What Is Brainspotting Therapy and How Does It Work?
Many of us carry experiences that can make us feel stuck or overwhelmed. These unresolved feelings can impact our daily lives, relationships, and overall well-being. While traditional talk therapy offers valuable support, some deep emotional burdens may require a different approach.
We recognize the need for therapies that address the mind-body connection directly. One such method gaining attention is Brainspotting therapy. This approach works by accessing and processing emotional and physical pain stored in the brain and body.
In this comprehensive guide, we will explore Brainspotting therapy in detail. We’ll explain its origins, how it works, and the types of issues it can address. We will also discuss its potential benefits and how it compares to other therapeutic modalities.
Our aim is to provide a clear understanding for those considering this innovative path to healing, including how to find a qualified professional, perhaps for Brainspotting therapy in Lynnwood.
The Core Principle: “Where You Look Affects How You Feel”
Brainspotting is a focused treatment method that operates on a profound principle: “Where you look affects how you feel.” This innovative therapy identifies, processes, and releases core neurophysiological sources of emotional and bodily pain. Developed by Dr. David Grand in 2003, Brainspotting leverages specific eye positions, known as “Brainspots,” to access and process unprocessed trauma and emotional distress held deep within the brain and body.
A Brainspot is essentially an eye position that correlates with the activation of a traumatic or emotionally charged experience. When a person’s gaze is fixed on a particular spot, it can trigger a deep, reflexive response in the subcortical brain, allowing for profound processing. This is not merely about looking at a specific point; it involves a deep somatic awareness, where the client tunes into their body’s sensations, feelings, and impulses while maintaining their gaze. This body-based healing approach allows for a unique integration of mind and body, facilitating release without requiring extensive verbal recounting of the trauma.

The Neurobiological Theory Behind Brainspotting Therapy
At its heart, Brainspotting is a neurobiological tool. It directly accesses and processes information stored in the deeper, more primitive parts of the brain—specifically the subcortical brain, which includes structures like the midbrain, limbic system, and amygdala. These areas are responsible for our survival instincts, emotional responses, and the processing of memory and fear. Unlike “top-down” therapies that primarily engage the conscious, cognitive brain (neocortex), Brainspotting is a “bottom-up” approach. It works directly with the brainstem and limbic system, where trauma is often “frozen” or stored as maladaptive homeostasis—a state where the nervous system is stuck in a dysregulated pattern.
When a Brainspot is activated, it is believed to help down-regulate the amygdala, the brain’s fear center, and facilitate the body’s natural capacity for self-healing and homeostasis. This process often involves the autonomic nervous system, shifting it from a state of hyperarousal (fight, flight, freeze) towards a more regulated, calm state. Therapists often improve this process with bilateral sound, which involves alternating auditory stimulation between the left and right ears. This bilateral stimulation is thought to further engage both hemispheres of the brain, deepening the processing and promoting neural integration. The combination of focused eye position, somatic awareness, and bilateral sound creates a contained yet powerful environment for the nervous system to release deeply held tension and trauma.
A Glimpse into a Typical Session
A Brainspotting session typically begins with the therapist establishing a safe and trusting environment, emphasizing attunement and presence. This foundational relationship is crucial, as it allows the client to feel secure enough to explore vulnerable material. We understand that stepping into this kind of deep work requires courage, and our role is to create a space where you feel seen, heard, and supported.
The session often starts with the client identifying a specific issue or feeling they wish to address. This could be a persistent anxiety, a physical discomfort, or a memory that feels unresolved. The client is then guided to notice where they feel this issue in their body and to rate its intensity on a Subjective Units of Distress (SUDs) scale, usually from 0 to 10.
Next, the therapist uses a pointer or their finger to slowly move across the client’s visual field. The client follows the pointer with their eyes, paying close attention to any shifts in their bodily sensations, emotions, or thoughts. The “Brainspot” is identified when the client reports a significant increase in activation or a strong, reflexive response (like a blink, twitch, or shift in breathing) at a particular eye position. Once the Brainspot is found, the client maintains their gaze on that specific point.
During this focused mindfulness, the client allows whatever arises—sensations, emotions, images, memories—to unfold naturally. The therapist acts as a gentle witness, providing containment and support, but the process is largely client-led. This means the client’s own deep brain and body guide the healing, rather than the therapist actively interpreting or directing. Sessions can vary in length, typically ranging from 30 to 90 minutes, depending on the client’s needs and capacity for processing. The goal is to allow the nervous system to complete the processing it needs, leading to a reduction in distress and a sense of resolution.
