Bilateral Stimulation Research-backed

Self-Tapping Guide

Large alternating left/right visual cues to pace self-administered tapping (butterfly hug, knee-tap) when eye movements are contraindicated.

This is a reference tool, not a replacement for EMDR therapy. EMDR must be delivered by a trained clinician. If you are using these tools outside of therapy and become distressed, stop, ground yourself, and contact a mental health professional.

Before you start

  • Not recommended for home use without clinician supervision.
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Tap your own knees / shoulders / butterfly hug in time with the highlighted side.

This tool uses motion by design. If that's uncomfortable, consider the audio-only or butterfly-hug tool instead.

Clinical sources

  • Shapiro, F. (2018). Eye Movement Desensitization and Reprocessing (EMDR) Therapy: Basic Principles, Protocols, and Procedures, 3rd ed. Guilford Press.
  • Artigas, L., Jarero, I., et al. (2000). EMDR and traumatic stress after natural disasters: Butterfly Hug. Poster, EMDRIA Conference, Toronto. (Technique originated 1998, first citable presentation 2000.)

What this is

Large alternating left/right visual cues that pace self-tapping (butterfly hug, knee tapping, alternating shoulder tap). Used when eye movements are not tolerated — the client taps themselves in sync with the visual pulses.

When to use it

Clinical notes

Unlike the visual BLS tool (which asks the client to track with their eyes), this tool is a metronome — the client doesn’t watch it continuously, they use it to keep a steady tapping rhythm. The visual is deliberately large and high-contrast so it’s readable in peripheral vision.