{"id":11095,"date":"2025-05-07T13:33:40","date_gmt":"2025-05-07T12:33:40","guid":{"rendered":"https:\/\/wemindemdr.fr\/?p=11095"},"modified":"2026-10-13T20:16:51","modified_gmt":"2026-10-13T19:16:51","slug":"la-pratique-de-lemdr-en-ligne-est-elle-sans-danger","status":"publish","type":"post","link":"https:\/\/wemindemdr.fr\/en\/la-pratique-de-lemdr-en-ligne-est-elle-sans-danger\/","title":{"rendered":"L\u2019EMDR en ligne est-elle sans danger ?"},"content":{"rendered":"<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Syne:wght@700&#038;family=Inter:wght@400;600;700&#038;display=swap\" rel=\"stylesheet\">\n<style>\n.wm-art{text-align:left;}\n.wm-art > p{text-align:justify;hyphens:auto;-webkit-hyphens:auto;}\n.wm-art p,.wm-art li{text-wrap:pretty;}\n.wm-art h2,.wm-art h3{text-align:left;text-wrap:balance;hyphens:manual;}\n.wm-art a{text-decoration:underline;text-decoration-color:#c9a452;text-underline-offset:3px;}\n.wm-cards{display:grid;grid-template-columns:repeat(auto-fit,minmax(220px,1fr));gap:16px;margin:0 0 28px;}\n.wm-card{border:1px solid #e6dccb;border-radius:8px;padding:18px 20px;background:#ffffff;}\n.wm-card h3{font-family:'Syne',Arial,sans-serif;font-size:18px;color:#142442;margin:0 0 8px;}\n.wm-card p{font-size:16px;line-height:1.6;margin:0 0 10px;text-align:left;}\n@media (max-width:640px){.wm-art{font-size:17px!important;padding:40px 16px 32px!important}.wm-hero{padding:40px 22px!important}.wm-hero h1{font-size:30px!important}.wm-art > p{text-align:left;}}\n<\/style>\n<div lang=\"fr\" style=\"background:#ffffff;\">\n<div class=\"wm-hero\" style=\"text-align:left;background:#142442;padding:64px 48px 56px;border-bottom:5px solid #c9a452;\">\n<div style=\"max-width:760px;margin:0 auto;\">\n<p style=\"font-family:'Inter',Arial,sans-serif;font-size:13px;font-weight:600;letter-spacing:.2em;text-transform:uppercase;color:#c9a452;margin:0 0 14px;\">Ressources cliniques<\/p>\n<div style=\"width:56px;height:3px;background:#c9a452;margin:0 0 28px;\"><\/div>\n<h1 style=\"font-family:'Syne',Arial,sans-serif;font-weight:700;font-size:42px;line-height:1.18;color:#f7f2e8;margin:0 0 18px;text-wrap:balance;\">L\u2019EMDR en ligne est\u2011elle sans danger ?<\/h1>\n<p style=\"font-family:'Inter',Arial,sans-serif;font-size:21px;line-height:1.5;color:#c4a078;margin:0 0 24px;\">Ce que l\u2019on sait de la s\u00e9curit\u00e9 des s\u00e9ances \u00e0 distance, et les pr\u00e9cautions qui la rendent possible.<\/p>\n<p style=\"font-family:'Inter',Arial,sans-serif;font-size:15px;line-height:1.5;color:#aab4c8;margin:0;\">Site entretenu par <span style=\"color:#f7f2e8;font-weight:600;\">Marie-Agn\u00e8s Thulliez<\/span>, partenaire officielle de Moovd \u00b7 Mis \u00e0 jour le 13 octobre 2026<\/p>\n<\/div>\n<\/div>\n<div class=\"wm-art\" style=\"background:#ffffff;color:#1f2a3d;font-family:'Inter',Arial,sans-serif;font-size:18px;line-height:1.75;max-width:760px;margin:0 auto;padding:57px 24px 40px;\">\n<p style=\"font-size:20px;line-height:1.7;color:#142442;margin:0 0 20px;\">Pratiquer l\u2019EMDR \u00e0 distance n\u2019est ni plus dangereux ni plus s\u00fbr par principe. La s\u00e9curit\u00e9 d\u00e9pend surtout de trois choses : le choix des patients, le cadre de la s\u00e9ance, et la pr\u00e9paration du th\u00e9rapeute \u00e0 ce qui peut se passer quand il n\u2019est pas dans la m\u00eame pi\u00e8ce. Cet article fait le point sur chacune.