Treatment · EMDR

EMDR therapy: when a memory will not let you go

Some experiences keep forcing themselves on you: in images, dreams or a body that reacts instantly. EMDR is a short-term, intensively researched method that reduces the emotional charge of such memories, often noticeably within a few sessions.

What is EMDR?

Processing what is stuck

EMDR stands for Eye Movement Desensitization and Reprocessing. It was developed in the late 1980s for the treatment of trauma and is by now one of the most researched treatment methods for distressing, impactful experiences.

Normally your brain processes experiences by itself, often during sleep. But sometimes an event is too intense, or it happened at a vulnerable moment. The memory then stays stored "raw", as it were, including the images, emotions and physical tension from back then. Every time something touches the memory, your system reacts as if the danger is here right now.

In EMDR you deliberately recall the memory while at the same time performing a distracting task, such as following my hand or clicks through headphones. This taxes your working memory, so the memory is stored less sharply and with less charge. The event does not disappear from your memory, but the emotional sting goes out of it. You can think back to it without being overwhelmed.

What does it help with?

EMDR is effective for, among other things

  • Distressing memories of an accident, loss or medical procedure
  • Single-incident trauma and PTSD symptoms
  • Memories of bullying, humiliation or rejection
  • Anxiety with a clear cause (for example after an incident)
  • Recurring images, nightmares or startle responses
  • Negative self-image rooted in concrete experiences
The approach

What an EMDR treatment looks like

01

Preparation

We discuss which memories feed your symptoms and choose the first target together. You do not have to tell everything in detail. What matters is the image and what it does to you.

02

Processing

You recall the memory while following a distracting task. In short sets, the tension drops step by step. I guide the process and we follow whatever comes up by itself. Your brain does the work.

03

Strengthening

Once the charge of the memory has dropped, we attach a helpful, realistic belief to it, for example "I am safe" or "I did what I could".

04

Completing

We check whether the memory stays calm, even when you think back to it later. Many people notice a clear difference after just one to five EMDR sessions. Where needed, we combine EMDR with CBT.

What does the science say? EMDR is internationally recommended as a first-choice treatment for PTSD, among others by the World Health Organization (WHO) and in the Dutch mental healthcare guidelines. Delivered online, EMDR proves just as effective as in the treatment room. I use specially developed, secure software for this.

Frequently asked questions

About EMDR

Do I have to tell everything in detail?
No. Unlike in a classic talking session, with EMDR you do not have to recount the event at length. What matters is the image that still triggers tension now, and what it does to you. That is enough to work with.
Is EMDR woolly science?
That image exists, but the opposite is true: EMDR is one of the most researched trauma treatments in the world and is included in the official treatment guidelines. The most widely accepted scientific explanation is working memory theory: by taxing your working memory while you recall the memory, it is stored less vividly and with less emotion.
How will I feel after a session?
EMDR can be intense: some people are tired after a session, or notice that the processing continues for a while in dreams or surfacing thoughts. That is normal and usually passes after a few days. We end every session calmly and you always know how to reach me.
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