The Applications and Benefits of Brainspotting
Conditions and Issues Brainspotting Can Address
Brainspotting’s versatility allows it to address a wide array of conditions and issues, often those deeply rooted in unprocessed experiences. Its ability to access the subcortical brain makes it particularly effective for concerns that may not fully respond to traditional talk therapy. We have seen its profound impact across various client presentations, including:
- Post-Traumatic Stress Disorder (PTSD) and Complex Trauma (C-PTSD): Brainspotting is highly effective in processing single-incident traumas as well as the layers of developmental and relational trauma that characterize C-PTSD.
- Anxiety and Panic Disorders: By addressing the underlying neurological dysregulation associated with fear responses, Brainspotting can significantly reduce anxiety symptoms and panic attacks.
- Depression: It can help alleviate depressive symptoms by processing core emotional wounds and unresolved experiences that contribute to feelings of hopelessness and sadness.
- Chronic Pain and Somatic Conditions: Many physical pains have an emotional or traumatic root. Brainspotting can help release the stored tension and emotional charge contributing to chronic bodily discomfort.
- Performance Issues and Creative Blocks: Athletes, artists, and professionals often experience mental blocks or performance anxiety. Brainspotting can help clear these internal obstacles, enhancing focus and flow.
- Attachment Wounds and Relational Issues: Early relational traumas can impact adult relationships. Brainspotting can gently process these deep-seated patterns, fostering healthier connections.
- Substance Use and Addictions: It can address the underlying trauma and emotional pain that often drive addictive behaviors, supporting recovery and relapse prevention.
- Phobias: By targeting the specific fear response, Brainspotting can help desensitize individuals to phobic triggers.
- Grief and Loss: Processing the emotional impact of loss can be facilitated, allowing for healthier grieving and integration.
The Potential Benefits of Healing
The benefits of engaging in Brainspotting therapy can be transformative, extending beyond symptom reduction to foster a deeper sense of well-being and personal empowerment. Clients often report experiencing:
- Significant Symptom Reduction: A noticeable decrease in the intensity and frequency of distressing symptoms related to trauma, anxiety, and depression.
- Improved Emotional Regulation: An improved ability to manage intense emotions, leading to greater stability and resilience in daily life.
- Relief from Chronic Pain: For those whose pain has emotional or traumatic components, Brainspotting can lead to a substantial decrease in physical discomfort.
- Improved Sleep and Energy Levels: As the nervous system becomes more regulated, clients often experience better sleep quality and increased vitality.
- Deeper Processing of Memories: The therapy allows for a more complete integration of traumatic memories, moving them from a “stuck” state to a resolved one.
- Reduced Re-traumatization: Unlike some other modalities, Brainspotting often allows for processing without requiring the client to explicitly re-live the traumatic event in detail, making it a gentler approach for many.
- Increased Empowerment and Agency: Clients often feel more in control of their healing journey, recognizing their innate capacity for self-regulation and growth.
- Greater Clarity and Focus: By releasing emotional burdens, individuals often experience improved cognitive function and creativity.
Who Is a Good Candidate for This Approach?
Brainspotting can be a powerful option for a wide range of individuals, particularly those who:
- Feel “Stuck”: If you’ve tried other therapies and still feel held back by unresolved issues or persistent emotional patterns, Brainspotting might offer a new pathway.
- Have Difficulty Verbalizing Trauma: For some, articulating traumatic experiences can be challenging or re-traumatizing. Brainspotting’s focus on somatic experience means less verbal processing is required.
- Are Seeking a Body-Based Approach: If you resonate with the idea that emotions and trauma are stored in the body and believe in the body’s innate healing wisdom, Brainspotting’s bottom-up methodology may appeal to you.
- Are Emotionally Ready: While Brainspotting can be gentle, it can also access deep material. It’s important to be in a place where you feel ready to engage with your internal experiences, even if they are uncomfortable at times.
- Understand the Importance of Professional Guidance: Brainspotting is not a self-help technique for deep trauma. It requires the attuned presence and expertise of a trained and certified therapist to ensure safety and effective processing. We cannot overstate the importance of working with a qualified professional who can guide you through this profound journey.

Navigating Your Brainspotting Journey
Finding a Qualified Therapist in Your Area
Starting on a Brainspotting journey requires finding a therapist who is not only skilled but also specifically trained and certified in this modality. Given its unique nature, specialized training is crucial for effective and safe application. We recommend looking for practitioners who have completed comprehensive Brainspotting training, often involving multiple phases and supervised practice.
To find a qualified professional for Brainspotting therapy in Lynnwood, or in your local area, we suggest a few key strategies:
- Official Directories: The Brainspotting International website (brainspotting.com) offers a directory of trained and certified practitioners worldwide. This is an excellent starting point to verify a therapist’s credentials.
