EMDR Therapists in Cedars, PA
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Vanessa Evearts
Clinical Social Work/Therapist, MSS, LCSW, CPMC
Verified Verified
1 Endorsed
Eagleville, PA 19403 (Online Only)
The evidenced based approaches that I utilize elements of are traditional talk therapy, Cognitive Behavioral Therapy, Mindfulness, DBT, trauma-focused and EMDR.
Living with depression, anxiety, or knowing something isn’t right but not knowing what to call it can be overwhelming and feel defeating. As a therapist and a human being I have seen the immense strength it takes to make the first step to ask for help and support. Your recovery and healing journey begins with you, who you are as a person and your experiences. I believe that you have immeasurable tools and strengths inside waiting to be discovered. I have been a therapist for the last 10 years providing therapy to adults living with depression, anxiety, bipolar disorder, PTSD, self-esteem issues and psychotic disorders.
The evidenced based approaches that I utilize elements of are traditional talk therapy, Cognitive Behavioral Therapy, Mindfulness, DBT, trauma-focused and EMDR.
Living with depression, anxiety, or knowing something isn’t right but not knowing what to call it can be overwhelming and feel defeating. As a therapist and a human being I have seen the immense strength it takes to make the first step to ask for help and support. Your recovery and healing journey begins with you, who you are as a person and your experiences. I believe that you have immeasurable tools and strengths inside waiting to be discovered. I have been a therapist for the last 10 years providing therapy to adults living with depression, anxiety, bipolar disorder, PTSD, self-esteem issues and psychotic disorders.
Koru Therapy and Healing
Clinical Social Work/Therapist, LCSW, MSW, MHS
Verified Verified
1 Endorsed
Conshohocken, PA 19428 (Online Only)
I offer individual & couples sessions, EMDR sessions, and spiritual direction (spirituality is not interweaved into therapy unless requested).
I am an EMDR/Trauma therapist. Creating intentional space in your calendar to focus on mental/emotional health is not a waste of time, its' a necessity! Therapy works, but 1st you have to find a therapist you can build trust with and where you feel understood. Through an Integrative Therapy approach, I can help you recognize patterns, process trauma, explore unresolved/suppressed experiences that might be causing barriers, identify the joys and stressors in your life, and help you build healthy relationships.
I offer individual & couples sessions, EMDR sessions, and spiritual direction (spirituality is not interweaved into therapy unless requested).
I am an EMDR/Trauma therapist. Creating intentional space in your calendar to focus on mental/emotional health is not a waste of time, its' a necessity! Therapy works, but 1st you have to find a therapist you can build trust with and where you feel understood. Through an Integrative Therapy approach, I can help you recognize patterns, process trauma, explore unresolved/suppressed experiences that might be causing barriers, identify the joys and stressors in your life, and help you build healthy relationships.
My EMDR trainer, Laurel Parnell, PhD, master therapist focuses on attachment based EMDR.
I am a licensed marriage and family therapist and certified sex addiction therapist as well as Level 3 EMDR practitioner. I have been been practicing for over 25 years. I have specialized in infidelity, chronic infidelity, betrayal trauma and sexual addiction treatment since 1996 with a particular interest in working with partners. I develop partners programs utilizing the trauma model which views the partner as a victim of Post Traumatic Stress Disorder. My private practice office is Blue Bell, Pennsylvania where I conduct groups, individual, couples and family therapy for sexual compulsion, partners and their families.
My EMDR trainer, Laurel Parnell, PhD, master therapist focuses on attachment based EMDR.
I am a licensed marriage and family therapist and certified sex addiction therapist as well as Level 3 EMDR practitioner. I have been been practicing for over 25 years. I have specialized in infidelity, chronic infidelity, betrayal trauma and sexual addiction treatment since 1996 with a particular interest in working with partners. I develop partners programs utilizing the trauma model which views the partner as a victim of Post Traumatic Stress Disorder. My private practice office is Blue Bell, Pennsylvania where I conduct groups, individual, couples and family therapy for sexual compulsion, partners and their families.
Treatment will include a number of techniques blended from Existential Psychotherapy, EMDR, CBT, and more.
