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.
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:
- Independent Client Windows: Instruct the client to open BilateralFocus.com in a separate browser window rather than viewing your shared screen. This ensures the animation runs at their device's native refresh rate.
- Audio Calibration: Have the client test their headphones with the "Start" button before the session begins to ensure they can hear the bilateral pips clearly.
- Control Delegation: While the therapist guides the speed and duration, allowing the client to adjust the Tone Frequency or Visual Sharpness can increase their sense of agency and safety during "taxation" of the working memory.
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
For a full neurobiological breakdown, see our core guide on Brain Mechanisms.