Understanding EMDR
Understanding EMDR
At our counselling charity, we’re committed to offering a safe, thoughtful space where people can explore and heal from what troubles them most deeply. Most of our counsellors have trained with us in psychodynamic approaches, which focus on the unconscious patterns that shape our lives and relationships. Others bring different therapeutic perspectives, ensuring we can offer the right support for each individual. Some of our therapists are also trained in Eye Movement Desensitisation and Reprocessing (EMDR), a therapy that’s attracting growing interest among those seeking help with trauma. In this post, we’ll explain what EMDR is, how it works, and how it can complement other forms of counselling to support meaningful, lasting change.
What is EMDR?
EMDR stands for Eye Movement Desensitisation and Reprocessing. It is a structured, evidence-based therapy developed by Francine Shapiro in the late 1980s. EMDR is best known as an effective treatment for post-traumatic stress disorder (PTSD), but it is increasingly used to help with other difficulties such as anxiety, phobias, complicated grief, and performance anxiety.
Unlike traditional talk therapy, EMDR helps people process distressing memories that are stuck in the nervous system. When traumatic or overwhelming events happen, the brain’s usual way of storing memories can be disrupted. This means that, rather than becoming part of the past, traumatic memories can stay vivid and intrusive, often bringing back the same feelings of fear, shame, or helplessness that were felt at the time.
EMDR uses bilateral stimulation (usually side-to-side eye movements, taps, or sounds) while the client recalls parts of the traumatic memory. This process helps the brain reprocess the memory so it becomes less emotionally charged and more integrated. Many people say that memories feel more distant and less distressing after EMDR sessions.
How Does EMDR Work?
While researchers continue to study how EMDR works, the main theory is that bilateral stimulation helps the brain’s natural information processing system to restart, much like REM sleep does when we dream.
A typical EMDR session includes:
- Assessment and preparation: You and your therapist identify a specific memory or issue to work on and practise ways to feel safe and grounded.
- Desensitisation: You hold the memory in mind while doing bilateral stimulation.
- Reprocessing: New, healthier beliefs and feelings are encouraged to emerge. For example, instead of “I am powerless”, you may come to feel “I did my best and I am safe now.”
- Integration: The therapist helps you link these new insights into your wider sense of self and life story.
Sessions are always paced carefully with your wellbeing and readiness in mind.
EMDR and Psychodynamic Counselling: How Do They Work Together?
For many people, EMDR is not a standalone quick fix but part of a longer journey of self-understanding and healing. This is where a psychodynamic approach can deepen the work.
Psychodynamic counselling explores the unconscious roots of our patterns: our early relationships, unspoken fears, defences, and the ways we repeat what we can’t yet fully know. It helps us make sense of why certain memories hold so much power and why, for example, a single experience of shame can echo throughout our adult life.
When used together, EMDR can help resolve the raw emotional pain of trauma, while psychodynamic work offers space to understand the context and meaning that surround it. This way, EMDR and psychodynamic therapy can complement each other: one focuses on reprocessing stuck parts of the nervous system, while the other attends to the deeper story of who we are and how we relate to others.
Is EMDR Right for Me?
Not everyone wants or needs EMDR, and not all trauma work has to include it. Some people find that psychodynamic therapy alone gives them enough space to process past experiences. Others appreciate an approach where EMDR is used for specific memories while the therapeutic relationship holds the bigger picture.
Your therapist will help you think about whether EMDR might be helpful for you, and when to introduce it. Some people prefer to start with stabilisation and insight work, building trust and emotional resources before working with traumatic memories directly. Others feel ready to try EMDR earlier on.
What Can I Expect from an EMDR Session?
Clients often wonder, “Will I lose control?” or “Will I have to relive everything?” You stay in control throughout. Unlike hypnosis, EMDR does not put you in an altered state. You remain present and aware, and you can pause at any time.
The process can bring up strong emotions and bodily sensations, but a trained EMDR therapist will help you manage these feelings safely.
After a session, you may feel tired or notice new thoughts and dreams as your mind continues to process. It can help to plan some quiet time and keep a journal.
How Do I Find a Qualified EMDR Therapist?
In the UK, EMDR therapists should have accredited training beyond their core counselling or psychotherapy qualification. Look for practitioners registered with EMDR UK or the EMDR Europe Association.
At our charity, our EMDR-trained therapists also have their core experience in psychodynamic work. This means they bring understanding about how past relationships and unconscious patterns may influence your experience of trauma and recovery.
Final Thoughts
Everyone’s journey is unique. EMDR is not a magic wand, but for many, it is a powerful tool that, when combined with the insight and depth of psychodynamic therapy, can help loosen the grip of the past.
If you’d like to know more about whether EMDR could support you, please get in touch. Together, we can think about the safest, most meaningful way forward for you.
References:
- Shapiro, F. (1989). Efficacy of the Eye Movement Desensitization Procedure in the Treatment of Traumatic Memories. Journal of Traumatic Stress, 2(2), 199–223.
- Stickgold, R. (2002). EMDR: A putative neurobiological mechanism of action. Journal of Clinical Psychology, 58(1), 61–75.
- EMDR Association UK: https://emdrassociation.org.uk/