State of the science: Eye movement desensitization and reprocessing (EMDR) therapy
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Eye movement desensitization and reprocessing (EMDR) therapy is an evidence‐based psychotherapy for posttraumatic stress disorder (PTSD), with support from more than 30 published randomized controlled trials (RCTs) demonstrating its effectiveness in both adults and children. Most international clinical practice guidelines recommend EMDR therapy as a first‐line treatment for PTSD. This paper describes the current state of the evidence for EMDR therapy. We begin with a brief description of EMDR therapy and its theoretical framework. Next, we summarize the scientific support for its efficacy, effectiveness, and safety and discuss its applicability across cultures and with diverse populations. We conclude with suggestions for future directions to develop the research base and applications of EMDR therapy.
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Once worry patterns are established, cognitive restructuring techniques can be implemented to challenge maladaptive thoughts and replace them with more balanced, reality-based perspectives, thereby reducing pre-sleep arousal and improving sleep quality.
“Once such pa erns are established, cognitive restructuring techniques can be implemented to challenge maladaptive thoughts and replace them with more balanced, reality-based perspectives, thereby reducing pre-sleep arousal and improving sleep quality [88].”
From Pre-Sleep Anxiety: Mechanisms and Therapeutic Approaches in Clinical Practice. (2026) · cites this paper as [88]
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Sorted by citations
Velu, M. E., Kuiper, R. M., Schok, M., Sleijpen, M., de Roos, C., & Mooren, T. T. M. (2025) · European Journal of Psychotraumatology · doi:10.1080/20008066.2025.2494362 · Cited by 19 · see citing works
“While EMDR therapy has predominantly been tested and applied in Western contexts, these outcomes support the increasing evidence for its e ff ectiveness and suitability for treating trauma symptoms across diverse cultural and ethnic groups, including non-Western settings (de Jongh et al., 2024).”
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“Sensorimotor psychotherapy focuses on the interconnection between bodily sensations, emotions, and cognitive processes, allowing individuals to access and process traumatic memories stored in the body [73].”
BackgroundMultiple Chemical Sensitivity: A Clinical Perspective
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“Trauma-focused therapeutic approaches such as eye movement desensitisation and reprocessing (EMDR) therapy have shown promising results for individuals in the general population (De Jongh et al., 2024).”
EMDR treatment in patients with personality disorders. Should we fear symptom exacerbation?
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“After activation, with EMDR therapy, these disturbing memories are processed by performing a task that demands working memory (De Jongh et al., 2013; De Jongh et al., 2024a; Shapiro, 2018).”
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“On the other hand, EMDR therapy facilitates the processing of traumatic memories by taxing patients’ working memory, which reduces the emotional intensity of memories (De Jongh et al., 2024).”
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“In their multicenter randomized control trial, self-rated scores for persistent complex bereavement, depression, and PTSD were comparted between an immediate treatment and waitlist control in 39 Dutch adults.”
InfluentialEye movement desensitisation and reprocessing (EMDR) within prisons and the criminal justice system
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“37 Despite these advantages, there are a number of complex environmental and contextual factors within prisons that may be barriers to effective delivery of EMDR or other trauma therapies.”
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“Extensive research conducted on EMDR therapy supports its effectiveness in treating post-traumatic stress disorder (PTSD) and other mental health conditions (De Jongh et al., 2024; Valiente-Gómez et al., 2017).”
de Roos, C., Offermans, J. E., Bouwmeester, S., Lindauer, R., & Scheper, F. Y. (2025) · European Journal of Psychotraumatology · doi:10.1080/20008066.2024.2447654 · Cited by 5 · see citing works
Hatoum, A. H., & Burton, A. L. (2024) · Mental Health Science · doi:10.1002/mhs2.92 · Cited by 5 · see citing works
Potharst, E. S., Holtkamp, P., Walliser, L., Dommerholt, A. H., van den Heuvel, M. E. N., Spierts, I., & Marić, M. (2024) · Evaluation & the Health Professions · doi:10.1177/01632787241268176 · Cited by 5 · see citing works
“Regarding the taxation of working memory: in a recent state of the science article on EMDR, this has been identi fi ed as the hypothesized mechanism of action of EMDR for which most evidence is available (de Jongh et al., 2024).”
