---
title: "EMDR therapy · California telehealth · Joshua Acosta-Duque, LCSW"
description: "Telehealth EMDR therapy across California. Structured, evidence-based reprocessing for trauma and stuck memories."
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[Skip to content](#main)

[](/)

[About](/about)[Approach](/approach)

[Services](/services)

[Who I work with](/who-i-work-with)

[Insights](/insights)[Español](/es)[Contact](/contact)

[Book a free call](/book)

![Golden hour light on textured plaster wall with bougainvillea](/assets/hero-emdr-C0JN4Z4A.jpg)

[All services](/services)

01 Modality 

# EMDR therapy

EMDR is not talk therapy. It's not hypnosis. It's how you finally stop carrying a memory the way it happened.

What this actually is 

## The long  version.

EMDR — Eye Movement Desensitization and Reprocessing — is a structured, evidence-based therapy for reprocessing memories that your nervous system has stored, unfinished. It works because the brain, given the right conditions, actually knows how to metabolize what happened to it. My job is to build those conditions and stay with you inside them. This page is about the method itself; if you're here because of what happened to you rather than the acronym, the trauma & PTSD page is probably the better door.

Sound familiar? 

## You might recognize  —

-   A specific memory, or a category of them, that still fires even though you've talked it to death 
-   You've done insight-based therapy and something still hasn't moved 
-   Panic, hypervigilance, or shutdown that feels older than the current situation warrants 
-   A single-incident trauma — accident, assault, medical event, sudden loss — that keeps intruding 
-   Complex or developmental trauma where many smaller memories add up to a pattern 

How we work 

## The work  itself.

EMDR follows a structured protocol — history, preparation and resourcing, assessment, reprocessing, installation, body scan, closure, reevaluation. We don't start reprocessing until your system is genuinely resourced, and you stay in the driver's seat the entire time. I use EMDR alongside parts work, somatic tracking, and — where it fits — psychodynamic and CBT frames. Telehealth EMDR uses bilateral stimulation methods that work well through the screen.

[Book your free 15-min call](/contact) [See full approach ](/approach)

FAQ 

## Questions people actually  ask.

Does EMDR really work over telehealth?

Yes — there is now a strong evidence base for telehealth EMDR, and a large part of my practice runs this way. We use screen-based or self-tapping bilateral stimulation.

Do I have to describe the memory in detail?

No. EMDR does not require narrative retelling. You hold the memory internally while the bilateral stimulation runs; what you share out loud is your choice.

How long until I feel a shift?

For a discrete single-incident memory, sometimes a handful of sessions once we're properly prepared. Complex trauma is longer and layered. We talk about pacing before we start.

Is EMDR safe if I have complex trauma or dissociation?

It can be, with careful preparation. We spend real time on stabilization and resourcing before any reprocessing begins. If EMDR isn't the right fit for your system, I'll say so.

Related services 

## Where this work often overlaps .

[

Specialization

Trauma & PTSD

EMDR-led reprocessing for what your body still remembers.

Read more ](/services/trauma-ptsd-therapy)[

Primary focus

Anxiety & chronic stress

Primary focus. EMDR, DBT, and CBT for the version of you that looks fine and feels wrecked.

Read more ](/services/anxiety-therapy)[

Depth work

Grief & loss

For the part no one around you seems to know how to sit with.

Read more ](/services/grief-therapy)

## Ready to actually work  on this?

[Book your free 15-min call ](/contact)

With Love Wellness  Center

Depth-oriented therapy across California. Sessions in English & Español. Telehealth-only practice.

Begin

[Book your free 15-min call](/contact)

In a crisis or emergency, call or text [988](tel:988) or [911](tel:911).

Services

-   [All services](/services)
-   [EMDR therapy](/services/emdr-therapy)
-   [Anxiety & chronic stress](/services/anxiety-therapy)
-   [Trauma & PTSD](/services/trauma-ptsd-therapy)
-   [Relationship & attachment patterns](/services/relationship-therapy)
-   [Depression](/services/depression-therapy)
-   [Substance use, recovery & codependency](/services/substance-use-therapy)
-   [Burnout & high-achiever therapy](/services/burnout-therapy)
-   [Life transitions](/services/life-transitions-therapy)
-   [Grief & loss](/services/grief-therapy)
-   [Men's issues](/services/mens-therapy)

Who I work with

-   [Overview](/who-i-work-with)
-   [Latino/a/x adults](/who-i-work-with/latino-therapy)
-   [LGBTQ+ adults](/who-i-work-with/lgbtq-therapy)
-   [Veterans & first responders](/who-i-work-with/veterans-therapy)
-   [High achievers](/who-i-work-with/high-achievers)

Serving California

-   [California online therapy](/california-online-therapy)
-   [Los Angeles](/california/los-angeles)
-   [Orange County](/california/orange-county)
-   [San Diego](/california/san-diego)
-   [San Francisco](/california/san-francisco)
-   [San Jose](/california/san-jose)
-   [Sacramento](/california/sacramento)

Insights

-   [All insights](/insights)
-   [High-functioning anxiety](/insights/high-functioning-anxiety)
-   [When therapy didn't work](/insights/when-therapy-didnt-work)
-   [Are my problems bad enough?](/insights/are-my-problems-bad-enough)
-   [Perfectionism & anxiety](/insights/perfectionism-and-anxiety)
-   [Can't think your way out](/insights/why-you-cant-think-your-way-out)

Practice

-   [About Joshua](/about)
-   [Approach](/approach)
-   [Rates & insurance](/rates)
-   [Reviews](/reviews)
-   [Contact](/contact)

En Español

-   [Inicio](/es)
-   [Sobre mí](/es/sobre-mi)
-   [Terapia de ansiedad](/es/terapia-de-ansiedad)
-   [Terapia de trauma](/es/terapia-de-trauma)
-   [Contacto](/es/contacto)

With Love Wellness Center · Telehealth across California · sessions in English & Español.

Individual results vary; therapy outcomes are not guaranteed. This website is for informational purposes only and is not a substitute for clinical care.

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© 2026 With Love Wellness Center · Joshua Acosta-Duque, LCSW · CA LCSW #121584