EMDR Therapy in San Diego
Somatic EMDR & Intensives
Childhood Trauma Therapy for Adults in San Diego
If past experiences still show up as tension, numbness, anxiety, intrusive memories, or patterns that feel difficult to shift, EMDR therapy can offer a structured way to work with them. I provide in-person Somatic EMDR therapy for adults in San Diego County, with office locations in Escondido and Del Mar.
I’m Kelli Redfield, a California Licensed Marriage and Family Therapist, LMFT #158231. My approach combines the established phases of EMDR therapy with careful attention to body sensations, nervous-system responses, pacing, and consent. Treatment is individualized; no method is the right fit for every person.
Sources:Shapiro, F. (2018). Eye Movement Desensitization and Reprocessing (EMDR) Therapy, Third Edition: Basic Principles, Protocols, and Procedures. New York: Guilford Press.Levine, P. A. (2010). In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness. Berkeley: North Atlantic Books.Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the Body: A Sensorimotor Approach to Psychotherapy. New York: W. W. Norton & Company.Lipton, B. H., & Schnall, M. D. (2007). The Biology of Belief and trauma neuroscience summaries. (See reviews on somatic approaches in trauma treatment in peer-reviewed journals such as Journal of Traumatic Stress and Frontiers in Psychology.)Hensley, L., & Currier, J. (2020). Somatic-based adaptations to EMDR: Clinical considerations and case studies. Journal of EMDR Practice and Research, 14(2), 85–96.Clinical guidelines and reviews: American Psychological Association practice guidelines on trauma-informed care; World Health Organization and NICE guidance on trauma treatment noting adjunctive body-focused interventions can support recovery.
What does Somatic EMDR Mean?
EMDR stands for Eye Movement Desensitization and Reprocessing. During EMDR, a therapist helps you approach distressing memories in a structured way while you engage in alternating left-right stimulation, such as eye movements or tactile tappers. The goal is to support adaptive processing while helping you remain connected to the present.
In my Somatic EMDR work, we also track what you notice in your body: changes in breath, muscle tension, temperature, movement impulses, or areas that feel distant or hard to sense. This body-focused attention complements the standard EMDR framework. It does not force a response or guarantee a particular outcome.Somatic EMDR mixes standard EMDR (memory reprocessing) with body‑centered techniques so the nervous system can finish processing trauma.
Common benefits people report:
Faster release of body-held trauma and less physical tension
Better nervous system regulation and emotional stability during reprocessing
Fewer trauma-related physical symptoms and less chronic pain
More embodiment and body awareness, less dissociation
Useful for complex or treatment‑resistant trauma, often alongside standard EMDR
Is it Right for My Issue?
Somatic EMDR may be considered for adults experiencing PTSD symptoms, complex trauma, anxiety, distress linked to earlier experiences, or patterns that remain active despite insight-oriented work. Some people are drawn to this approach because stress is felt strongly in the body; others want a structured trauma-focused therapy that does not require recounting every detail aloud. Additionally,
You’ve been feeling stuck in your current talk therapy and need some deeper processing.
You feel stuck in the same old patterns and need a little rewiring of brain and body triggers.
You’re feeling somatic symptoms or sensations when thinking about past issues.
You’re ready to move forward in life but you feel held back in an unexplainable way.
You need regulation techniques and grounding to help you find a new way to be in your life.
Before reprocessing begins, we assess your goals, history, current stability, supports, and ability to stay present with difficult material. We may spend time building regulation skills first. If EMDR is not appropriate now, we will discuss other options or referrals rather than pushing ahead.
Should I choose an Intensive?
Intensive EMDR options are widely available and are explicitly offered for people with limited weekly availability (e.g., busy professionals). Many clinics advertise single multi-hour sessions, day-long intensives, weekend packages, or multi-day programs so clients can complete concentrated EMDR work without months of weekly appointments (see abbottmentalhealth.com).
Common formats and delivery options include short intensives (single 2–3‑hour blocks) or full-day sessions; weekend or 2–3 day intensives; and some programs that run 3–5 days (see abbottmentalhealth.com).
