Find Brainspotting Therapy

Medically reviewed by Gabriela Asturias, MD on June 24, 2024
Written by the MiResource team

For many people struggling with trauma, anxiety, chronic stress, or emotional blocks, Brainspotting therapy offers a cutting-edge, brain-based psychotherapy designed to reach deep into the nervous system where emotional pain and trauma often reside. Unlike traditional talk therapy, Brainspotting works directly with the body and brain’s subcortical processing centers, helping clients access unresolved experiences and regulate their nervous system for lasting healing.

    What Is Brainspotting Therapy?

    Brainspotting was developed by Dr. David Grand as an advanced trauma-processing technique that works directly with the brain's subcortical systems — particularly the limbic system, brainstem, and midbrain structures responsible for trauma storage and emotional regulation.

    The foundation of Brainspotting is simple but profound: Where you look affects how you feel. By guiding the client’s eye position to a precise location, known as the brainspot, the therapist helps the client access emotional and somatic material stored at a deep neurological level.

    Unlike purely cognitive approaches that rely on conscious thought and verbal processing, Brainspotting allows clients to bypass the prefrontal cortex and directly activate the areas where unprocessed trauma, emotional memories, and implicit body-based experiences are stored. With the therapist’s attuned presence and support, clients process emotional material safely, often leading to deep emotional release and nervous system stabilization.


    What Conditions Can Brainspotting Help With?

    Brainspotting therapy is a versatile, neurobiological treatment modality that addresses a wide range of psychological, emotional, and physical symptoms, including:

    • PTSD and complex trauma (C-PTSD)
    • Developmental and attachment trauma
    • Anxiety disorders and panic attacks
    • Depression and mood dysregulation
    • Performance anxiety (public speaking, test anxiety, sports, and performing arts)
    • Chronic pain and somatic disorders
    • Medical trauma or pre-surgical anxiety
    • Dissociation, emotional numbing, and shutdown responses
    • Phobias and intense fears
    • Grief and complicated loss
    • Perinatal trauma and birth trauma

    Because Brainspotting works at a subcortical level, it is particularly helpful for processing experiences that are not fully accessible through traditional talk therapy or conscious recall.


    Who Can Benefit from Brainspotting Therapy?

    Brainspotting therapy is especially helpful for:

    • Trauma survivors who continue to experience unresolved emotional pain
    • Clients who feel stuck in talk therapy despite intellectual insight
    • Highly Sensitive People (HSPs) and neurodivergent individuals seeking body-based processing
    • First responders, veterans, and healthcare professionals exposed to secondary trauma or repeated critical incidents
    • Athletes, performers, and executives struggling with performance anxiety or blocks
    • People experiencing chronic pain, tension, or somatic symptoms without clear medical explanation
    • Individuals with early developmental or attachment wounds that defy cognitive processing

    Because Brainspotting targets the deeper layers of the nervous system where non-verbal experiences reside, it offers a powerful avenue for healing when other therapies fall short.


    What Happens in a Brainspotting Session?

    A typical Brainspotting therapy session is client-centered, gentle, and highly attuned to the client's nervous system. Sessions may unfold as follows:

    • Grounding and Preparation: The therapist helps the client settle, establish emotional safety, and clarify the issue to target.
    • Locating the Brainspot: Through eye tracking or the use of a pointer, the therapist guides the client to the eye position that activates the target material.
    • Focused Processing: The client gazes softly at the brainspot while observing internal sensations, emotions, thoughts, or images as they arise.
    • Therapist’s Attuned Presence: The therapist offers co-regulation, pacing, and emotional containment without pushing or directing.
    • Processing Experience: Clients may experience waves of emotion, body sensations, memories, or dissociation as unprocessed material surfaces and integrates.
    • Client-Led Pacing: The client controls the pace, with no pressure to narrate their story or fully verbalize emotions.

    Each session is uniquely tailored, allowing the brain and body to process and release trauma safely at a level appropriate for the client’s nervous system.


    How Does Brainspotting Work Neurologically?

    Unlike cognitive therapies that focus on the "thinking brain," Brainspotting therapy works directly with subcortical brain systems responsible for emotional memory, trauma storage, and autonomic regulation:

    • Midbrain, brainstem, and limbic system activation: Brainspotting stimulates areas involved in emotional processing, fight-flight-freeze responses, and procedural memory.
    • Trauma integration: The brain processes previously frozen or blocked material, allowing integration and resolution.
    • Bypassing cognitive defenses: Clients access experiences stored in the body and implicit memory without needing a verbal narrative.
    • Neuroplasticity: New neural pathways are formed, supporting emotional regulation, nervous system stability, and long-term healing.

    This "bottom-up" approach addresses trauma at its core neurological roots, often producing shifts that talk therapy alone cannot access.


    How Is Brainspotting Different from EMDR or Talk Therapy?

    While both Brainspotting and EMDR are effective trauma therapies, their mechanisms and techniques differ significantly:

    • No bilateral stimulation: Brainspotting uses fixed eye positions rather than the side-to-side eye movements used in EMDR.
    • Minimal narrative focus: Clients are not required to discuss or describe their trauma in detail, which reduces re-traumatization risk.
    • Body-based processing: Brainspotting emphasizes internal sensations and nervous system regulation over cognitive processing.
    • Therapist attunement: The therapist maintains a non-directive, highly attuned, and regulating presence, allowing the client’s system to lead.
    • Effective for preverbal trauma: Brainspotting excels at processing early childhood trauma where no verbal memory exists.