I am dedicated to helping individuals break loose from feeling stuck in bad habits, past memories, or unhealthy relationships. If you feel like you just can't measure up to the version of yourself that you know you can be, I would like to listen. Once you've felt heard, we can figure out how to get you unstuck from your current situation. No one escapes this world without getting hurt but that should not stop you from making a life worth living for yourself. I create sessions that are totally about you and our goals will come from what you want to see change in your life.
Treatment will include a number of techniques blended from Existential Psychotherapy, EMDR, CBT, and more.
I am dedicated to helping individuals break loose from feeling stuck in bad habits, past memories, or unhealthy relationships. If you feel like you just can't measure up to the version of yourself that you know you can be, I would like to listen. Once you've felt heard, we can figure out how to get you unstuck from your current situation. No one escapes this world without getting hurt but that should not stop you from making a life worth living for yourself. I create sessions that are totally about you and our goals will come from what you want to see change in your life.
Lisa DePaul Emdr Eating disorders
Licensed Professional Counselor, LPC, EMDR, IFS
Verified Verified
3 Endorsed
Blue Bell, PA 19422
I utilize EMDR (Eye Movement Desensitization Reprocessing), Internal Family Systems (IFS), Dialectical Behavioral Therapy (DBT), somatic therapy, and attachment theory.
You find yourself feeling overwhelmed by life and your emotions. Maybe you have turned to substances, food or relationships to ease the pain. You have lost trust in yourself and others. Do you struggle setting boundaries, people-pleasing or perfectionism? I help people find relief from the effects of trauma and growing up in a dysfunctional family system. Together we will identify and heal the parts of you blocking your authentic self. Sometimes talk therapy isn't enough. I have specialized training in body-based techniques to help you learn how to balance your nervous system and feel more embodied.
I utilize EMDR (Eye Movement Desensitization Reprocessing), Internal Family Systems (IFS), Dialectical Behavioral Therapy (DBT), somatic therapy, and attachment theory.
You find yourself feeling overwhelmed by life and your emotions. Maybe you have turned to substances, food or relationships to ease the pain. You have lost trust in yourself and others. Do you struggle setting boundaries, people-pleasing or perfectionism? I help people find relief from the effects of trauma and growing up in a dysfunctional family system. Together we will identify and heal the parts of you blocking your authentic self. Sometimes talk therapy isn't enough. I have specialized training in body-based techniques to help you learn how to balance your nervous system and feel more embodied.
Nicolle Marie Tagert
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Montgomeryville, PA 18936
I offer a safe and secure place to learn coping skills, explore feelings or heal childhood wounds especially through my training in Emotionally Focused Individual Therapy and EMDR.
I offer individual counseling. Being human means that life is going to be difficult sometimes. We may need to explore different avenues for change. Current struggles may be due to a major life transition like a job loss, becoming a parent, a death in the family, or a new relationship, or they may be due to current unhealthy dynamics in existing relationships. Sometimes unresolved trauma is at play. Sometimes we just get "stuck in a rut" and can't seem to make any positive changes that would enable us to go in a different direction. Depression and anxiety can be our body's way of telling us that it is time for change.
I offer a safe and secure place to learn coping skills, explore feelings or heal childhood wounds especially through my training in Emotionally Focused Individual Therapy and EMDR.
I offer individual counseling. Being human means that life is going to be difficult sometimes. We may need to explore different avenues for change. Current struggles may be due to a major life transition like a job loss, becoming a parent, a death in the family, or a new relationship, or they may be due to current unhealthy dynamics in existing relationships. Sometimes unresolved trauma is at play. Sometimes we just get "stuck in a rut" and can't seem to make any positive changes that would enable us to go in a different direction. Depression and anxiety can be our body's way of telling us that it is time for change.
Chelle Carlson
Licensed Professional Counselor, LPC, MA
Verified Verified
1 Endorsed
Limerick, PA 19468
My approach includes Christian Counseling, Solution-Focused, Family Systems, EMDR, Mindfulness and Cognitive Behavioral interventions.
Life can be hard. Much like our physical health, our mental, emotional and spiritual health are vulnerable to stress. I'm trained to develop collaborative relationships built on trust and mutual respect to assist you in living a happier, more satisfying life. Combining your strengths with my skill and support, we'll nurture understanding and insight of self, and assist in creating new solutions and coping skills. I work well helping people with trauma, anxiety, panic, grief, depression, marriage and relationship stress, spiritual concerns, and adjusting to life transitions.
