborative space for the adolescent to process their pain. Only then can the adolescent begin to trust their own capacity for self-regulation.


This approach challenges the usual focus on outcomes and symptom reduction. Instead, it redefines success in terms of relational and emotional attunement, creating a model that others in the field can replicate. It’s an invaluable contribution to the growing body of knowledge around EMDR therapy, especially for those who wish to work with this vulnerable and often overlooked client group. By highlighting the importance of co-regulation and the therapist’s own emotional landscape, this research is poised to change how we approach adolescent trauma, one session at a time.


For more information on the research and its implications, visit Tracey Brittain's website at www.emdrharleyst.com.

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