<\/p>\n<div style=\"border:1px solid #e6dccb;background:#faf7f1;padding:20px 24px;border-radius:8px;margin:0 0 24px;\">\n<p style=\"margin:0 0 8px;font-family:'Syne',Arial,sans-serif;font-weight:700;font-size:15px;letter-spacing:.08em;text-transform:uppercase;color:#a8843a;\">En bref<\/p>\n<ul style=\"margin:0;padding-left:22px;\">\n<li style=\"margin-bottom:4px;\">Les \u00e9tudes disponibles sugg\u00e8rent que l\u2019EMDR \u00e0 distance est faisable et peut r\u00e9duire les sympt\u00f4mes du trouble de stress post-traumatique ; elles sont encore peu nombreuses et de qualit\u00e9 in\u00e9gale.<\/li>\n<li style=\"margin-bottom:4px;\">Les difficult\u00e9s propres au distanciel tiennent au contact : moins d\u2019indices non verbaux, une dissociation plus difficile \u00e0 rep\u00e9rer, une intervention impossible en cas de malaise.<\/li>\n<li style=\"margin-bottom:4px;\">Un cadre pr\u00e9par\u00e9 \u00e0 l\u2019avance (lieu, contact d\u2019urgence, plan en cas de coupure) et une s\u00e9lection attentive des patients r\u00e9duisent ces risques.<\/li>\n<li style=\"margin-bottom:4px;\">Aucun logiciel ne garantit \u00e0 lui seul la s\u00e9curit\u00e9 d\u2019une s\u00e9ance : c\u2019est le jugement clinique qui la garantit.<\/li>\n<\/ul>\n<\/div>\n<h2 style=\"font-family:'Syne',Arial,sans-serif;font-weight:700;font-size:28px;line-height:1.3;color:#142442;margin:48px 0 16px;padding-top:24px;border-top:2px solid #c9a452;\"><span style=\"color:#c9a452;\">1.<\/span> Ce que dit la recherche<\/h2>\n<p style=\"margin:0 0 20px;\">Une revue syst\u00e9matique de 16 \u00e9tudes, portant sur 1 231 participants, conclut que l\u2019EMDR pratiqu\u00e9 \u00e0 distance est faisable et potentiellement efficace. Les auteurs rel\u00e8vent aussi les limites de ces travaux : la plupart n\u2019avaient pas de groupe de comparaison, les effectifs \u00e9taient petits, les mesures reposaient sur des questionnaires remplis par les patients, et le respect du protocole \u00e9tait rarement v\u00e9rifi\u00e9 (Kaptan et al., 2024).<\/p>\n<p style=\"margin:0 0 20px;\">Ces \u00e9tudes ne signalent pas de danger particulier li\u00e9 au format. Mais elles portent surtout sur des patients s\u00e9lectionn\u00e9s et suivis dans de bonnes conditions ; elles ne disent pas que le distanciel convient \u00e0 tous. Le d\u00e9tail est pr\u00e9sent\u00e9 sur la page <a href=\"\/en\/ce-que-dit-la-recherche\/\" style=\"color:#1d5f8a;\">Ce que dit la recherche<\/a>.<\/p>\n<h2 style=\"font-family:'Syne',Arial,sans-serif;font-weight:700;font-size:28px;line-height:1.3;color:#142442;margin:48px 0 16px;padding-top:24px;border-top:2px solid #c9a452;\"><span style=\"color:#c9a452;\">2.<\/span> Ce qui change quand le th\u00e9rapeute n\u2019est pas dans la pi\u00e8ce<\/h2>\n<div style=\"border-left:4px solid #c4a078;background:#faf7f1;padding:18px 22px;margin:0 0 24px;border-radius:0 6px 6px 0;\"><ul style=\"margin:0;padding-left:22px;\">\n<li style=\"margin-bottom:4px;\"><strong>Les indices non verbaux<\/strong> se r\u00e9duisent au visage et aux \u00e9paules : une respiration qui s\u2019acc\u00e9l\u00e8re, des mains qui se crispent ou un corps qui se fige peuvent passer inaper\u00e7us.<\/li>\n<li style=\"margin-bottom:4px;\"><strong>La dissociation<\/strong> est plus difficile \u00e0 rep\u00e9rer : un regard qui se fixe peut ressembler \u00e0 un d\u00e9calage de l\u2019image.