- Professional Networks: Many therapists are part of professional associations or local networks that can provide referrals. Don’t hesitate to ask for recommendations from other trusted mental health professionals.
- Therapy Finder Websites: Reputable online platforms that list therapists often allow you to filter by specific modalities like Brainspotting. Always cross-reference their training with the official Brainspotting directories.
- Initial Consultations: Most therapists offer a brief introductory call. Use this opportunity to ask about their experience with Brainspotting, their training, and how they integrate it into their practice. This also helps you assess if you feel a sense of trust and attunement with them, which is vital for this work.
The importance of certification cannot be overstated. It ensures that the therapist has undergone rigorous training and adheres to the ethical guidelines of the Brainspotting community, providing you with the highest standard of care.
What to Expect After a Brainspotting Session
The experience after a Brainspotting session can vary greatly from person to person, and even from session to session for the same individual. Because Brainspotting works at a deep, neurophysiological level, the processing often continues long after you leave the therapist’s office. We encourage clients to approach this post-session period with curiosity and self-compassion.
Common experiences include:
- Fatigue: It’s common to feel tired or drained, as deep emotional processing can be energetically demanding.
- Brain Fog: Some clients report a temporary sense of mental fogginess or difficulty concentrating as their brain integrates new information.
- Emotional Shifts: You might experience a range of emotions in the hours or days following a session, including sadness, anger, relief, or even joy. These are often part of the continued release and integration.
- Feeling Lighter or Calmer: Many clients report a profound sense of relief, feeling lighter, more relaxed, or a general reduction in their baseline distress.
- Continued Processing: Memories, insights, or physical sensations might continue to surface. This is a sign that the brain is still working through the material.
To support this ongoing process, we recommend prioritizing self-care:
- Rest: Allow yourself ample rest and avoid scheduling demanding activities immediately after a session.
- Hydration: Drink plenty of water, as physical processing can sometimes lead to dehydration.
- Mindful Movement: Gentle activities like walking or stretching can help integrate the experience.
- Journaling: Writing down any thoughts, feelings, or insights that arise can be a helpful way to track and process them.
- Connect with Support: If you feel overwhelmed, reach out to your therapist or a trusted friend or family member.
These are all normal parts of the healing journey. Your therapist will typically discuss post-session care with you and provide guidance on how to steer any lingering effects.
Important Considerations and Potential Risks
While Brainspotting is generally considered a safe and effective therapy, it’s important to be aware of certain considerations and potential “risks” (which are often more accurately described as intense but temporary discomforts) before starting.
- Emotional Discomfort: Brainspotting can access deeply held trauma and emotions, which can be intense and uncomfortable. You might experience strong feelings, physical sensations, or vivid memories during and after sessions. This is a sign that the processing is occurring, but it requires a willingness to sit with discomfort.
- Not a Quick Fix: While some clients report rapid shifts, Brainspotting is not a magic bullet. Healing from complex trauma is a process that unfolds over time, and consistency with sessions is often key.
- The Therapeutic Relationship is Paramount: The safety and trust you feel with your therapist are foundational. An attuned therapist can help you steer intense moments and ensure you feel contained and supported throughout the process.
- Not for Immediate Crisis: Brainspotting is not typically recommended as a primary intervention during an acute mental health crisis or for individuals with severe, unmanaged dissociative disorders without prior stabilization. It’s crucial to be in a relatively stable place before engaging in deep trauma processing.
- Suicidal Ideation: If you are experiencing suicidal thoughts, it is imperative to seek immediate help. While therapy can be a long-term solution, acute crises require immediate intervention. Please reach out to a crisis hotline or emergency services. For immediate support, you can contact the National Suicide Prevention Lifeline at 988 in the US or your local emergency number.
We always emphasize the importance of open communication with your therapist about any concerns, discomforts, or changes in your mental state. Your therapist is there to support you and adjust the pace of the therapy as needed.
Brainspotting in the Context of Modern Psychotherapy
The History and Development of Brainspotting
Brainspotting’s origins trace back to the early 2000s, emerging from the innovative mind of Dr. David Grand, a renowned psychotherapist and a leading figure in the development of EMDR (Eye Movement Desensitization and Reprocessing). Grand’s findy in 2003 was serendipitous, occurring during an EMDR session with a client who experienced a profound breakthrough when their eyes became “stuck” on a particular visual point. He observed that holding the gaze on this “Brainspot” seemed to deepen and accelerate the processing of the client’s trauma.