Before booking, confirm therapist credentials and specific experience delivering EMDR in an intensive format—intensives require different skills and pacing than weekly EMDR (see theplacepsych.com). Also verify that the provider includes intake, stabilization and safety planning, plus scheduled follow-up or closure sessions after the intensive (see caretochange.org).
Practical details to clarify: session length, number of days, cost and insurance coverage, travel or lodging needs, and what aftercare supports are available. Many providers advertise packages specifically aimed at professionals who need concentrated work (see abbottmentalhealth.com).
What should I expect during my first EMDR therapy session?
Long answer on my blog, short answer here!
Your first EMDR session will usually be more assessment and preparation than immediate trauma reprocessing. Expect a history and symptom review, an explanation of how EMDR works, learning grounding/safety skills, and a plan for treatment; many therapists do not begin memory reprocessing until you have those safety skills in place. (emdria.org)
I will explain how EMDR works, answer questions, and introduce ways to pause or slow the work. We may practice grounding or try bilateral stimulation so you can notice how it feels. Reprocessing begins only when there is enough preparation and we agree that it is appropriate. Pacing depends on your needs rather than a fixed timeline.
“If you are not getting better and not needing me, as a trauma therapist, I am not doing my job.”
-Kelli Redfield, LMFT
You’ve Made the Brave Step to Book a Session, Now What?
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If you're about to start EMDR therapy, or you're considering it, one of the most common things I hear from clients is some version of: "I don't really know what's going to happen. I'm nervous. Will it be intense? What do I do after? Am I going to feel worse?"
Before a session, plan enough time to arrive without rushing. Eating, hydrating, and limiting avoidable stress may help you feel more settled. You do not need to rehearse your trauma story or prepare every detail in advance.
That anxiety before your first session is completely normal. You're about to do something unfamiliar, you're uncertain how your nervous system will respond, and you don't know if it will actually work.
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The Beginning of Your EMDR Session:
Resourcing and Settling In
When your session starts, we don't jump straight into processing trauma. That would be like asking someone to run a marathon without warming up. We begin with something called resourcing, and this is one of the most underrated parts of EMDR.
Resourcing means we're building internal resources — stability, safety, calm — before we touch anything difficult. We do this through breathing and visualization. I'll guide you to imagine a place where you feel safe, peaceful, or resourced. This might be an actual place you've been, or it might be something you create. Some people visualize a beach. Others imagine being held safely. Some clients see a light, or feel a warm presence. There's no right answer. Your mind will go where it needs to go.
How Bilateral Stimulation Works
While you're doing this visualization, I'm using the bilateral stimulators — we use tappers, which are small handheld devices that gently vibrate in an alternating rhythm on your hands or legs. The tappers mimic what happens naturally during REM sleep. They activate both hemispheres of your brain. Most people feel a subtle shift almost immediately: a sense of calm, a gentle heaviness or sleepiness. This is your parasympathetic nervous system coming online — the "rest and digest" system, the opposite of fight or flight.
The pace of the tapping matters. Some rhythms are grounding and deeply soothing. Others are slightly more activating — enough to keep you engaged without overwhelming you. I'm constantly calibrating based on what you're experiencing and what you're telling me. This is where the skill comes in. I'm keeping you in what we call your window of tolerance — activated enough that real processing can happen, but not so activated that you feel flooded or unsafe.
This resourcing phase might last 10 to 20 minutes, depending on your needs. By the end of it, most clients feel noticeably calmer, more present, and more ready to do the harder work.
The Processing Phase: What Happens in Your Body and Nervous System
Once we've established that resourced, regulated state, we identify a target — the memory or experience you want to work on. I'll ask you to bring that memory to mind, and then we begin bilateral stimulation again while you hold it.
Here's where it gets interesting, and also where people often feel surprised by their own experience. Once the bilateral stimulation begins, your brain starts doing something it naturally wants to do: process. As you focus on the memory with the bilateral stimulation running, your mind might jump to related memories, emotions, body sensations, or thoughts. You're not trying to make anything happen. You're just noticing.
I'll give you periodic check-ins — I'll pause and ask "What came up?" You might say a word, a sensation, an image, a feeling. You're not giving me details. You're just reporting. Then we start again, and your brain keeps working.