My approach includes Christian Counseling, Solution-Focused, Family Systems, EMDR, Mindfulness and Cognitive Behavioral interventions.
Life can be hard. Much like our physical health, our mental, emotional and spiritual health are vulnerable to stress. I'm trained to develop collaborative relationships built on trust and mutual respect to assist you in living a happier, more satisfying life. Combining your strengths with my skill and support, we'll nurture understanding and insight of self, and assist in creating new solutions and coping skills. I work well helping people with trauma, anxiety, panic, grief, depression, marriage and relationship stress, spiritual concerns, and adjusting to life transitions.
Kayla Billger
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
King Of Prussia, PA 19406
I am certified in Accelerated Resolution Therapy (ART), similar to EMDR, which can treat trauma rapidly, in as little as 1-5 sessions.
Accepting new clients: I help clients who are looking to find healing from the past, unpack the “why" behind their patterns, & dig deeper to understand themselves. Maybe you feel trapped in anxious spirals or stuck in difficult emotions, patterns, and self-judgement. You feel disconnected from yourself, your needs, and others. I know that life rarely goes according to plan and can be filled with hurt and challenges. I believe that you are the expert on your story & my job is to provide you with the tools and guidance to feel empowered, and reach your goals. You are not defined by your struggle; there is hope for healing!
I am certified in Accelerated Resolution Therapy (ART), similar to EMDR, which can treat trauma rapidly, in as little as 1-5 sessions.
Accepting new clients: I help clients who are looking to find healing from the past, unpack the “why" behind their patterns, & dig deeper to understand themselves. Maybe you feel trapped in anxious spirals or stuck in difficult emotions, patterns, and self-judgement. You feel disconnected from yourself, your needs, and others. I know that life rarely goes according to plan and can be filled with hurt and challenges. I believe that you are the expert on your story & my job is to provide you with the tools and guidance to feel empowered, and reach your goals. You are not defined by your struggle; there is hope for healing!
I am fully trained in EMDR therapy (Eye Movement Desensitization and Reprocessing).
I enjoy working with clients who want to get to the root of their struggles. These clients would like to gain insight into their symptoms, something difficult that has happened to them or to explore cycles and patterns that aren’t serving them. The clients I see often have attended therapy in the past. The clients I see also often present with attachment-based traumas, symptoms of post-traumatic stress, and difficulties in their personal and work relationships.
I am fully trained in EMDR therapy (Eye Movement Desensitization and Reprocessing).
I enjoy working with clients who want to get to the root of their struggles. These clients would like to gain insight into their symptoms, something difficult that has happened to them or to explore cycles and patterns that aren’t serving them. The clients I see often have attended therapy in the past. The clients I see also often present with attachment-based traumas, symptoms of post-traumatic stress, and difficulties in their personal and work relationships.
Suzanne Rutkowski
Clinical Social Work/Therapist, LCSW
Verified Verified
Lansdale, PA 19446 (Online Only)
Imagine being empowered with tools to manage distressing emotions. Anxiety and self doubt no longer weighing you down. Sleeping more instead of ruminating and worrying. I'd love to help you build this life one step at a time. As a licensed clinical social worker in Pennsylvania with EMDR certification, my focus is on teaching practical tools to balance your emotions, process the impact of what's happened in your life and creatively map a path forward based on what matters most to you. I have extensive experience working with people on medical trauma, health anxiety and grief and loss.
Imagine being empowered with tools to manage distressing emotions. Anxiety and self doubt no longer weighing you down. Sleeping more instead of ruminating and worrying. I'd love to help you build this life one step at a time. As a licensed clinical social worker in Pennsylvania with EMDR certification, my focus is on teaching practical tools to balance your emotions, process the impact of what's happened in your life and creatively map a path forward based on what matters most to you. I have extensive experience working with people on medical trauma, health anxiety and grief and loss.
Melea Sayward
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
King Of Prussia, PA 19406 (Online Only)
I offer EMDR in therapy and have been trained through EMDRIA.
Welcome! Taking the step to access support through therapy is an act of courage. As a professional counselor it’s a privilege to step into the hard parts of life with others and I am happy to support you as you navigate your current struggle.
