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Brainspotting is a brain-body based psychotherapy developed by David Grand. It works on the principle that where you look affects how you feel — and that specific eye positions can access unprocessed experiences stored in the subcortical brain. Therapists use these "brainspots" to help the brain process material that has not been resolved through standard talking approaches alone.

What happens in a Brainspotting session?

Sessions typically begin with a discussion of what you want to work on and a brief assessment of current distress levels. The therapist may use a pointer or ask you to track their finger to identify a relevant eye position. Once a brainspot is found, you are invited to focus there while staying aware of internal sensations, emotions and thoughts. Bilateral music or sound is often used in the background to support processing.

The therapist maintains a quiet, attuned presence rather than directing the content of the session. Processing is internal and client-led, which many people find less intrusive than more structured approaches.

What can Brainspotting help with?

  • Trauma and PTSD (single-incident and complex)
  • Anxiety and stress responses
  • Phobias and performance anxiety
  • Emotional overwhelm and dysregulation
  • Sports and creative performance blocks
  • Grief and difficult life transitions

How many sessions do people need?

This depends on the issue, its complexity and how you respond. Some people notice significant shifts in a small number of sessions; complex or long-standing trauma typically requires more time. A good therapist will explain a plan, review progress and adapt the pace to your stability and readiness.

Safety and suitability

Brainspotting can bring up strong emotions and physical sensations during and after sessions. It should be delivered by a properly trained practitioner with a grounding and stabilisation plan in place. If you have significant dissociation, active psychosis, or very high-risk presentations, discuss suitability carefully and consider whether integrated support with other clinical services is needed.

Brainspotting is not a substitute for medical care. Seek urgent help if you are at risk of harming yourself or others.

History of Brainspotting

Brainspotting was developed by psychotherapist David Grand in 2003, emerging from his work with EMDR. Grand observed that specific eye positions seemed to correlate with deeper emotional processing, and developed a structured approach around this principle. The method has since grown internationally, with training programmes and research expanding across trauma therapy and performance psychology contexts.

In the UK, Brainspotting is used by trained therapists working with trauma, anxiety and emotional processing, often alongside other trauma-informed approaches. It is positioned within the broader family of brain-body and eye-based psychotherapies.

Typical conditions that use Brainspotting

We don’t currently have any mapped conditions for this therapy.