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Taking new clients — next available appointment 18 August Sarajevo · online · Bosnian and English
Merima Pašalić EMDR
psychotherapy
BS Free first call
  • 6 min read

Why does talking about trauma sometimes not help?

Short answer

Because understanding and completion are not the same thing. Talking builds understanding, and an unprocessed memory is not stored in the part of the brain that listens to explanations — it is stored with the image, the smell and a body still on standby. So someone can know everything about their history and still react as though it were ongoing.

This is the most common thing I hear from people who have already been in therapy. They do not say it did not help. They say something more precise and much more uncomfortable: I understand all of it, and nothing has changed.

They usually say it as a confession. As if it were proof that they did something wrong, or that they are a particularly hard case.

What talking actually does

Talking does a great deal, and none of this is an argument against it. It gives a name to something that had none. It puts the context back — how old you were, how much you could actually do. It breaks the isolation, because it has been said out loud in front of someone who did not leave. And sometimes that is enough for the whole thing to settle.

But all of that builds one kind of knowledge: knowledge about what happened and why. That knowledge is kept in one place, and the charge of the memory in another.

Why that is not enough

When an event was too big, too fast or too long, the brain does not finish processing it. It stays recorded the way it arrived — with the image, the sound, the tension in the body, and the conclusion you drew about yourself at the time. No date attached.

So a reminder does not start you thinking about the past. It starts the memory itself, at full volume, before thinking arrives at all. Your body goes, and then your reasonable part catches up and explains that there is no reason to.

That reasonable part is right. It is simply speaking too late, and to the wrong audience.

Understanding turned out to be the wrong missing piece.

What does move it

What is missing is not another explanation. What is missing is for the memory to be processed to the end — to be given a date, so the body stops treating the reminder as a warning.

In EMDR that is done by holding the memory in mind while your attention moves rhythmically left and right. You do not explain it, you do not analyse it, and you do not have to say it out loud. You hold it for about thirty seconds, we stop, I ask what came up — and what came up is the next thing you hold.

After several rounds people usually say some version of the same sentence: I still know it happened, but it does not pull at me any more. That is the difference between understanding and completion.

One honest caveat

None of this means talking was wasted time, and it does not mean EMDR is better than everything else. It means they work on different things.

If talking helped you, it was not for nothing — it did part of the job. And if you have talked for years and still wake at three, that is not because you did not talk enough.

If this sounds familiar

Twenty minutes on the phone, no charge. Tell me what you have tried and what did not shift.