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When I went in for the first session I declined the headphones, I get claustrophobic with them, and repeated my disappointment that the therapist didn't have the light belt or wand or something. As it turns out, the little control for the hand pulsers has two lights...
I had EMDR over a decade ago, with the band of lights, and found it to be very helpful. Transformative. Now, I am about to have my first session with a different therapist (I live in a different state now) for a new issue. She will not be using the lights. Only head phones and the finger...