Bilateral Stimulation

Using a Computer Monitor or TV as an EMDR Light Bar

How a computer monitor or TV can provide light-bar style visual bilateral stimulation: setup, positioning, fullscreen, brightness, limits and differences from dedicated hardware.

BilateralSync · Updated · 7 min read

Overview

A traditional EMDR light bar is a horizontal strip of lights that moves a point of light left and right for the client to follow. Any screen that can display a smoothly moving stimulus across its width can serve the same purpose: a laptop, an external monitor or a TV connected to a computer. This article explains how to set that up and where the approach has limits.

What the evidence says

What is established: eye movements are the original and most-studied form of bilateral stimulation in EMDR (Shapiro, 2018).

What the literature does not establish: there is no universally agreed clinical standard for screen distance, visual angle, eye-movement amplitude or optimal screen size. Experimental studies have used a variety of set-ups, and protocol texts describe adjusting stimulation to the individual client. Any specific distance or size presented as "the correct one" should be treated with caution.

What is uncertain: whether a screen-based stimulus and a dedicated light bar produce different clinical outcomes has not, to our knowledge, been compared directly in published trials.

In practice

In practice the goal is simple: the client should be able to follow the stimulus comfortably from one side to the other with their eyes, without moving their head much and without strain. Everything below serves that goal.

Practical setup

  1. Connect the screen to the computer that runs the BLS tool (or, for online sessions, the client uses their own screen).
  2. Open the visual stimulation and switch to fullscreen so browser bars and notifications do not distract.
  3. Choose a stimulus with good contrast against the background.
  4. Run a short test and ask the client whether they can follow it from edge to edge.

Screen positioning

Place the screen roughly at eye level and centred on the client. The client should be able to see both edges while looking straight ahead. If they must turn their head to follow the stimulus, the screen is too close or too wide for them; if the movement feels tiny, it is too far. Because no universal distance has been established, adjust with the client rather than measuring to a fixed number.

Fullscreen, brightness and intensity

Fullscreen removes visual clutter. Lower the screen brightness in a dim room so the display does not dazzle, and avoid very bright, high-contrast flashes. Ask about discomfort; clients with light sensitivity, migraine or a history of photosensitive seizures need particular care, and some may be better suited to auditory or tactile BLS.

Movement direction and pattern

Horizontal left–right movement is the classic pattern (see horizontal eye movements). Diagonal, infinity or pendulum patterns are variations offered by many tools; there is no strong evidence that one pattern is superior. Speed is discussed in BLS speed and set length.

Monitor vs. dedicated light bar

Monitor / TVDedicated light bar
Extra hardwareUses existing screenSeparate device
Works for remote clientsYes, on the client's own screenOnly if the client owns one
Patterns and coloursSoftware-definedDepends on model
Width of movementLimited by screen sizeFixed by bar length
SetupBrowser, fullscreenPower, cables, controller

A wider screen gives a wider movement, but a laptop held at a sensible distance can still provide a full side-to-side sweep. More on the trade-offs in EMDR light bar.

Technical limitations

Low-powered devices or many open browser tabs can make movement stutter. Screen refresh rates vary. Power-saving modes may dim or lock the screen during a set. Close other applications, keep the device on mains power and test before reprocessing. Background on visual stimulation is in visual bilateral stimulation; research context is in the research library.

Frequently asked questions

Can I use a TV as an EMDR light bar?
Yes, if it is connected to a computer that displays a smooth moving stimulus in fullscreen. Position it so the client can follow the stimulus edge to edge without turning their head.
What is the correct distance from the screen?
No universal distance has been established in the literature. Adjust so the client can follow the full movement comfortably with their eyes.
Is a dedicated light bar better than a screen?
There is no published head-to-head evidence. The practical differences are hardware, setup and whether the approach works for remote clients.

References

  1. Shapiro, F. (2018). Eye Movement Desensitization and Reprocessing (EMDR) Therapy, 3rd ed. Guilford Press.
  2. Leeds, A. M. (2016). A Guide to the Standard EMDR Therapy Protocols for Clinicians, Supervisors, and Consultants, 2nd ed. Springer.
  3. Lee, C. W., & Cuijpers, P. (2013). A meta-analysis of the contribution of eye movements in processing emotional memories. Journal of Behavior Therapy and Experimental Psychiatry, 44(2), 231–239.

This article is general professional information for clinicians. It is not clinical advice and does not replace EMDR training, consultation or individual clinical judgment. BilateralSync is a tool for delivering bilateral stimulation; it is not a treatment or a medical device.