Bilateral Stimulation

Auditory Bilateral Stimulation

Auditory bilateral stimulation uses tones alternating between the left and right ear. Learn how stereo BLS is used in EMDR and how to configure it online.

Reviewed by the BilateralSync clinical team · Updated · 5 min read

Introduction

Auditory bilateral stimulation delivers short tones that alternate between the left and right ear through headphones or stereo speakers. It is used when clients prefer to close their eyes, when eye tracking is uncomfortable, or in combination with visual BLS for added intensity.

Evidence summary

Comparative studies have found auditory BLS produces reprocessing effects comparable to visual BLS in many contexts, consistent with the working-memory account: any well-delivered dual-attention task taxes working memory during recall.

Clinical use

For clinical use, auditory BLS requires: true stereo output (headphones strongly recommended online), a tone frequency the client finds neutral or pleasant, and consistent pan depth. BilateralSync generates tones in the browser with adjustable frequency, volume and panning depth, keeping perfect sync with the visual target when both modalities are used together.

Frequently asked questions

Do clients need headphones?
Headphones are strongly recommended online because they guarantee true left/right separation. External speakers can work if positioned symmetrically.
What tone frequency should I use?
A neutral mid-frequency (around 400–600 Hz) is typically comfortable. BilateralSync lets clinicians and clients adjust to preference.

References

  1. Shapiro, F. (2018). EMDR Therapy, 3rd ed.