Clinical Guide: Implementing Remote Bilateral Stimulation

For mental health professionals, transitioning EMDR and bilateral stimulation (BLS) to a telehealth environment presents unique technical challenges—primarily related to visual lag and audio synchronization. Bilateral Focus is designed to solve these issues by providing a client-side, browser-based interface.

Open Clinical Interface

Solving the "Screen Share" Problem

Attempting to use a digital light bar via screen-sharing (Zoom, Google Meet, or Doxy.me) often results in "stuttering" or dropped frames, and video platforms may suppress the alternating tones as background noise. This breaks the smooth pursuit of the eyes required for effective reprocessing. The fix is simple: have the client open Bilateral Focus on their own device, so the animation and audio are rendered locally and never pass through the video call.

Best Practices for Remote Sessions:

Technical Compatibility

Bilateral Focus uses standard Web Audio and Canvas APIs, making it compatible with all modern desktop and mobile browsers. No software installation or "plugin" is required for the client, minimizing technical friction at the start of a session.

Send Clients a Pre-Configured Session Link

Rather than talking a client through slider adjustments, dial in the exact alternation rate, tone frequency, and transition settings on the main tool, then press Copy Session Link. The copied URL (for example bilateralfocus.com/?rate=1.2&freq=440) opens the tool with those settings already applied on the client's device. Settings are also remembered automatically between visits on each device, so a returning client picks up where they left off.

Embed the Tool on Your Practice Website

You can embed a compact version of Bilateral Focus directly on your own website — useful for a client resources page or for between-session grounding practice. Copy this snippet into your site's HTML:

<iframe
  src="https://bilateralfocus.com/embed?rate=1&freq=300"
  width="100%" height="480"
  style="border: 0; border-radius: 12px;"
  title="Bilateral stimulation tool"
  allow="autoplay"></iframe>

The optional rate (0.2–3 Hz) and freq (100–1000 Hz) parameters set the starting speed and tone. The embedded tool is free to use on any website.

Recommended Protocol

1. Ensure the client has a stable internet connection and a comfortable environment.
2. Send the client a pre-configured session link, or direct them to the homepage and have them set the Alternation Rate to your clinical recommendation.
3. Use your standard video platform for the cognitive and emotional processing while the client maintains the visual/auditory anchor locally.

How Bilateral Focus Compares to Paid Clinical Platforms

Bilateral Focus is a free, self-administered tool. Subscription platforms built for EMDR practices, such as Bilateral Base and bilateralstimulation.io, offer things this site does not, and it is worth being clear about which is which so you can pick the right tool for your practice.

Feature Bilateral Focus Paid clinical platforms
Cost Free, unlimited, no account Limited free tiers. Professional plans are typically a monthly subscription
Visual and auditory BLS Yes, with adjustable rate, tone, and visual settings Yes
Runs on the client's own device (no screen share) Yes, via a link you send Yes, via a link you send
Pre-configured session links Yes, free Yes, usually on the paid tier
Settings remembered between visits Yes, on the client's device Yes, per client account
Therapist changes speed on the client's screen mid-set No. The client adjusts settings, or you send a new link Yes, real-time remote control
Built-in video calling No. Use Zoom, Google Meet, Doxy.me, or your existing platform Some platforms include it
Physical tactile buzzers No Sold separately by some platforms
Embed on your own website Yes, free Varies
Accounts and data No accounts. No session or client data is collected or stored. Settings live only in the browser. Anonymous site analytics only Therapist account required. Client data handling varies by vendor

When a paid platform is the better choice: if you need to change the speed or stop the set from your own screen without the client touching anything, or if you use hardware tappers, a subscription tool is built for that and Bilateral Focus is not.

When Bilateral Focus is enough: for self-use between sessions, for resourcing and grounding exercises, or for remote sessions where you are comfortable guiding the client verbally and sending them a pre-configured link. Because nothing is stored and no account exists, there is no client data to secure and no agreement to sign. See the privacy page for details.

Related: Remote Setup Guide | Safety Guidelines for Clients