What is EMDR therapy?
EMDR stands for Eye-Movement Desensitisation and Reprocessing therapy and is one of the leading trauma therapies today. EMDR is recommended by the National Institute for Health and Care Excellence (NICE) and the World Health Organisation for treating post-traumatic stress disorder (PTSD).
It is also used more widely for many other mental health problems, including anxiety, depression, phobias, stress and grief. With an understanding that many of these problems have their roots in past disturbing events.
EMDR therapy has transformed my therapy practice. It’s a unique and powerful therapy. I’m constantly astonished by the changes we can achieve using this approach, and some research shows EMDR is quicker than trauma-focused CBT1 (which is the other therapy recommended by NICE for PTSD).
With my specialism in perinatal trauma I have expertise in using EMDR therapy to help people who have experienced birth trauma and other traumatising events around efforts to conceive, during pregnancy, birth or in the postpartum year. For example infertility, complications during pregnancy, around birth, after birth and through the first years of life.
What is trauma?
Our brain stores memories like files in a filing cabinet. Some events are so overwhelming that our pre-frontal cortex (the rational ‘thinking’ and reasoning part of our brain) goes off-line temporarily whilst our amygdala (the brain’s fear centre) responds to the threat. This is an effective way of protecting you. However, trauma is what happens as a result. Memories of these events are not stored properly in the filing cabinet. They are fragmented, accessible, and can be easily triggered causing them to ‘replay’. Which means people keep reliving the distress.
Trauma is disconnection from OURSELVES and THE PRESENT MOMENT.
How does EMDR work?
EMDR uses bilateral stimulation to ‘process’ these traumatic memories, allowing you mind to file them away as with other memories, as it naturally knows how to do. This requires having a dual attention on ‘then’ and ‘now’. It is also similar to bilateral movements your eyes make during rapid eye-movement (REM) sleep. This means the memories are less easily triggered and less distressing to think about. In essence EMDR changes the way the memories live in you.
You can learn more about EMDR therapy on the EMDR Association UK website. Or by watching the video below.
What to expect with EMDR therapy
NICE guidelines suggest 8-12 sessions for a single-event trauma. For complex trauma involving lots of events, perhaps in childhood, this is usually longer. How many sessions is unique to you. Sometimes we might begin processing as soon as session three. Other times it can take several weeks to do the preparation phases.
You will firstly develop resources and positive coping skills, seeing the body as a resource for greater emotional stability. It is important to help you feel safe before you dip your toe into the traumatic memories themselves. Also you need to build trust in your therapist. A large part of the efficacy of any therapy is due to the therapeutic relationship. EMDR is no different.
When you feel comfortable I will ask you to visualise parts of the traumatic event in detail whilst at the same time doing bilateral stimulation (such as eye movements, tapping alternate hands or listening to noises). I will ask you to ‘just notice’ what ever shows up.
This might feel strange because processing can occur in thoughts and memories or in the body. Sometimes people feel like they are re-experiencing physical sensations associated with the trauma. But always being aware that you are ‘here now’ (not inside the trauma memory). This can take one session or several, but over time EMDR leads to changes in how you think and feel about the traumatic incident, reducing distress and improving everyday functioning.
Processing can continue between sessions and I will ask you to keep a record of any thoughts, feelings, dreams or reflections so you can reflect on this the following session.
The final stage is to think about current difficulties and prepare for future events. Working on moving forward after trauma.
Can EMDR therapy be effective online?
I often get asked if EMDR can be done online, and the answer is a resounding YES! EMDR works well online. There are online platforms (similar to zoom) which allow access to bilateral eye-movements and sounds. So you have EMDR without leaving the comfort of your own home.
Do people prefer EMDR to other types of trauma therapies?
People often prefer the process of EMDR to other types of therapy. EMDR has a different way of understanding emotional distress (as located in past events/memories) than CBT which focuses on changing negative thoughts and behaviours that contribute to mental health problems. EMDR works quickly1. There is very little between-sessions work (unlike CBT). EMDR also doesn’t require you to disclose as much information about the traumatic event, which can be helpful when something is particularly distressing or when you feel ashamed about what happened. EMDR can also feel ‘organic’, because your mind does the work, giving you control over the process.
You have taken the first courageous step by deciding to have therapy. Deciding what type of approach would be a good fit for you can be tricky. Contact me and I will help you every step of the way.
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Dr Miriam Inder ~ Helping you have Better Beginnings
1 Khan, A.M. et al (2018) Cognitive Behavioral Therapy versus Eye Movement Desensitization and Reprocessing in Patients with Post-traumatic Stress Disorder: Systematic Review and Meta-analysis of Randomized Clinical Trials. Cureus 10(9): e3250. DOI 10.7759/cureus.3250
I am a highly experienced Clinical Perinatal Psychologist specialising in helping people in the perinatal period. Supporting women who are hoping to be mothers, preparing to be mothers or are mothers already.
I started Better Beginnings after experiencing challenges on my own journey to motherhood. It made me reflect on how hard this period can be. Fortunately, I had a group of friends who were there to support me. But if I felt like this, with my psychologist training, how were other parents coping?
I became passionate about using my expertise as a Perinatal Clinical Psychologist to make a positive difference to other mother’s early parenthood experiences.