<\/li>\n<li style=\"margin-bottom:4px;\"><strong>L\u2019intervention physique est impossible<\/strong> : le th\u00e9rapeute ne peut ni rejoindre le patient, ni s\u2019assurer de visu qu\u2019il quitte la s\u00e9ance en \u00e9tat de le faire.<\/li>\n<li style=\"margin-bottom:4px;\"><strong>La technique peut l\u00e2cher<\/strong> : une coupure pendant le retraitement d\u2019un souvenir laisse le patient seul au milieu d\u2019une activation.<\/li>\n<\/ul>\n<\/div>\n<p style=\"margin:0 0 20px;\">Aucune de ces difficult\u00e9s n\u2019est insurmontable, mais chacune demande d\u2019\u00eatre anticip\u00e9e.<\/p>\n<h2 style=\"font-family:'Syne',Arial,sans-serif;font-weight:700;font-size:28px;line-height:1.3;color:#142442;margin:48px 0 16px;padding-top:24px;border-top:2px solid #c9a452;\"><span style=\"color:#c9a452;\">3.<\/span> Choisir les patients<\/h2>\n<p style=\"margin:0 0 20px;\">La premi\u00e8re pr\u00e9caution est l\u2019\u00e9valuation de l\u2019indication, comme pour toute s\u00e9ance d\u2019EMDR, avec une attention particuli\u00e8re \u00e0 la capacit\u00e9 du patient \u00e0 se r\u00e9guler seul. Les situations suivantes demandent une \u00e9valuation attentive, et conduisent souvent \u00e0 pr\u00e9f\u00e9rer le cabinet :<\/p>\n<div style=\"border-left:4px solid #c4a078;background:#faf7f1;padding:18px 22px;margin:0 0 24px;border-radius:0 6px 6px 0;\"><ul style=\"margin:0;padding-left:22px;\">\n<li style=\"margin-bottom:4px;\">un risque suicidaire ou de passage \u00e0 l\u2019acte non stabilis\u00e9 ;<\/li>\n<li style=\"margin-bottom:4px;\">une dissociation importante ou des ant\u00e9c\u00e9dents de perte de contact pendant les s\u00e9ances ;<\/li>\n<li style=\"margin-bottom:4px;\">des capacit\u00e9s de r\u00e9gulation \u00e9motionnelle encore fragiles ;<\/li>\n<li style=\"margin-bottom:4px;\">l\u2019absence d\u2019un lieu o\u00f9 le patient est seul, au calme et en s\u00e9curit\u00e9 ;<\/li>\n<li style=\"margin-bottom:4px;\">une consommation d\u2019alcool ou de substances qui alt\u00e8re la vigilance.<\/li>\n<\/ul>\n<\/div>\n<p style=\"margin:0 0 20px;\">Lorsque la relation th\u00e9rapeutique a d\u00e9j\u00e0 \u00e9t\u00e9 construite en pr\u00e9sence, le passage \u00e0 distance est souvent plus simple. Une premi\u00e8re rencontre au cabinet, quand elle est possible, permet aussi d\u2019observer le patient dans des conditions compl\u00e8tes.<\/p>\n<h2 style=\"font-family:'Syne',Arial,sans-serif;font-weight:700;font-size:28px;line-height:1.3;color:#142442;margin:48px 0 16px;padding-top:24px;border-top:2px solid #c9a452;\"><span style=\"color:#c9a452;\">4.<\/span> Pr\u00e9parer le cadre avant la premi\u00e8re s\u00e9ance<\/h2>\n<div style=\"border-left:4px solid #c4a078;background:#faf7f1;padding:18px 22px;margin:0 0 24px;border-radius:0 6px 6px 0;\"><p style=\"margin:0 0 10px;font-weight:700;color:#142442;\">La liste \u00e0 v\u00e9rifier<\/p>\n<ul style=\"margin:0;padding-left:22px;\">\n<li style=\"margin-bottom:4px;\"><strong>Le consentement<\/strong> : expliquer ce qui change \u00e0 distance, ce qui sera fait en cas de coupure ou de malaise, et le recueillir explicitement.<\/li>\n<li style=\"margin-bottom:4px;\"><strong>Le lieu<\/strong> : une pi\u00e8ce ferm\u00e9e o\u00f9 le patient ne sera pas interrompu, une connexion stable, un casque audio si possible.