I offer EMDR in therapy and have been trained through EMDRIA.
Welcome! Taking the step to access support through therapy is an act of courage. As a professional counselor it’s a privilege to step into the hard parts of life with others and I am happy to support you as you navigate your current struggle.
I am also certified in EMDR (Eye Movement Desensitization and Reprocessing).
I often share about the importance of being gentle with yourself. Taking the step to work towards a journey of healing is very brave. I am often amazed with the strength and willingness of those who have invited me into their space to join their journey of healing. Change is possible and I am honored to be part of the process. My therapeutic style is very much client centere where we will work collaboratively to address your goals. My goal is to provide a therapeutic space that promotes wellness, kindness and authenticity.
I am also certified in EMDR (Eye Movement Desensitization and Reprocessing).
I often share about the importance of being gentle with yourself. Taking the step to work towards a journey of healing is very brave. I am often amazed with the strength and willingness of those who have invited me into their space to join their journey of healing. Change is possible and I am honored to be part of the process. My therapeutic style is very much client centere where we will work collaboratively to address your goals. My goal is to provide a therapeutic space that promotes wellness, kindness and authenticity.
Elizabeth Venart
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
10 Endorsed
Ambler, PA 19002
If you are a therapist wishing to deepen your understanding of trauma, I provide clinical consultation, EMDR consultation, IFS-Informed EMDR consultation, and resiliency programs (including laughter yoga) for organizations.
If you are a Highly Sensitive Person, you may struggle with self-doubt, overwhelm, and perfectionism. Your gifts of empathy, intuition, creativity, and depth may be overshadowed by these challenges. Working together, you'll deepen understanding and respect for how you're wired while gaining strategies to navigate relationships and the world with greater ease. Anxiety, depression, and reactions in the present may also signal unresolved pain from the past. I am a Certified IFS Therapist, EMDR Approved Consultant, and IFS-Informed EMDR trainer. These modalities help heal past trauma and ease inner conflict, so you can enjoy life today.
If you are a therapist wishing to deepen your understanding of trauma, I provide clinical consultation, EMDR consultation, IFS-Informed EMDR consultation, and resiliency programs (including laughter yoga) for organizations.
If you are a Highly Sensitive Person, you may struggle with self-doubt, overwhelm, and perfectionism. Your gifts of empathy, intuition, creativity, and depth may be overshadowed by these challenges. Working together, you'll deepen understanding and respect for how you're wired while gaining strategies to navigate relationships and the world with greater ease. Anxiety, depression, and reactions in the present may also signal unresolved pain from the past. I am a Certified IFS Therapist, EMDR Approved Consultant, and IFS-Informed EMDR trainer. These modalities help heal past trauma and ease inner conflict, so you can enjoy life today.
I also have specialized training in the treatment of post traumatic stress disorder (PTSD) through Eye Movement Desensitization Reprocessing ( EMDR).
Open Availability in-person and telehealth! If you are someone who enjoys being creative and interested to see how bringing art into the therapeutic space can help you grow and heal, we might just be a good fit. I am a Licensed Professional Counselor (LPC) in PA and Board Certified Art Therapist (ATR-BC). I specialize in treating anxiety, depression, and trauma. I enjoy working with adults and have come to love the connection I am able to make with individuals from emerging adulthood and expanding to older individuals.
I also have specialized training in the treatment of post traumatic stress disorder (PTSD) through Eye Movement Desensitization Reprocessing ( EMDR).
Open Availability in-person and telehealth! If you are someone who enjoys being creative and interested to see how bringing art into the therapeutic space can help you grow and heal, we might just be a good fit. I am a Licensed Professional Counselor (LPC) in PA and Board Certified Art Therapist (ATR-BC). I specialize in treating anxiety, depression, and trauma. I enjoy working with adults and have come to love the connection I am able to make with individuals from emerging adulthood and expanding to older individuals.
Teisha Brown
Licensed Professional Counselor, NCC, LPC, CCTP
Verified Verified
King Of Prussia, PA 19406
As such, I use various approaches, including Cognitive Behavior Therapy (CBT), Humanistic Therapy, EMDR, Person-Centered, & Gottman Method for couples therapy.