Eye Movement Desensitization and Reprocessing Therapy in Persons With Personality Disorders
Hofman, S., Hafkemeijer, L., de Jongh, A., & Slotema, C. W. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.33421 · Cited by 5 · see citing works
Svensén, S., Bolstad, I., Ødbehr, L. S., & Larsson, G. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1456282 · Cited by 5 · see citing works
Lancaster, S. L., Renno, S., & Linkh, D. J. (2025) · Journal of Traumatic Stress · doi:10.1002/jts.70008 · Cited by 4 · see citing works
“…PE is typically delivered in eight to 15 sessions (McLean & Foa, 2011); EMDR may range from five to 15 sessions depending on trauma complexity (de Jongh et al., 2024; Navarro et al., 2018); and CPT is increasingly delivered flexibly, with clients completing treatment as early as four sessions…”
Haddad, R. H., Price, M. M., Haddad, R. H., Abuejheisheh, A. J., Abuhashish, Y. H., & Hamdan‐Mansour, A. M. (2025) · Chronic Stress · doi:10.1177/24705470251352627 · Cited by 3 · see citing works
Affect-Focused EMDR: Clinical Strategies for Working with Relational Trauma
Cornil, L., & Limbergen, O. V. (2025) · Journal of EMDR Practice and Research · doi:10.34133/jemdr.0013 · Cited by 3 · see citing works
Villegas-Ortega, J., Gálvez-Arévalo, R. A., Castilla-Encinas, A. M., Gutiérrez-González, B., Apolitano-Cárdenas, C., Alvarez-Arias, P. M. A., Paredes-Ángeles, R., & Taype-Rondán, Á. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120134 · Cited by 3 · see citing works
Dodds, C., Dawson, R. L., Lim, A., Tye, S. J., & Nasrallah, F. A. (2025) · Therapeutic Advances in Psychopharmacology · doi:10.1177/20451253251396255 · Cited by 3 · see citing works
Haddad, R. H., Hani, S. B., Abuhashish, Y. H., & Hamdan‐Mansour, A. M. (2026) · Current Psychology · doi:10.1007/s12144-025-08969-4 · Cited by 3 · see citing works
“As suggested by de Jongh et al. (2024), such integration is associated with reductions in post-traumatic symptoms such as anxiety, hyperarousal, nightmares, and intrusive recollections, outcomes that were consistently described by participants in this study.”
Hafkemeijer, L., Hofman, S., de Jongh, A., de Roos, D., van Velzen, M., Starrenburg, A., & Slotema, K. (2025) · Psychotherapy and Psychosomatics · doi:10.1159/000547622 · Cited by 3 · see citing works
“Recent studies have found that eye movement de-sensitization and reprocessing (EMDR) therapy, a first-line evidence-based trauma-focused therapy [14], is effective in individuals with a PD and comorbid PTSD [4, 15].”
Gautier, J., & Gonthier, C. (2025) · Psychonomic Bulletin & Review · doi:10.3758/s13423-025-02641-5 · Cited by 2 · see citing works
“…is still debated: although the beneficial effect of eye movements could be due to their interfering with vivid reconstruction of mental visual images, many authors argue this is due instead to induced eye movements taxing working memory resources (Guntner & Bodner, 2008; de Jongh et al., 2024).”
Jamshidi, F., de Jongh, A., Rajabi, S., Dehghani, Y., & Pakizeh, A. (2025) · Cognitive Therapy and Research · doi:10.1007/s10608-025-10641-x · Cited by 2 · see citing works
Positioning Occupational Therapy in Trauma Care: A Systems-Theoretical Proposal
Staller, M. S., Kramer, A., & Körner, S. (2025) · Occupational Therapy in Mental Health · doi:10.1080/0164212x.2025.2554844 · Cited by 2 · see citing works
Svensén, S., Bolstad, I., Ødbehr, L. S., & Larsson, G. (2025) · European Journal of Psychotraumatology · doi:10.1080/20008066.2025.2582354 · Cited by 2 · see citing works
“The individual therapy, given once a week, consisted of intensive short-term dynamic psychotherapy (Ecker et al., 2024) and eye movement desensitization reprocessing therapy (de Jongh et al., 2024).”
