Brainspotting Therapy in Seattle
For what you can talk about all day without ever quite touching.
Practice details
You have the words. The words aren't getting at it.
Sometimes being stuck means not having words for what happened. But there is another kind of stuck. You have all the words. You can describe the pattern. You can trace its history. You can tell the story so well it almost sounds finished. The telling doesn't touch it.
Understanding a pattern doesn't always change how it feels. The grief can stay under your sternum while you explain it clearly. The dread can arrive even when you know its history. We can pay attention to those experiences without deciding in advance where they came from. Brainspotting is one way I sometimes work with them.
How Brainspotting works
Brainspotting was developed in 2003 by David Grand, a psychoanalyst and EMDR clinician who noticed mid-session that when a client's gaze rested at one precise point, processing deepened on its own. Grand's shorthand: "Where you look affects how you feel."
In practice it's simple to describe. You hold whatever brings you in, lightly. A feeling, a body sensation, a situation, with or without a memory attached. We find the eye position where the activation is strongest, or where your system feels most steady. That point is the brainspot. You rest your eyes there, often with quiet bilateral sound in headphones. Your attention stays on the felt sense: your body's sense of the whole situation, there before you have words for it. Your system does the processing. My job is to stay precisely with you while it does. There's no protocol marching you through steps. Often there's not much talking at all. Most people are surprised by how much moves in the quiet.
Brainspotting has a small evidence base. Early studies are promising, but EMDR has the deeper research record. I'm certified in both. We talk about that difference when deciding what to try, and pay attention to whether it's helping.
One account of change I find useful is reactivated learning, met by an experience that contradicts it. Whether that explains change in either method remains an open question. The full account, with sources: How Therapy Changes Memory.
I'm Certified in Brainspotting — a credential beyond the introductory trainings, reached through advanced training, documented client work, and consultation with a certified Brainspotting consultant. See full credentials →
Brainspotting and EMDR: why I offer both
I'm Certified in Brainspotting and an EMDRIA Certified EMDR therapist, so the choice between them is never about which one I happen to know. It's about which door your system will open.
EMDR is structured. It works from a target memory through an eight-phase protocol, and its research base is deep. When there's a defined memory carrying the charge, EMDR is often the straightest line. Read about EMDR in my practice →
Brainspotting is open. It doesn't need a target memory, a narrative, or much language. It tolerates not-knowing. It follows activation instead of directing it, which makes room for what never had a story: experience from your earliest years, dread that lives in the body, the thing you can only point toward.
That difference matters most when:
- There's no clear story. We can start with what you notice now without requiring a complete account of its history.
- Words are your best defense. High-insight, high-verbal people can narrate their way around anything, including their own healing. Brainspotting works underneath the narration.
- EMDR plateaus. Processing that stalls or loops sometimes frees up when we switch to a spot and let the system lead.
- You're working with experiences from early life that are difficult to put into words.
- You're shut down rather than flooded. Brainspotting can work gently with numbness and collapse, at whatever distance your system needs.
They also work in sequence. Some clients stabilize in Brainspotting and then finish targets with EMDR; others use Brainspotting to reach what EMDR located but couldn't move.
What a session is like
We start by settling on what to work with, named as precisely or as vaguely as you can manage. The conversation with your father. The dread on Sunday nights. The thing in your chest that doesn't have a name yet.
Then we find the spot. I move a pointer slowly across your field of vision while you track it, and we watch for where the activation sharpens: a breath change, an eye flicker, a swallow, something you feel before you could explain it. You don't have to figure anything out.
Then, mostly, quiet. Your gaze rests on the spot. Your attention stays with the felt sense — the weight or heat or movement of whatever is actually there. You're not analyzing it or narrating it. You're staying aware while your system does what it couldn't do on its own. Images may come, or memories, or waves of feeling. Sometimes there are long stretches of stillness that are quietly doing something. I'm tracking you the whole way — attuned to you and to what your nervous system is doing. If the work gets intense, we adjust the distance.