Are you… feeling irritable, sad, and withdrawn; worried and stressed; having issues in your relationships or marriage; struggling with substances that may seem to have a hold on you and creating more life problems; feeling “stuck” and unable to let go of past experiences; dealing with the loss of a loved one; having difficulty adjusting to changes in life; feeling out of control; or here because you have a desire to gain greater self-awareness? If your answer is “yes” to any of the above, then you’re in the right place. Take a deep breath, know that you’re not alone and I am here to help!
As such, I use various approaches, including Cognitive Behavior Therapy (CBT), Humanistic Therapy, EMDR, Person-Centered, & Gottman Method for couples therapy.
Are you… feeling irritable, sad, and withdrawn; worried and stressed; having issues in your relationships or marriage; struggling with substances that may seem to have a hold on you and creating more life problems; feeling “stuck” and unable to let go of past experiences; dealing with the loss of a loved one; having difficulty adjusting to changes in life; feeling out of control; or here because you have a desire to gain greater self-awareness? If your answer is “yes” to any of the above, then you’re in the right place. Take a deep breath, know that you’re not alone and I am here to help!
Kathleen Ann Krol
Clinical Social Work/Therapist, MSS, LCSW, RPT-S
Verified Verified
1 Endorsed
North Wales, PA 19454
EMDR and Trauma Art effectively integrate cognitive and sensory components of trauma to heal the whole person.
My passion and belief is individuals and families possess their own innate ability to heal when underlying causes are identified and inner resources are strengthened. My family focused approach to treatment views the child/adolescent/adult as part of a family system. The treatment approach I use to best fit your individual or family needs may incorporate sand tray, Family-Play therapy, cognitive behavior techniques, stress-reduction strategies, EMDR, Trauma Art Narrative Therapy and Filial Family Therapy. I provide a safe and supportive environment for children, adolescents and adults experiencing anxiety, depression, trauma, grief and loss.
EMDR and Trauma Art effectively integrate cognitive and sensory components of trauma to heal the whole person.
My passion and belief is individuals and families possess their own innate ability to heal when underlying causes are identified and inner resources are strengthened. My family focused approach to treatment views the child/adolescent/adult as part of a family system. The treatment approach I use to best fit your individual or family needs may incorporate sand tray, Family-Play therapy, cognitive behavior techniques, stress-reduction strategies, EMDR, Trauma Art Narrative Therapy and Filial Family Therapy. I provide a safe and supportive environment for children, adolescents and adults experiencing anxiety, depression, trauma, grief and loss.
I blend different therapeutic modalities with traditional talk therapy, such as mindfulness and EMDR, to resolve these issues.
You know yourself better than anyone else: your struggles, dreams, desires, goals, feelings, relationships. As a psychotherapist and trauma specialist, I help people understand their experiences in a safe and supportive space that promotes growth, healing, and exploration of all areas of life. If you are feeling overwhelmed, anxious, sad, or easily triggered, talking with a professional can help you navigate through those emotions and find balance. Therapy can help people regain control/focus in their lives and disrupt the cycles that keep leading to the same negative outcomes.
I blend different therapeutic modalities with traditional talk therapy, such as mindfulness and EMDR, to resolve these issues.
You know yourself better than anyone else: your struggles, dreams, desires, goals, feelings, relationships. As a psychotherapist and trauma specialist, I help people understand their experiences in a safe and supportive space that promotes growth, healing, and exploration of all areas of life. If you are feeling overwhelmed, anxious, sad, or easily triggered, talking with a professional can help you navigate through those emotions and find balance. Therapy can help people regain control/focus in their lives and disrupt the cycles that keep leading to the same negative outcomes.
Melissa Ann Hood-March
Licensed Professional Counselor, LPC, CAADC, RYT-500, EMDR
Verified Verified
1 Endorsed
Blue Bell, PA 19422
I am here to provide for you a safe space of support and stability. I utilize healing modalities rooted in science and compassion such as EMDR, IFS, M-CBT and Somatic-Healing techniques that resonate with you. I help those experiencing life transitions (divorce, retirement, etc.), anxiety, depression, substance use disorders and those dealing with the effects of unresolved and stored trauma. I believe that as we experience inevitable life challenges and relational transitions that it is essential to take this time to learn, heal, evolve, remember, re-imagine, and align with what is authentically meaningful and important.