<\/li>\n<li style=\"margin-bottom:4px;\"><strong>L\u2019adresse<\/strong> o\u00f9 se trouve le patient pendant la s\u00e9ance, et un num\u00e9ro de t\u00e9l\u00e9phone pour le rappeler.<\/li>\n<li style=\"margin-bottom:4px;\"><strong>Un contact de confiance<\/strong> joignable en cas de besoin, avec l\u2019accord du patient.<\/li>\n<li style=\"margin-bottom:4px;\"><strong>Le plan en cas de coupure<\/strong> : qui rappelle qui, par quel moyen, et ce que fait le patient en attendant (par exemple revenir \u00e0 son lieu ressource).<\/li>\n<\/ul>\n<\/div>\n<h2 style=\"font-family:'Syne',Arial,sans-serif;font-weight:700;font-size:28px;line-height:1.3;color:#142442;margin:48px 0 16px;padding-top:24px;border-top:2px solid #c9a452;\"><span style=\"color:#c9a452;\">5.<\/span> Pendant la s\u00e9ance<\/h2>\n<p style=\"margin:0 0 20px;\">La structure du protocole ne change pas. Ce qui change, c\u2019est la fr\u00e9quence des v\u00e9rifications. Le th\u00e9rapeute peut demander plus souvent au patient o\u00f9 il en est, l\u2019inviter \u00e0 d\u00e9crire ce qu\u2019il ressent dans son corps, et v\u00e9rifier l\u2019orientation dans le pr\u00e9sent (\u00ab O\u00f9 \u00eates-vous en ce moment ? Que voyez-vous autour de vous ? \u00bb).<\/p>\n<p style=\"margin:0 0 20px;\">Les s\u00e9ries de stimulations bilat\u00e9rales peuvent \u00eatre plus courtes au d\u00e9but, le temps de voir comment le patient r\u00e9agit au format. Il est utile de convenir d\u2019un signal simple, comme lever la main, pour que le patient puisse interrompre la s\u00e9rie \u00e0 tout moment.<\/p>\n<h2 style=\"font-family:'Syne',Arial,sans-serif;font-weight:700;font-size:28px;line-height:1.3;color:#142442;margin:48px 0 16px;padding-top:24px;border-top:2px solid #c9a452;\"><span style=\"color:#c9a452;\">6.<\/span> La fin de s\u00e9ance<\/h2>\n<p style=\"margin:0 0 20px;\">C\u2019est le moment le plus d\u00e9licat \u00e0 distance : le patient ne quitte pas un cabinet, il reste seul chez lui. La s\u00e9ance gagne \u00e0 se terminer plus t\u00f4t que pr\u00e9vu plut\u00f4t qu\u2019en pleine activation, par un retour au calme, une v\u00e9rification de l\u2019\u00e9tat du patient (SUD, orientation, capacit\u00e9 \u00e0 reprendre ses activit\u00e9s) et un rappel de ce qu\u2019il peut faire si des \u00e9motions reviennent dans les heures qui suivent.<\/p>\n<h2 style=\"font-family:'Syne',Arial,sans-serif;font-weight:700;font-size:28px;line-height:1.3;color:#142442;margin:48px 0 16px;padding-top:24px;border-top:2px solid #c9a452;\"><span style=\"color:#c9a452;\">7.<\/span> Et la plateforme ?<\/h2>\n<p style=\"margin:0 0 20px;\">Une plateforme comme WeMind Therapy r\u00e9unit la visioconf\u00e9rence et les stimulations bilat\u00e9rales, ce qui \u00e9vite de jongler entre deux outils et limite les probl\u00e8mes techniques. Elle permet de r\u00e9gler la vitesse des stimulations et de noter le SUD pendant la s\u00e9ance. Mais elle ne rep\u00e8re pas une dissociation et ne remplace aucune des pr\u00e9cautions d\u00e9crites ici : la s\u00e9curit\u00e9 de la s\u00e9ance reste de la responsabilit\u00e9 du th\u00e9rapeute.<\/p>\n<p style=\"margin:0 0 20px;\">Pour savoir dans quelles situations la plateforme est utile, voir <a href=\"\/en\/a-quoi-sert-wemind-en-pratique\/\" style=\"color:#1d5f8a;\">\u00c0 quoi sert WeMind Therapy en pratique<\/a> ; pour les questions de confidentialit\u00e9, voir <a href=\"\/en\/donnees-et-confidentialite\/\" style=\"color:#1d5f8a;\">Donn\u00e9es et confidentialit\u00e9<\/a>.