Sessions run 55 minutes; when a piece of work needs more room, we may schedule a 90-minute session, prorated from the standard session rate. Afterward, people often describe feeling wrung out but lighter. The processing tends to keep moving quietly for days.
What Brainspotting can help with
Trauma without a clean narrative — Complex and developmental trauma, early experiences that are difficult to describe, or years that are hard to separate into individual events. More on how I work with trauma →
What talk therapy couldn't finish — Years of good insight that stopped short of the body. You understand it; it still runs you.
Anxiety and dread that live in the body — The chest weight, the stomach drop, the bracing that arrives before thought.
Grief — Including grief that's tangled with guilt or unfinished business, where the feeling sits deeper than the words for it.
Shutdown and numbness — When the problem isn't too much feeling but the absence of it, Brainspotting can work at the edge of what's reachable without forcing anything.
Performance and creative blocks — Brainspotting grew up partly in performance work and is widely used with athletes, performers, and writers: the freeze, the yips, the block often trace to something the body is guarding.
Not only for what hurts
The same attention that finds where your body holds an old wound can find where it holds steadiness, confidence, or aliveness.
Brainspotting calls this expansion work. Instead of starting from what's wrong, we start from a state you want more of. The groundedness of a good morning. The focus that arrives when you're playing music. The version of you that speaks without rehearsing first. Your body holds these too, and they have spots. We find one. You rest your attention there. The state gets roomier, more available, easier to find again when you need it.
For athletes, performers, and creatives, this is often the whole point. In trauma work it matters differently. Expansion builds ground to stand on while the harder processing happens.
How I hold it
The pointer isn't the therapy. The attunement is. Brainspotting is a relational somatic approach: the processing happens in your body, and it happens because someone is with you while it does.
Brainspotting in my practice sits inside the same existential-phenomenological orientation as everything else I do. That's a heavy phrase for a plain discipline: attend to what's actually there before deciding what it means. The felt sense is where that discipline becomes physical. You stay with it. You let it show you what it is. I hold myself to the same instruction from my chair — I attend to what shows up in you, not to the category I had ready. The spot gives your system a doorway. The relationship makes it safe to walk through. When something surfaces that wants meaning made of it, we make meaning. That isn't a detour from the processing. It's what the processing is for.
I use Brainspotting alongside EMDR, Flash Technique, and, where clinically appropriate with medical oversight, Ketamine-Assisted Psychotherapy (KAP). We use what your system responds to, and we say so when it's time to switch tools.
Research and further reading
- Brainspotting added to CBT: a randomized study (Glantschnig, 2025) — 100 clients started Brainspotting right away or later, and the immediate group improved sooner. One therapist did all the treatment, only seven clients had full PTSD, and both groups eventually got Brainspotting.
- A randomized study of Brainspotting (Horton et al., 2024) — of 63 people randomized, 27 finished, which limits what it can show. The copy linked here is hosted by the Brainspotting training organization.
Is Brainspotting right for you?
Brainspotting might be a good fit if:
- You've done real talk therapy and can narrate your history fluently, and the feelings haven't moved
- What troubles you doesn't attach to a clear memory, or comes from very early in your life
- You'd rather not tell the details, or there are no details, only a felt sense
- EMDR helped and then stalled, or felt like the wrong shape for how you process
- You experience more numbness and shutdown than overwhelm, and need something that works gently
- A performance or creative block keeps its grip despite every mindset fix you've tried
Brainspotting might not be the best fit if:
- You're in acute crisis or don't yet have basic day-to-day stability
- You want a highly structured, session-by-session protocol; EMDR may suit you better
- You're actively using substances in ways that would interfere with processing
If you're not sure, fit is something we'd figure out together. If Brainspotting isn't the right tool, EMDR, Flash Technique, or relational depth work may be. Learn more about my approach →
Credentials
- Certified in Brainspotting — Brainspotting Trainings LLC; listed in the official Brainspotting directory and with the Rocky Mountain Brainspotting Institute
- EMDRIA Certified EMDR Therapist — Advanced certification from the EMDR International Association
- Licensed Mental Health Counselor (LMHC), Washington State
- Flash Technique | Ketamine-Assisted Psychotherapy (KAP)
- Teaching Faculty, Seattle University Psychology Department
Common Questions
Is Brainspotting evidence-based?