I am here to provide for you a safe space of support and stability. I utilize healing modalities rooted in science and compassion such as EMDR, IFS, M-CBT and Somatic-Healing techniques that resonate with you. I help those experiencing life transitions (divorce, retirement, etc.), anxiety, depression, substance use disorders and those dealing with the effects of unresolved and stored trauma. I believe that as we experience inevitable life challenges and relational transitions that it is essential to take this time to learn, heal, evolve, remember, re-imagine, and align with what is authentically meaningful and important.
Frank D LoRiggio
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
3 Endorsed
Trappe, PA 19426 (Online Only)
My passion in helping people bounce back and grow from trying times including loss, abuse, violence, and addiction encouraged me to receive advanced training in EMDR, which is a proven and effective approach for trauma as well as a new and innovative strategy to rapidly treat all types of addictions.
You made it to this website either for yourself or for a loved one you care deeply about. Life can bring many challenges and struggles. Pain, fear, and suffering can hold you back and prevent you from being the person you were meant to be. Imagine what your life would look like after getting past those barriers. See yourself go from just getting by to thriving in your life. Where your health is a strength rather than a challenge. You can do it and I would like to accompany you on your journey. Call to see how I can help.
My passion in helping people bounce back and grow from trying times including loss, abuse, violence, and addiction encouraged me to receive advanced training in EMDR, which is a proven and effective approach for trauma as well as a new and innovative strategy to rapidly treat all types of addictions.
You made it to this website either for yourself or for a loved one you care deeply about. Life can bring many challenges and struggles. Pain, fear, and suffering can hold you back and prevent you from being the person you were meant to be. Imagine what your life would look like after getting past those barriers. See yourself go from just getting by to thriving in your life. Where your health is a strength rather than a challenge. You can do it and I would like to accompany you on your journey. Call to see how I can help.
Susan Rachel Span
Clinical Social Work/Therapist, LSW
Verified Verified
Fort Washington, PA 19034 (Online Only)
I use a Strengths Perspective, EMDR, and pull from many other models.
With almost 20 years of experience in the field, what I bring to my clients is a warm, unique ability to support them, and hear them in a way that helps them to heal. I believe the relationship that a client has with the therapist is essential to make change, and I pride myself on the positive connections I have with children, adolescents and adults.
I use a Strengths Perspective, EMDR, and pull from many other models.
With almost 20 years of experience in the field, what I bring to my clients is a warm, unique ability to support them, and hear them in a way that helps them to heal. I believe the relationship that a client has with the therapist is essential to make change, and I pride myself on the positive connections I have with children, adolescents and adults.
EMDR Therapists
Who is EMDR for?
EMDR was initially developed as a treatment for individuals with Post-traumatic stress disorder (PTSD), for whom memories of a deeply distressing experience can be inadvertently triggered by random everyday events. The procedure has since been applied in the treatment of many other conditions. For example, it is used by some therapists to treat anxiety disorders including panic and phobias, depression, dissociative disorders, eating disorders, obsessive-compulsive disorders, and some personality disorders. It is suitable for adolescents and adults.
Why do people need EMDR?
People need EMDR as a way to manage distressing memories that in some way hamper the ability to function in the present. The procedure is believed to target the way memories are stored in the brain. Evidence indicates that past disturbing experiences cause ongoing distress because they were not adequately processed, and when such memories are triggered in the present, they are accompanied by all the emotions, thoughts, and physical sensations as the initial experience.
What problems does EMDR treat?
First and foremost, EMDR is intended as a treatment for PTSD, to defuse distressing memories that intrude on and impair everyday functioning. It is also often used to help those who are subject to panic attacks, phobias, and other forms of anxiety. In addition, EMDR has been used to treat individuals with depression, eating disorders, and personality disorders.
What happens in EMDR therapy?
First the therapist takes an individual’s history, and then the therapist and client decide which distressing experience(s) will be the target(s) of the exercise, delivered via a side-to-side visual stimulus requiring lateral eye movements. The client will be asked to activate thoughts, feelings, and any body sensations related to the troubling experience. The eye movements are said to reduce the emotional charge of the memory, so that the experience can then be safely discussed with the therapist and digested, minimizing its ability to trigger anxiety.