The Neuroscience Behind the Shifts
What's happening neurologically is fascinating. The bilateral stimulation is taxing your working memory just enough — with a simple, rhythmic task — that the trauma memory begins to loosen its grip. The emotional charge starts to decrease. This is based on the same mechanism that happens naturally during REM sleep, when your brain processes the day's experiences. We're essentially accelerating that natural process.
Physically, clients report all kinds of things during processing: tingling, heat, muscle twitches, pressure in the chest, shifts in body temperature. Some people cry. Some feel a release in their jaw or shoulders. Some feel nothing obvious but report afterward that something shifted. All of these are signs that the nervous system is moving and releasing what it's been holding.
The session continues until the distress associated with that memory has significantly decreased. Then we do something equally important: we install a positive belief to replace the old negative one. We work on a more adaptive way of thinking about the memory, and we cement that new belief with more bilateral stimulation.
Throughout all of this, my job is to keep you safe. I'm tracking your facial expressions, your breathing, your body language. I'm making sure you stay within your window of tolerance. If I sense you're getting too activated, I can slow the tapping, change the rhythm, or bring you back to a resource. If you're dropping below your window into numbness or dissociation, I can gently increase activation.
This is why it matters that your EMDR therapist has deep training and experience. This isn't something you can phone in.
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Integration and Regulation
This is another part that doesn't get talked about enough, and it's crucial. We don't just end a processing session and send you out the door. We take time to regulate.
I'll guide you through a visualization of your preferred future or a way you'd like to be in relationship with others.
People respond differently after EMDR. You may feel tired, emotionally open, calm, activated, or simply unchanged at first. Memories, dreams, or body sensations can sometimes continue to shift between sessions, but these experiences are not universal and are not proof that treatment is or is not working.
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Here's what's common, and I want to be clear that these are normal, expected responses, not signs that something went wrong:
Fatigue and Exhaustion: Your brain has been working intensely. It's similar to how you'd feel after a long, mentally demanding day, or after intense exercise.
Vivid Dreams: This is one of the most common post-EMDR experiences. Your brain continues processing at night.
Emotional Sensitivity: You might feel more emotionally open or tender than usual. Things that wouldn't normally bother you might hit differently.
Physical Sensations: Some clients report headaches, muscle soreness, tingling, or a general sense of physical heaviness after a session.
Continued Processing: You might find that memories, insights, or realizations continue to surface in the days after your session. This is completely normal. Your brain is still working.
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What to Expect Before and After Somatic EMDR Intensives
If you're considering the two to four hour somatic EMDR intensive format, which is what I specialize in, there are some specific things you should know about how it differs from a standard session, and what to expect in preparation and recovery.
A somatic EMDR intensive is longer, yes. But it's different in more than just duration. In somatic EMDR, we're not just processing memories cognitively. We're working directly with your nervous system and the way your body is holding trauma. This is crucial
Some clients notice meaningful shifts in the days following an EMDR session, including changes in how they relate to the memory or experience we worked on. Everyone responds differently, and some people need more time and ongoing support. Not because their trauma is gone, but because their relationship to it has shifted. The emotional charge has decreased. Their nervous system is calmer. They're noticing changes in sleep and they're brain may seem clearer.
This is why the two to four hour intensive format is worth it, for some people, in some situations. If you've been stuck, if talk therapy hasn't moved the needle, if your trauma is held in your body and your weekly sessions aren't giving you enough time to actually release it, a somatic EMDR intensive might be exactly what you need.
The investment, in time, in emotional energy, in cost, is real. But so is the shift that becomes possible when you give your nervous system and your body enough time and space to actually heal.
If you're in Southern California and interested in exploring whether somatic EMDR intensives are the right fit for you, I work with clients in Escondido and Del Mar. I'd be glad to talk you through what the process actually looks like and help you understand what to expect.
Is EMDR therapy the right next step?
You do not need to know whether weekly EMDR or an intensive is the right format before reaching out. A consultation is a place to discuss what you are experiencing, what you hope will change, and whether my approach fits your needs.
If you are looking for in-person EMDR therapy in San Diego County, complete the inquiry form with a few details. I will respond with next steps, current availability, and information about scheduling.