Brainspotting has a small evidence base. Early studies are promising, but EMDR has the deeper research record. I'm certified in both. We talk about that difference when deciding what to try, and pay attention to whether it's helping.
What's the difference between Brainspotting and EMDR?
EMDR uses an eight-phase approach and bilateral stimulation. In Brainspotting, I invite you to rest your gaze while attending to a feeling or body sensation. Neither requires a detailed account spoken aloud. EMDR has the stronger research base. We discuss that difference, your preferences, and how the work is going.
Do I have to talk about what happened?
No, and even less than in EMDR. Brainspotting doesn't need a narrative at all. You can work an entire session from "this heaviness in my chest" without ever naming its history aloud. Your system does the processing. My role is to stay attuned and keep the work at a distance you can handle, not to collect details.
What is a brainspot?
A brainspot is an eye position that correlates with activation in your body: a point in your visual field where, when your gaze rests there, the material you're holding becomes more accessible. We find it by slowly tracking a pointer while noticing where your body responds. A breath change, a flicker, a swell of feeling. As for the science, the correlation is observable in the room; the neurological explanation for why remains a working hypothesis.
What does a Brainspotting session feel like?
Quieter than you'd expect. After we find the spot, most of the session is you gazing there, mindfully tracking the felt sense in your body while things move: images, memories, emotion arriving in waves, sometimes long stretches of stillness that are quietly working. People often describe it as the feeling of something finally draining, or of watching their own mind work from one step back. Afterward you may be tired, and often lighter. Processing usually continues gently for a few days.
How many sessions will I need?
It varies more than a clean answer would suggest. A discrete recent stressor or a performance block can shift in a handful of sessions. Complex and developmental trauma is slower work, measured in months rather than weeks, because we're processing layers rather than an event. What I can promise is the honest check-in as we go: whether things are moving, and whether Brainspotting is still the right tool or it's time to bring in EMDR or another approach.
Is Brainspotting covered by insurance in Seattle?
Yes. Brainspotting is billed as standard psychotherapy and is covered by most insurance plans. I am in-network with several major carriers — the current list is on my rates page. For out-of-network plans I provide superbills, and I work with Thrizer to simplify out-of-network billing.
Does Brainspotting work over telehealth?
Yes. Brainspotting adapts to video well. We find spots using your own gaze positions on and around the screen, or with your hand as a pointer under my guidance, and the attunement side of the work translates surprisingly intact. I offer it in person in Capitol Hill and by telehealth across Washington State, Colorado, and Florida. Some clients prefer their first session or two in person and continue remotely; either order works.
Is Brainspotting only for trauma?
No. Trauma processing is the best-known use, and it's most of my practice. But Brainspotting also does expansion work: finding and growing the states you want more access to, like steadiness, focus, or creative flow. Athletes and performers use it this way routinely. In therapy the two directions feed each other. Clearing what's stuck makes room. Expansion helps you live in it.
Is Brainspotting hypnosis?
No. I'm not using hypnosis or trying to retrieve memories. You can talk, pause, or stop whenever you choose. Your attention rests on the felt sense in your body. I stay with you without deciding what it means. What shows up can matter without being a reliable record of the past.
Can Brainspotting be combined with EMDR or KAP?
Yes, and in my practice it often is. Some clients alternate: Brainspotting to reach and loosen material, EMDR to finish defined targets. And for clients working with Ketamine-Assisted Psychotherapy, Brainspotting's low-verbal, body-led style pairs naturally with the medicine sessions and their integration. Because I hold certification in both EMDR and Brainspotting, we can move between them inside one coherent treatment instead of referring out mid-stream.
How I think about this work → Approach
I'm not taking new clients right now. I plan to open inquiries in November, for sessions starting after December 5, 2026. If you need someone sooner, my availability page lists good places to start →