<\/p>\n<div style=\"background:#142442;color:#f7f2e8;padding:30px 32px;border-radius:8px;margin:48px 0 32px;border-bottom:4px solid #c9a452;\">\n<p style=\"margin:0 0 10px;font-family:'Syne',Arial,sans-serif;font-weight:700;font-size:15px;letter-spacing:.1em;text-transform:uppercase;color:#c9a452;\">En une phrase<\/p>\n<p style=\"margin:0 0 12px;font-family:'Syne',Arial,sans-serif;font-size:22px;line-height:1.45;font-weight:700;color:#ffffff;\">L\u2019EMDR \u00e0 distance peut se pratiquer en s\u00e9curit\u00e9, \u00e0 condition de choisir les patients et de pr\u00e9parer le cadre.<\/p>\n<p style=\"margin:0;font-size:17px;line-height:1.65;\">Les \u00e9tudes sont encourageantes mais encore limit\u00e9es ; la prudence clinique compense ce qu\u2019elles ne disent pas encore.<\/p>\n<\/div>\n<div style=\"border:1px solid #e6dccb;background:#faf7f1;padding:22px 24px;border-radius:8px;margin:40px 0 24px;\">\n<p style=\"margin:0 0 12px;text-align:left;\"><a href=\"https:\/\/get.wemindtherapy.com\/marie-agnes-thulliez\" target=\"_blank\" rel=\"sponsored noopener\" style=\"display:inline-block;background:#142442;color:#f7f2e8;text-decoration:none;font-weight:600;padding:12px 22px;border-radius:6px;\">Voir WeMind Therapy sur le site officiel<\/a><\/p>\n<p style=\"margin:0;font-size:15px;line-height:1.6;color:#6b7385;text-align:left;\">Lien d\u2019int\u00e9r\u00eats : Marie-Agn\u00e8s Thulliez est partenaire officielle de Moovd, l\u2019\u00e9diteur de WeMind Therapy. Ce lien est un lien partenaire : si vous vous abonnez apr\u00e8s l\u2019avoir suivi, elle peut percevoir une commission, sans surco\u00fbt pour vous. Les contenus de ce site restent informatifs et ind\u00e9pendants.<\/p>\n<\/div>\n<h2 style=\"font-family:'Syne',Arial,sans-serif;font-weight:700;font-size:28px;line-height:1.3;color:#142442;margin:48px 0 16px;padding-top:24px;border-top:2px solid #c9a452;\">Sources<\/h2>\n<ol style=\"margin:0 0 28px;padding-left:24px;font-size:15px;line-height:1.6;color:#3d475a;\">\n<li style=\"margin-bottom:8px;\">Kaptan, S. K., Kaya, Z. M., &amp; Akan, A. (2024). Addressing mental health need after COVID-19: A systematic review of remote EMDR therapy studies as an emerging option. <em>Frontiers in Psychiatry<\/em>, 14, 1336569. <a href=\"https:\/\/doi.org\/10.3389\/fpsyt.2023.1336569\" style=\"color:#1d5f8a;\" target=\"_blank\" rel=\"noopener\">doi:10.3389\/fpsyt.2023.1336569<\/a><\/li>\n<\/ol>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Ce guide complet explore les conditions, outils et bonnes pratiques pour pratiquer l\u2019EMDR en ligne en toute s\u00e9curit\u00e9. Id\u00e9al pour les th\u00e9rapeutes souhaitant int\u00e9grer l\u2019EMDR 2.0 \u00e0 leur pratique \u00e0 distance.<\/p>","protected":false},"author":1,"featured_media":11102,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[41,20,39],"tags":[28,21,115,22,29,30,38],"class_list":["post-11095","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","category-theorie-de-la-memoire-de-travail","category-wemindemdr","tag-efficacite-therapeutique","tag-emdr","tag-emdr-2-0","tag-memoire-de-travail","tag-personnalisation","tag-wemindemdr","tag-wemindemdr-fr"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>L\u2019EMDR en ligne est-elle sans danger ? 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