Grand recognized that this phenomenon went beyond the structured eye movements of EMDR. He began to explore the idea that specific eye positions could act as direct access points to subcortical brain activity, where unprocessed trauma and emotional pain are often stored. He integrated his background in psychoanalysis and somatic experiencing, developing a method that was deeply attuned to the client’s internal experience and bodily sensations.
From this initial “find,” Brainspotting rapidly evolved. Grand developed systematic training protocols, and the therapy began to spread globally. Today, over 13,000 therapists have been trained in Brainspotting across six continents, with a growing body of practitioners and trainers worldwide. Its growth reflects a broader shift in psychotherapy towards understanding and integrating the brain-body connection in healing, moving beyond purely cognitive or verbal approaches to address the physiological imprints of trauma.

How Brainspotting Differs from EMDR and Talk Therapy
While Brainspotting shares some similarities with other trauma-focused therapies, particularly EMDR, it also has distinct differences that make it a unique and powerful modality. Understanding these distinctions can help individuals choose the approach that best aligns with their needs.
Here’s a comparison of Brainspotting, EMDR, and traditional Talk Therapy:
Feature | Brainspotting | EMDR (Eye Movement Desensitization and Reprocessing) | Talk Therapy (e.g., CBT, Psychodynamic) |
---|---|---|---|
Primary Mechanism | Focused eye position (Brainspot) accessing subcortical brain, combined with somatic awareness and bilateral sound. Client-led, deep processing. | Bilateral stimulation (eye movements, taps, tones) to process distressing memories. Structured phases of memory processing. | Verbal communication, cognitive restructuring, emotional exploration, insight development. Focus on conscious thoughts, feelings, and behaviors. |
Eye Focus | Client holds gaze on a specific “Brainspot” where activation is felt, allowing deep, contained processing. | Therapist guides rhythmic, repetitive eye movements (or other bilateral stimulation) while client focuses on specific traumatic memories. | No specific eye focus; client typically maintains eye contact or looks around naturally. |
Verbal Processing | Minimal verbal processing often required during the “spotting” phase; focus is on internal experience and somatic release. | Moderate verbal processing to identify target memories and discuss insights, but less emphasis on detailed narrative retelling during bilateral sets. | High verbal processing; explicit discussion of thoughts, feelings, past experiences, and current challenges is central. |
Therapist Role | Attuned, present witness; follows client’s lead, observes subtle cues to find Brainspot. “Dual attunement” to client and therapeutic relationship. | Active guide; directs bilateral stimulation, follows structured protocol, helps client stay on target. | Active listener, interpreter, questioner; provides psychoeducation, challenges thought patterns, explores relational dynamics. |
Pacing | Client-driven; can be slower and more contained, allowing for deeper, more organic processing. | More structured and typically faster-paced, moving through specific phases of memory processing. | Varies widely depending on modality and therapist; can be long-term exploratory or short-term problem-focused. |
Target Area | Targets “frozen maladaptive homeostasis” in the midbrain/brainstem, releasing trauma from the bottom-up. | Targets specific traumatic memories, helping to reprocess and integrate them. | Targets conscious thought patterns, emotional responses, and behavioral habits; may explore unconscious dynamics in psychodynamic approaches. |
The State of the Research and Its Recognition
Brainspotting is a relatively newer therapeutic modality compared to established treatments like CBT or EMDR, having been finded in 2003. As such, the body of scientific research supporting its efficacy is still emerging, though it is growing steadily.
Early studies and case reports have shown promising results, particularly in areas like PTSD, anxiety, and depression. For instance, a 2017 study by Hildebrand et al. found Brainspotting to be more effective than either EMDR or CBT for PTSD, with patients continuing to improve after treatment ended. Another comparative study in 2022 by D’Antoni et al. indicated that single sessions of EMDR, body scan meditation, or Brainspotting all showed beneficial effects in processing distressing memories, suggesting Brainspotting is as successful as other brain-body therapies in this regard.
However, it’s important to acknowledge that much of the existing research consists of small-scale studies, pilot programs, and case studies. There is a recognized need for larger, randomized controlled trials to fully establish its efficacy and mechanisms of action according to rigorous scientific standards.
Due to the limited number of large-scale studies, Brainspotting is not yet universally recognized by all major psychological or medical organizations as a “first-line” or “evidence-based” treatment in the same way that CBT or EMDR are for certain conditions. For example, the American Psychological Association (APA) does not currently list it as a recommended intervention for PTSD, largely because it requires more robust empirical data.