Takamatsu, N., Zain, E., Lo, K. Y. H., Prelog, P. R., Keynejad, R. C., Andress, C., Motamed, M., Shamspour, M., Quezon‐Santos, A. S. C., Smolarczyk, J., et al. (2026) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.70024 · Cited by 2 · see citing works
Targeting craving with EMDR therapy: Future directions
Larsen, J. K., Markus, W., Wiers, R. W. H. J., & de Jongh, A. (2025) · Addictive Behaviors · doi:10.1016/j.addbeh.2025.108288 · Cited by 3 · see citing works
Emotional freedom techniques in mental health care: evidence review, gaps, and future directions
Salicru, S. (2025) · Academia Mental Health and Well-Being · doi:10.20935/mhealthwellb7723 · Cited by 2 · see citing works
Kerkhof, A. J. F. M., de Jongh, A., & Oppenheim, H. J. (2025) · Journal of EMDR Practice and Research · doi:10.34133/jemdr.0008 · Cited by 1 · see citing works
O’DONOVAN, S., Ward, L. G., & Melia, R. (2025) · BMJ Open · doi:10.1136/bmjopen-2025-099751 · Cited by 1 · see citing works
Understanding PTSD and Dissociation in Wartime: Direct and Indirect Trauma Exposure
Rubinstein, D., Lahad, M., Aharonson‐Daniel, L., Proyer, R. T., Mizrahi, D., & Harpaz‐Rotem, I. (2025) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2025.2571109 · Cited by 1 · see citing works
“Tailored therapeutic approaches should be considered (Galovski et al., 2024), such as trauma-focused therapies that can fit multiple trauma and ongoing threat, for example, Eye Movement Desensitization and Reprocessing (EMDR; De Jongh et al., 2024) and SEE FAR CBT (i.e., Lahad et al., 2016).”
Ajele, K. W., & Idemudia, E. S. (2025) · Journal of EMDR Practice and Research · doi:10.34133/jemdr.0017 · Cited by 1 · see citing works
Bielawiec, T., Melvin, B., Ram, B. S., & Anițescu, M. (2026) · Current Psychiatry Reports · doi:10.1007/s11920-026-01666-4 · Cited by 1 · see citing works
Jansma, M., Kooij, L. H., Zijlstra, B. J. H., de Roos, C., & Utens, E. M. W. J. (2026) · Journal of EMDR Practice and Research · doi:10.34133/jemdr.0032 · Cited by 1 · see citing works
Wiss, D. A., & Logan, A. C. (2026) · Journal of Eating Disorders · doi:10.1186/s40337-026-01618-6 · Cited by 1 · see citing works
“Third, evidence-based trauma-focused therapies such as eye movement desensitization and reprocessing or prolonged exposure should be integrated when PTSD is present [186, 187].”
Vaidyanathan, S., Praharaj, S. K., Rege, S., & Rai, S. (2026) · Counselling and Psychotherapy Research · doi:10.1002/capr.70140 · Cited by 1 · see citing works
Lohawala, N., McNulty, N., El-Ghaly, H., Leckstein, C., Baker, A., Ghani, M., O’Driscoll, M., Hendy, A. S., & Howells, S. (2026) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x26100737 · Cited by 1 · see citing works
“Adherence to treatment protocol has also been linked to the size of treatment effect in EMDR (de Jongh et al ., 2024).”
Susanty, E., Sijbrandij, M., Srisayekti, W., Suparman, Y., & Huizink, A. C. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-06420-9 · Cited by 3 · see citing works
“Indeed, similar to other trauma-focused interventions such as exposure therapy, EMDR involves the recollection of traumatic memories and exploration of their related emotions, meanings, and physical sensations [41].”
Pre-Sleep Anxiety: Mechanisms and Therapeutic Approaches in Clinical Practice.
Song, S., Irfan, M., Tahir, Z., Garrison, K. A., & Ziskind, S. (2026) · Current Sleep Medicine Reports · doi:10.1007/s40675-026-00370-2
Editorial: State of the Journal
Sloan, D. M. (2024) · Journal of Traumatic Stress · doi:10.1002/jts.23027
A much-needed guide for today’s world
Wheat, L. S. (2024) · Death Studies · doi:10.1080/07481187.2024.2323247
“Eye Movement Desensitization and Reprocessing (EMDR) is a current frontrunner in the field of trauma treatment (de Jongh et al., 2024) but may be unknown to clinicians and researchers steeped primarily in thanatology.”