    For many clients who feel overwhelmed by exposure-based therapies, Brainspotting offers a gentler, more accessible approach to healing deeply stored emotional pain.


    Who Provides Brainspotting Therapy?

    Brainspotting therapy is administered by licensed mental health professionals who have completed specialized training in Brainspotting protocols, such as:

    • Licensed psychologists (PhD, PsyD)
    • Licensed Clinical Social Workers (LCSW)
    • Licensed Professional Counselors (LPC, LCPC)
    • Marriage and Family Therapists (LMFT)
    • Certified trauma therapists or somatic practitioners

    Brainspotting certification typically includes completion of Phase I, Phase II, and advanced Phase III trainings offered through official Brainspotting organizations. While certification is not legally required, working with a certified Brainspotting therapist ensures proper training, safety, and ethical standards.


    Is Brainspotting Therapy Evidence-Based?

    Brainspotting therapy is supported by a growing body of clinical research and practitioner experience:

    • Studies show positive outcomes for PTSD, complex trauma, anxiety, and depression.
    • Many trauma-informed therapists view Brainspotting as one of the most promising new approaches for difficult-to-treat trauma.
    • Integrated into the protocols of many trauma treatment centers, private practices, and mind-body clinics worldwide.
    • Ongoing research continues to expand the evidence base for Brainspotting’s efficacy in both emotional and somatic disorders.

    As the science of trauma healing advances, Brainspotting is increasingly recognized for its neurobiological grounding and transformative results.


    How Long Does Brainspotting Therapy Last?

    Because Brainspotting therapy works at the nervous system’s own pace, treatment length is highly individualized:

    • Some clients experience significant emotional shifts within a few sessions.
    • More complex trauma cases may require months or years of gradual, titrated work.
    • Many clients benefit from ongoing Brainspotting integrated into long-term trauma recovery or personal growth work.
    • Brainspotting can serve as either a stand-alone therapy or as an adjunct to other therapies like somatic experiencing, EMDR, or CBT.

    Because Brainspotting allows the client’s body and brain to process at a tolerable pace, treatment is both flexible and deeply customized.


    Is Brainspotting Therapy Safe?

    Yes — when provided by a trained and attuned professional, Brainspotting therapy is safe, effective, and well-tolerated, even for highly traumatized clients. Safety features include:

    • Therapist monitors arousal levels to avoid overwhelming the client’s nervous system.
    • Processing is gentle and paced, with no forced exposure or required verbalization.
    • Excellent for clients who feel flooded or destabilized by traditional trauma exposure therapies.
    • Helps build emotional regulation and nervous system resilience alongside trauma processing.
    • Clients maintain control of the session, including the option to pause or stop as needed.

    Brainspotting provides access to deep healing while minimizing emotional overwhelm, making it a preferred option for many trauma survivors.


    Can Brainspotting Therapy Be Done Online?

    Yes — Brainspotting therapy adapts well to teletherapy:

    • Therapists guide clients in finding eye positions remotely via secure video platforms.
    • Clients focus on body sensations, emotions, and nervous system responses while safely supported from their home.
    • Remote Brainspotting can be just as effective as in-person work, particularly for anxiety, trauma, and emotional processing.
    • Many trauma survivors report feeling safer and more comfortable doing virtual Brainspotting in their own environment.

    As telehealth becomes increasingly accessible, Brainspotting continues to offer life-changing treatment both in-person and online.


    When Should Someone Consider Brainspotting Therapy?

    You may want to explore Brainspotting therapy if you:

    • Have unresolved trauma symptoms despite prior therapy.
    • Experience emotional processing blocks or overwhelming emotions.
    • Feel emotionally numb, shut down, or dissociated.
    • Struggle with somatic symptoms tied to trauma or chronic stress.
    • Have experienced early childhood trauma with limited verbal memory.
    • Want deeper mind-body healing that goes beyond cognitive talk therapy.
    • Struggle with chronic anxiety, panic attacks, or stress-related illness.
    • Face performance blocks in athletics, public speaking, or creative fields.

    For individuals ready to heal at the body-brain level, Brainspotting therapy offers a uniquely powerful path forward.


    Is Brainspotting Therapy Covered by Insurance?

    In most cases, Brainspotting therapy is covered under clients' standard mental health insurance benefits, because:

    • Services are typically billed as standard psychotherapy sessions (CPT psychotherapy codes).
    • Coverage depends on the provider’s license (psychologist, counselor, LCSW, etc.).
    • Some private-pay practitioners offer Brainspotting intensives or retreats not covered by insurance.
    • HSA and FSA funds may be used for Brainspotting services.

    Clients should verify coverage with both the provider and their insurance plan when seeking care.

    Brainspotting offers a unique, neurobiologically grounded path to healing emotional wounds stored deeply in the brain and body. A skilled brainspotting therapist helps clients safely access and process unresolved trauma that talk therapy may not reach. Whether for trauma, anxiety, or performance blocks, brainspotting therapy offers hope for deep emotional healing and nervous system regulation.

    Find care for Brainspotting Therapy

    Remember, recovery is possible. With early intervention, a supportive network, and the right professional care, you can overcome the challenges of Brainspotting Therapy and build a fulfilling life. We are here to help you find care.

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