Despite this, the clinical community is increasingly adopting Brainspotting, with over 13,000 therapists trained worldwide. Many practitioners and clients report significant positive outcomes and breakthroughs where other therapies have stalled. We believe that as more research is conducted, Brainspotting’s place within the mainstream of psychotherapy will continue to solidify, offering a powerful alternative for those seeking deep and lasting healing.
Frequently Asked Questions about Brainspotting Therapy
Can brainspotting be done online?
Yes, Brainspotting can absolutely be done effectively in virtual sessions. The core components of Brainspotting—the therapist’s attunement, the client’s focused gaze, and the use of bilateral sound—are all adaptable to a telehealth format.
- Visual Field: The therapist can guide the client to find their Brainspot by observing subtle cues on screen, or by having the client use their own hand or a virtual pointer to mark the spot on their screen.
- Bilateral Sound: Bilateral audio can be delivered through headphones, which is often recommended for both in-person and virtual sessions to improve the processing.
- Attunement: A skilled therapist can maintain strong attunement and presence even through a screen, creating a safe and supportive environment.
Many clients find virtual Brainspotting to be just as impactful as in-person sessions, with the added benefits of convenience, accessibility, and the comfort of being in their own space. If you’re considering online Brainspotting, ensure your therapist is trained in both Brainspotting and competent in delivering telehealth services.
Do I have to talk about my trauma in detail?
One of the significant advantages of Brainspotting, particularly for individuals who find it difficult or re-traumatizing to verbally recount their experiences, is that it does not require extensive verbal processing of trauma details.
The therapy primarily focuses on the somatic experience—the sensations, emotions, and impulses that arise in the body—while the client holds their gaze on the Brainspot. The “story” of the trauma is often less important than the “felt sense” of it in the present moment. You are in control of how much or how little you share verbally. The therapist is there to witness and facilitate the internal processing, not to extract a detailed narrative. This client-centered approach allows for deep healing from the “inside out” and “bottom up,” respecting the individual’s comfort and pace.
Are there any self-help brainspotting techniques?
While the principle “where you look affects how you feel” can be observed in everyday life (e.g., when you naturally gaze in a certain direction while thinking deeply or feeling stressed), attempting deep trauma processing through self-help Brainspotting techniques is generally not recommended.
There is a concept called “Gazespotting” which is a more informal, mindfulness-based application of Brainspotting principles. It involves observing where your eyes naturally go when you’re feeling a particular emotion or discomfort, and simply noticing what arises without judgment. This can be a useful self-awareness tool.
However, for processing deep-seated trauma, complex emotional issues, or significant distress, the attuned presence and guidance of a trained Brainspotting therapist are crucial. A professional provides:
- Safety and Containment: They create a secure environment and can help regulate your nervous system if the processing becomes overwhelming.
- Expertise: They know how to identify the most effective Brainspots, steer the nuances of the process, and help integrate the material that emerges.
- Ethical Boundaries: They ensure the process is conducted responsibly and therapeutically.
Attempting to process deep issues on your own without professional support can be overwhelming, potentially leading to re-traumatization or an incomplete resolution. For profound and lasting healing, we strongly advise seeking a certified Brainspotting practitioner.
Conclusion: Embracing a Path Toward Integrated Healing
Brainspotting therapy represents a compelling frontier in mind-body healing, offering a unique and powerful pathway for individuals to process and release deep-seated emotional and physical pain. Its core principle, “where you look affects how you feel,” taps into the brain’s innate capacity for self-healing, directly accessing the subcortical regions where trauma often resides.
We have explored its neurobiological underpinnings, the gentle yet profound nature of a typical session, and the wide array of conditions it can address, from PTSD and anxiety to chronic pain and performance blocks. Brainspotting stands out for its client-centered approach, its minimal reliance on verbal recounting of trauma, and its ability to facilitate healing from the “bottom-up.”
For those who have felt stuck or found traditional therapies insufficient, Brainspotting offers a fresh perspective and a powerful tool. It encourages a deeper connection with the body’s innate wisdom and resilience, fostering not just symptom reduction but also greater emotional regulation, empowerment, and a renewed sense of agency.
As the research continues to grow, Brainspotting is steadily gaining recognition as a valuable addition to the landscape of psychotherapy. If you are seeking a holistic, brain-body-based approach to open up emotional healing, we encourage you to explore Brainspotting with a qualified professional. It may just be the path that helps you accept your full potential and move towards integrated well-being.
The Editorial Team at Healthcare Business Today is made up of experienced healthcare writers and editors, led by managing editor Daniel Casciato, who has over 25 years of experience in healthcare journalism. Since 1998, our team has delivered trusted, high-quality health and wellness content across numerous platforms.
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