The evolution and future of eye movement desensitisation and reprocessing therapy
Miller, P. W. (2024) · BJPsych Advances · doi:10.1192/bja.2024.25
Thompson, A. N. (2024) · Urban Social Work · doi:10.1891/usw-2024-0013
An Interview With Ignacio (Nacho) Jarero
Rydberg, J. A. (2024) · Journal of EMDR Practice and Research · doi:10.1891/emdr-2024-0050
Апанович, Т. М. (2024) · International journal of medicine and psychology. · doi:10.58224/2658-3313-2024-7-5-186-195
Defining PTSD Both Behaviorally and Phenomenologically
Nair, D. S. (2024) · Advances in medical diagnosis, treatment, and care (AMDTC) book series · doi:10.4018/979-8-3693-2089-1.ch001
Advances in the Management of Trauma Disorders
Hamlett, G. E., Schiffer, M. B., Hershfield, J., & Kirk, N. P. V. (2025) · Advances in Psychiatry and Behavioral Health · doi:10.1016/j.ypsc.2025.02.007
Broekman-Labinac, K., Aben, L., Thijs, R. D., Smeding, H. M. M., de Jongh, A., & van der Hiele, K. (2025) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2025.110493
Chan, O., Mu, M., Debus, A., Dohan, M., Nicholls, D., Wallang, P. M., & Breen, K. C. (2025) · Mental Health and Digital Technologies · doi:10.1108/mhdt-02-2025-0014
Vesseur, E. M., de Roos, C., Scholten, L., & Haverman, L. (2025) · BMC Psychology · doi:10.1186/s40359-025-03043-x
“A first-choice evidence-based treatment for PTSD is Eye Movement Desensitization and Reprocessing (EMDR) [4, 5], recommended by respected organizations such as the World Health Organization (WHO) and The International Society of Traumatic Stress Studies (ISTSS) [5].”
Cotardo, F., Koumantakis, E., Rossini, P. G., Malandrone, F., Berchialla, P., Ostacoli, L., & Carletto, S. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1688526
“Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based therapeutic approach developed by Francine Shapiro in 1989 to address psychological symptoms associated with traumatic memories (Shapiro, 2007; de Jongh et al., 2024).”
Harris, A. (2026) · Journal of EMDR Practice and Research · doi:10.34133/jemdr.0024
Ligorio, L. E., Rossi, A. A., Sala, R., Pesavento, F., Musco, F., Mannarini, S., & Bollina, R. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1759849
Molina, B. (2025) · ISEO Journal · doi:10.63344/nwh8vv64
Maksimova, N. V., Petrova, R. V., & Preobrazhenskaya, E. V. (2026) · Bulletin of psychotherapy · doi:10.25016/2782-652x-2025-0-96-93-103
Bin, F., Disnan, R., Langher, V., Marchetti, D., Bin, M. M., & Beltrame, L. (2026) · Journal of EMDR Practice and Research · doi:10.34133/jemdr.0030
A “Decisive Moment” Confirms the Origins of EMDR and Draws Attention to Other Claims
Rosen, G., & Pankratz, L. (2026) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-026-09713-0
“…of EMDR 2.0 and the claim that it improves on Shapiro’s original methods by employing distracting tasks such as, “spelling words or sentences forward and backward or reciting the alphabet; singing a song; or tapping out complex rhythms on the shoulders or legs” (de Jongh et al., 2023, p. 209).”
InfluentialArmand, C., Guillaume, F., & Rey, A. (2026) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2026.102090
O’Leary, D., Mulvaney, P., Moore, L., O’Connor, L., Rooney, B., & Gaynor, K. (2026) · European Journal of Trauma & Dissociation · doi:10.1016/j.ejtd.2026.100669
Means, E. L., Roman, R., Hu, M., & Sahlin, M. (2026) · The Scandinavian Psychoanalytic Review · doi:10.1080/01062301.2026.2649429
Zaporozhets, O., Lincoln, K., Souza, V. F. D., Lafountain, E., Brea, J., Rizzo, A. A., & Syvak, O. (2026) · Continuing Professional Education Theory and Practice · doi:10.28925/2412-0774.2026.1.2
The Lived Experience of Adaptive Resolution in EMDR Therapy: A Phenomenological Study
Dekker, D. (2026) · Journal of EMDR Practice and Research · doi:10.34133/jemdr.0037
Arriazu-Domínguez, M., Martínez-Calderón, J., Matias-Soto, J., & Cano‐García, F. J. (2026) · European Journal of Trauma & Dissociation · doi:10.1016/j.ejtd.2026.100704
Judicial assessment of testimonial reliability after EMDR therapy: a case-series analysis
Pacchioni, F., Flutti, E., Ballabio, M., Giovannelli, M. E., Magatti, C., & Travaini, G. V. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1809865
Hoogstad, A., Bouwmeester, S., Mevissen, L., & Didden, R. (2026) · European Journal of Psychotraumatology · doi:10.1080/20008066.2026.2673670
“Eye Movement Desensitization and Reprocessing (EMDR) therapy is a structured, evidence-based treat-ment for PTSD in children and adults without ID (De Jongh et al., 2024).”
Velu, M. E., de Roos, C., van der Aa, N., Jongedijk, R. A., Lindauer, R., & Mooren, T. T. M. (2026) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-026-01118-0
“Although applied and studied in predominantly Western contexts, emerging evidence supports its effectiveness and applicability for diverse cultural and ethnic groups [13].”
