The Intersection of Gestalt Therapy and EMDR Therapy: Healing in the Here and Now

The Intersection of Gestalt Therapy and EMDR Therapy: Healing in the Here and Now Guest Blog Post by Allison Bruce, LPCC-S Over a decade ago, I began my journey into E ye M ovement Desensitization and R eproces sing (EMDR) therapy. At the time, I expected to learn a powerful clinical model for processing trauma and reshaping the way painful memories were held in the nervous system. I did. What I did not fully anticipate was how deeply my background in Gestalt therapy would shape the way I understand and practice EMDR. Looking back now, the integration between these two approaches feels less like a combination of methods and more like a natural meeting point. What EMDR therapy and Gestalt therapy share At the heart of both Gestalt therapy and EMDR therapy is presence. Gestalt therapy consistently brings us back to the here and now, to what is happening in the body, the breath, emotions, and the relational space between therapist and client. EMDR, while often viewed as a structured trauma treatment model, also requires this same quality of grounded presence. It asks therapists to help clients touch painful experiences from the past while remaining connected to safety and regulation in the present moment. Over the years, I have come to believe that this kind of therapeutic presence matters just as much as technical skill. I continue to notice that some of the most meaningful moments in EMDR therapy are not necessarily dramatic breakthroughs, but subtle shifts that occur when a client feels safe enough to stay connected to themselves while processing difficult material. Sometimes it is visible in a long exhale after years of holding tension. Sometimes it shows up when a client who typically intellectualizes suddenly notices a sensation in their chest or tears in their eyes and stays with it instead of immediately moving away. The importance of p resence and therap eutic relationship in Gestalt therapy Again and again, I return to the Gestalt understanding of the relational field, the shared emotional and embodied space that develops between therapist and client. This concept has always felt deeply alive to me in trauma work. Healing does not happen in isolation. It happens in contact. It happens within relationship. Laura Perls (1992) emphasized the importance of authenticity, groundedness, and presence within the therapeutic encounter. In many ways, my Gestalt training taught me how to slow down enough to trust the process. Early in my EMDR training, I remember feeling pressure to “do it correctly,” to follow the protocol precisely and move clients toward resolution. Over time, however, I began to recognize that healing often unfolded when I was willing to stay present with what was emerging rather than succumbing to the desire to achieve an outcome. Gestalt therapy helped me become more attentive to subtle shifts in posture, tone of voice, breathing, eye contact, and nervous system activation. That awareness now deeply informs the way I sit with clients during EMDR therapy. The power of staying present I think of one client who entered therapy after years of chronic anxiety, perfectionism, and relational burnout. Intellectually, she understood many of the origins of her struggles. She could clearly articulate the impact of growing up in an emotionally unpredictable home. Yet during EMDR reprocessing, when she accessed a memory of standing silently in her childhood kitchen while her parents argued nearby, her body communicated what words had long protected her from feeling. Her jaw tightened, her breathing became shallow, and she repeatedly stated, “I don’t want to make things worse.” Rather than immediately moving toward cognitive restructuring, we stayed with the embodied experience unfolding in the room. As she noticed the tension in her body and the urge to disappear, a deep sadness emerged alongside the realization that, as a child, she had organized herself around preventing conflict and protecting others emotionally. The shift did not occur because she “figured something out.” It occurred because she was finally able to remain present with an experience her nervous system had spent years avoiding. We were able to notice that together, and in that awareness, something transformative occurred. Healing emerged through contact with an experience that had long been outside of awareness. Another client came to treatment following a series of traumatic losses and relational betrayals that had left him emotionally numb and disconnected from others. During the assessment phase, I noticed he frequently minimized emotional experiences by saying, “It doesn’t really bother me anymore.” Yet his body often told a different story. During one session focused on reprocessing the memory of identifying a loved one after a sudden death, I noticed his fists clenching tightly while he insisted he felt “fine.” When I gently invited him to notice what was happening physically, he paused for a long period of silence before quietly stating, “I don’t think I’ve ever actually let myself feel this.” What followed was not dramatic catharsis, but a gradual softening into grief that had remained frozen for years. In moments like these, I am reminded that trauma is often held not only in explicit memory, but also in the body, nervous system, and relational patterns developed for survival. Relational attunement in EMDR therapy Dr. Francine Shapiro consistently emphasized the importance of the therapeutic relationship within EMDR therapy, noting that “the clinician’s attunement to the client and the therapeutic relationship are critical elements in treatment” (Shapiro, 2018, p. 308). While EMDR is sometimes misunderstood as a highly procedural model, I have experienced it as something much more relational and deeply human. The protocol matters, but so does the therapist’s ability to remain grounded, attuned, and responsive to the client’s nervous system in real time. The relationship matters. Healing is more than insight This is where I believe Gestalt therapy and EMDR intersect in a particularly powerful way. Both approaches recognize that healing is not solely cognitive. Insight alone rarely creates lasting transformation. Clients often understand their patterns intellectually long before their nervous systems begin to feel something different emotionally and physically. The integration of Gestalt principles into EMDR therapy creates space for healing to become embodied rather than simply understood conceptually. In my clinical work, I have found that this integration invites clients into fuller contact with themselves. It allows them to notice what they feel, how they protect themselves, where they disconnect, and what begins to emerge when safety and awareness deepen. Rather than viewing symptoms as pathology to eliminate, both Gestalt therapy and EMDR encourage curiosity about how these adaptations developed and how they once served survival. Ultimately, what continues to move me about the integration of EMDR and Gestalt therapy is the reminder that healing is not just about symptom reduction or memory reprocessing. It is about helping people reconnect with parts of themselves that have been lost, disconnected, or organized around survival for a very long time. For me, the real gift of this work is not simply a technique. It is the opportunity to sit with another human being in their complexity with presence, curiosity, and compassion, and to witness what becomes possible when they no longer have to navigate those experiences alone. Allison E. Bruce, M.Ed., LPCC-S, is an EMDRIA Certified Therapist ™ , EMDRIA Approved Consultant ™ , and Licensed Professional Clinical Counselor Supervisor with over 20 years of clinical experience. She maintains a thriving private practice specializing in EMDR therapy and trauma treatment and serves as a longstanding faculty member and Vice Chair of the Board of Directors at the Gestalt Institute of Cleveland. References Perls, L. (1992). Living at the boundary. The Gestalt Journal Press. Shapiro, F. (2018). Eye movement desensitization and reprocessing (EMDR) therapy: Basic principles, protocols, and procedures (3rd ed.). Guilford Press. 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