Common questions about EMDR therapy
These are questions people actually ask me, mostly in the first five minutes of a phone call. The answers are the ones I would give in person.
What it is and how it works
What is EMDR, briefly?
Psychotherapy for memories that never settled. You hold part of a memory in mind while your attention moves rhythmically left and right, and that divided attention lets the brain finish processing it could not finish at the time. The longer explanation is here.
Why would moving your eyes change anything?
The most convincing explanation is that holding a memory and tracking something at the same time uses up working memory, so the memory goes back into storage weakened. There are other explanations. The effect is well measured; the mechanism is not a closed question — and anyone who tells you otherwise is selling a certainty the field does not have.
Is it actually evidence-based?
EMDR is one of the most heavily tested trauma treatments there is. The World Health Organization recommends it for PTSD, in adults and in children, alongside exposure therapy and trauma-focused cognitive behavioural therapy.
Will the memory disappear?
No, and it is not meant to. It stays yours and you still know it. What changes is the charge — the way it pulls you back into a room you walked out of years ago.
What worries people most
Do I have to tell you what happened?
No. You only need to be able to bring the memory to mind — you do not have to describe it.
What if it gets too much mid-session?
We agree a signal before anything starts, and it works without explanation. If you use it we stop and go back to what we rehearsed in preparation. If that keeps happening it means I went too fast — my misjudgement, not your failure.
Can it make things worse?
Between sessions there are sometimes more dreams or more thoughts about the subject; that usually lasts a few days and is expected. A serious worsening is a sign that processing began before preparation was finished. That is why preparation has its own phase and why I do not skip it.
Do I need a diagnosis?
No. Most people who contact me have no diagnosis at all. They have something that takes up room every day — panic, sleeplessness, a reaction that feels too big for its trigger. That is reason enough.
Time, money, format
How many sessions does it take?
For a single recent event, usually six to twelve. For something long-running or from childhood, longer — and exactly how much longer I will tell you after the initial assessment, rather than guessing in advance.
What does it cost?
The first phone call is free. A fifty-minute individual session is 80 KM, the same in person and online. All fees are here.
Does EMDR work over video?
It does — the bilateral stimulation adapts to a screen. You need a private room and a stable connection, and I will say so if I think in person is safer in your case.
Is it safe for teenagers?
EMDR can be adapted for adolescents. How we work and how involved parents are is agreed according to age, the young person’s needs, and what safety requires. More on working with teenagers.
Do you work in English?
I do. The whole therapy can run in English, in person or online. Some of my clients are people in the diaspora who want to work in the language it happened in, and some want exactly the opposite — both are fine.
What if I am not sure I need therapy?
Then the phone call is exactly for that. Twenty minutes, no charge and no expectation that you continue. I will tell you honestly what I think, including that you may not need it.
Your question not answered?
Write it to me. I reply within two working days, and I do not need to ask why you are asking first.