Eye movement desensitization and reprocessing treatment for birth trauma: a scoping review
O’DONOVAN, S., Ward, L. G., & Melia, R. (2026) · European Journal of Psychotraumatology · doi:10.1080/20008066.2026.2678658
“EMDR has strong evidence for treating post-traumatic stress disorder (PTSD), supported by over 30 randomized controlled trials (RCTs) (de Jongh et al., 2024).”
Rouleaux, M., de Looff, P. C., Bouwmeester, S., Mevissen, L., Peters-Scheffer, N. C., Lindauer, R., & Didden, R. (2026) · European Journal of Trauma & Dissociation · doi:10.1016/j.ejtd.2026.100719
A theory-driven rationale for EMDR therapy among patients with a personality disorder
Slotema, C. W., & de Jongh, A. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1905539
Evaluation of the effectiveness of EMDR therapy for children and adolescents in Ukraine during war
Beer, R., Garbade, M., Keßler, A., Verardo, A. R., Niederhuber, P., Uralova, O., Sachser, C., & Pfeiffer, E. (2026) · European Journal of Psychotraumatology · doi:10.1080/20008066.2026.2713259
“The effectiveness of EMDR using the standard protocol for adults, adolescents, and children with PTSD has been tested in over 30 RCTs (De Jongh et al., 2024).”
Erdoğan, D., Güven, R., & Karakartal, D. (2026) · Clinical Journal of Health Sciences · doi:10.35365/cjhs.26.2.08
Murphy, T. J., Jung, M., Hsiao, A., Martin, N. M., Jimenez, A. J., Munoz, A., Lai-Trzebiatowski, J., Smith, T. C., & Hollifield, M. A. (2026) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph23091159
Kalebic, N., Lawrence, D., Crole-Rees, C., Anany, S. E., Blundell, L., Jones, J., & Forrester, A. (2026) · Journal of Forensic Practice · doi:10.1108/jfp-04-2026-0049
Clinical Neuroplasticity in Integrative Primary Care
Takahashi, J. B. (2026) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2026.07.010
EMDR and Equine‐Assisted Psychotherapy: A Retrospective Mixed‐Methods Case Series
Martin, A., Choe, K., Atkins, T., Battise, J., Collins, C. M., Gurley, D., Odoms, C., Robertson, C., Robinson, P., Scott, S., et al. (2026) · Counselling and Psychotherapy Research · doi:10.1002/capr.70225
Gómez-Salas, F. J., Ramallo-Machín, A., Burgos-Julián, F. A., Germán, M. Á. S., & González-Vázquez, A. I. (2026) · Healthcare · doi:10.3390/healthcare14183107
Nijdam, M. J., Gersons, B. P. R., de Jongh, A., Jongedijk, R. A., van Minnen, A., & Wind, T. R. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1932004
“.1 EMDR therapy EMDR therapy is a relatively short protocolized treatment procedure that aims to attenuate (‘desensitize’) memories of distressing events (Shapiro, 2018) as part of PTSD and other trauma-related disorders; (De Jongh et al., 2024).”
Błaszczak, A. (2026) · Psychologia Wychowawcza · doi:10.71358/pw.2646
O’DONOVAN, S., Doyle, J., Nagle, U., & Melia, R. (2026) · Midwifery · doi:10.1016/j.midw.2026.105026
- Authors
- de Jongh, A., de Roos, C., & El‐Leithy, S.
- Affiliations
- Research Department PSYTREC Bilthoven The Netherlands
- Department of Child and Adolescent Psychiatry Amsterdam UMC University of Amsterdam Amsterdam the Netherlands
- Springfield University Hospital (GB)
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2024-01-28
- Volume
- 37
- Issue
- 2
- Pages
- 205-216
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W4391319966
- Cited by
- 79
- References
- 82
- Citations by year
- 2026: 36 · 2025: 27 · 2024: 16
- FWCI
- 39.60
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Traumatic Stress (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- VU Research Portal (submittedVersion, other-oa)
- Funders
- U.S. Department of Veterans Affairs
- International Society for Traumatic Stress Studies
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- EMDR, post-traumatic stress disorder, psychotherapy efficacy, treatment safety, children, theoretical framework, randomized controlled trials
- MeSH terms
- Adult, Child, Eye Movements, Humans, Psychotherapy, Stress Disorders, Post-Traumatic, Treatment Outcome, Eye Movement Desensitization Reprocessing
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