Re: EMDR for Eating Disorders

This article must have been overlooked.

Eye movement desensitization and reprocessing in eating disorders: caution
against premature acceptance.

Hudson JI, Chase EA, Pope HG Jr

Biological Psychiatry Laboratory, McLean Hospital, Belmont, Massachusetts 02178, USA.

OBJECTIVE: Eye movement desensitization and reprocessing (EMDR) has been claimed
effective in the treatment of a wide variety of psychiatric disorders, including eating disorders. An
informal survey suggests that EMDR is now widely offered to patients with eating disorders.
Before accepting a new therapy such as EMDR, one must determine that its benefits outweigh its
adverse effects. This paper reviews the literature in an attempt to assess the benefits and risks of
the use of EMDR in the treatment of eating disorders. METHOD: We reviewed the literature on
the use of EMDR to treat eating disorders and other conditions. RESULTS: Looking at the
question of its benefits, we were unable to find any methodologically sound studies that have
shown efficacy for EMDR in eating disorders, or, indeed, any psychiatric disorder. We were also
unable to find a sound theoretical basis for expecting EMDR to be effective. In addition, EMDR
may have adverse effects. First, EMDR is sometimes used in conjunction with efforts to "recover"
memories of traumatic events. But "recovered memory" therapy may carry a risk of inducing
potentially harmful false memories. Second, use of EMDR may prevent or delay other therapies
of established efficacy for eating disorders, such as cognitive behavioral therapy and
antidepressants. DISCUSSION: In light of the findings of our review, the risk/benefit ratio of
EMDR does not as yet encourage its widespread acceptance.

Replies:

Re: EMDR for Eating Disorders, by Shapiro, 2/16/00

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