Abstract: Eye movement integration therapy (EMI) is a relatively new therapeutic modality, based on a neurobiological model of trauma. This article advances the empirical knowledge base of EMI, by assessing its utility with a cohort of 12 adolescents, aged 14 to 16 years, in South Africa. The results indicate a reduction in a range of trauma symptoms, based on the Trauma Symptom Checklist for Children and post-EMI interviews with the children's care workers. A number of clinical practice issues regarding the utilization of EMI with children are discussed and illustrated with case material.