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Karen Sussan, LMHC

Overcoming Dental Anxiety with EMDR Therapy


Dental anxiety is a common issue affecting many individuals, often leading to avoidance of necessary dental care. You're not alone if you've experienced a racing heart or even panic at the thought of a dental appointment. But there's good news—Eye Movement Desensitization and Reprocessing (EMDR) therapy can be a powerful tool to help you overcome these fears and regain control over your dental health.


Understanding Dental Anxiety

Dental anxiety ranges from mild unease to an intense phobia of dental procedures. It's not just about fear of pain. Rather, past negative experiences can lead to a feeling of loss of control in the dentist's chair, so that the sound of a drill can trigger overwhelming stress. For some, this anxiety is so severe that it leads to avoiding dental visits altogether, which can negatively impact overall health.


How Does EMDR Therapy Help?

EMDR is a structured therapeutic approach that helps reprocess distressing memories and emotions. While it's widely known for treating trauma and PTSD, EMDR has also shown effectiveness in reducing anxiety related to various phobias, including dental anxiety.


The Three-Pronged Approach in EMDR Therapy

EMDR thoroughly addresses issues by taking a Three-Pronged Approach:

  1. Past - It looks at past traumas and difficulties

  2. Present - It addresses  present-day triggers and traumas

  3. Future - It shifts to a future template where a more newly found adaptive outlook and ensuing realizations of coping strategies are reinforced and rehearsed in support of a capacity to have better, alternative experiences.


This method effectively addresses dental care anxiety because it helps you reduce distress from past negative experiences, handle present triggers, such as sitting in the dentist's chair, and then build on that tolerance to enhance your already increasing confidence for future dental visits.


The Eight Phases of EMDR Therapy

  1. History Taking: The therapist gathers information about your anxiety, including any specific dental experiences that may have triggered it.

  2. Preparation: You learn relaxation techniques and coping strategies to manage anxiety during sessions.

  3. Assessment: We identify specific negative memories or thoughts related to dental experiences.

  4. Desensitization: You focus on these memories while engaged in bilateral eye movements or other forms of bilateral stimulation. This process helps to lessen the emotional impact of the memories.

  5. Installation: Positive beliefs, like “I can handle dental visits” are reinforced.

  6. Body Scan: You check for any lingering physical tension associated with the memories and work through them with your therapist.

  7. Closure: Each session ends with a focus to ensure you feel stable and safe.

  8. Reevaluation:  We assess your progress and determine the next steps to solidify and further integrate the work we have been doing before moving on and identifying, if necessary, another target.


This method allows your brain to reframe past negative experiences about dental care, reduce their negative impact upon your current outlook, and approach your upcoming dental appointments with greater ease or tolerance.


Benefits of EMDR for Dental Anxiety

  • Non-Invasive: EMDR does not require medications and is a gentler approach compared to some exposure therapies.

  • Quick Results: Clients may find a reduction of anxiety within a few sessions.

  • Versatile: It is tailored to address specific fears, whether it's the sound of the drill or the feeling of losing control.

  • Empowering: EMDR can help you regain confidence and control, making it easier to attend dental appointments without overwhelming fear.


Tips for Managing Dental Anxiety

When addressing your dental anxiety, you and your therapist presently can strategize how to cope better with a dental appointment. Some strategies might be effective in reducing some dental care anxiety even without EMDR.  For example, you can:

  • Communicate with Your Dentist: Let them know about your fears. Many dentists train specifically to work with anxious patients. They can offer additional support, such as breaks during procedures or explaining each step before it happens.

  • Practice Relaxation Techniques: Deep breathing, progressive muscle relaxation, or visualization can help calm your nerves before and during appointments.

  • Bring a Distraction: Listening to calming music or a favorite podcast during the appointment can help divert your attention from the procedure.


Ready to Take the Next Step?

If dental anxiety has been holding you back from caring for your teeth, consider exploring EMDR therapy. As a licensed mental health counselor, I am trained and certified in EMDR and would be happy to discuss how this approach as well as development of more adaptive coping skills and strategies can help you overcome your fears and get back to prioritizing your health. You can reach me at 845-202-9774 or use my contact form to set up an initial consultation. Together, we can find the right path for you to feel comfortable and confident in the dentist's chair.


Remember, taking care of your mental health is just as important as taking care of your physical health, and overcoming dental anxiety is a step in the right direction!

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