Dr Tammy Oluyori

What Is EMDR Therapy? A Gentle Guide to How It Works

A winding woodland trail through trees and ferns, representing the gradual process of healing

Sometimes an experience is over, but a sound, a place or a familiar feeling brings the distress right back. It can be confusing when your mind knows you are safe today, but your body seems to remember something else.

In short: Eye Movement Desensitisation and Reprocessing (EMDR) is a structured psychological therapy used to help people process distressing memories. Sessions include assessment, preparation and carefully paced memory work.

What Is EMDR?

Eye Movement Desensitisation and Reprocessing (EMDR) is an evidence-based psychotherapy developed to help people process and heal from traumatic and distressing life experiences. It's recommended by the National Institute for Health and Care Excellence (NICE) and the World Health Organization (WHO) as a treatment for post-traumatic stress disorder (PTSD).

EMDR is most established as a treatment for trauma-related difficulties. A qualified clinician can help you consider whether it is appropriate for the particular difficulties you are experiencing.

How Does It Work?

After a traumatic experience, some memories can remain closely connected to intense emotions or body sensations. Rather than feeling like something that has passed, the memory may feel very present, easily triggered, emotionally charged, and sometimes accompanied by vivid sensory flashbacks.

EMDR uses bilateral stimulation (typically guided eye movements) while you focus on the distressing memory. The aim is to help the memory become less distressing over time. The experience is not erased.

What Happens in a Session?

EMDR follows an 8-phase protocol:

  • History taking: Understanding your background and identifying target memories
  • Preparation: Building coping resources and ensuring you feel safe
  • Assessment: Identifying the specific memory, associated beliefs, and emotions
  • Desensitisation: Processing the memory using bilateral stimulation
  • Installation: Strengthening positive beliefs about yourself
  • Body scan: Checking for any remaining physical tension
  • Closure: Ensuring you leave the session feeling stable
  • Re-evaluation: Reviewing progress at the next session

Is EMDR Right for You?

If certain memories still carry a strong emotional charge or trigger distress in the present, EMDR may be worth discussing with a qualified therapist. It's a collaborative process, and we always work at your pace.

Questions you might be wondering about

What does EMDR stand for?

EMDR stands for Eye Movement Desensitisation and Reprocessing. It is a structured form of psychotherapy used for trauma-related distress.

What happens before memory processing begins?

The process includes taking a history and preparing coping resources before working with specific memories. Readiness and pacing are discussed together.

If you are wondering whether memory-focused therapy could be suitable, you can explore individual therapy. A conversation and assessment can help you think about the right approach.

Would you like to explore this further?

Sometimes reading helps us recognise something important. If you'd like to understand what you're experiencing with support, there are different ways we can begin.