Mental Health Support for adults, children and families

Dr Leanne Tomkins
Clinical Psychologist - Birmingham, Worcestershire, West Midlands & Online

EMDR Explained: How Trauma Therapy Actually Works

Eye Movement Desensitisation and Reprocessing (EMDR) is a psychotherapy treatment designed to alleviate the distress associated with traumatic memories.

How EMDR Works

Much like how our physical body naturally heals from bumps and bruises, our mind constantly attempts to heal itself emotionally. EMDR therapy accelerates this natural emotional healing process that would otherwise take much longer.

Importantly, EMDR isn’t about talking through trauma. Instead, ‘processing’ creates a learning state that allows difficult experiences to be properly ‘digested’ and stored in your brain. What’s useful from the experience gets learned and stored with appropriate emotions, helping guide you positively in the future.

The Science Behind It

Brain scans show clear changes after EMDR therapy, returning the brain to more normal functioning. During sessions, specific areas become more active, including:

  • The prefrontal cortex (responsible for planning, organising, focusing)
  • The orbitofrontal cortex (controls emotions and social interaction)
  • The anterior cingulate cortex (regulates impulse control, empathy and judgment)

Your brain actively works to process and resolve both the trauma and its connected emotions.

What Happens in a Session

During treatment:

  • You focus on a troubling memory
  • Identify beliefs connected to the negative memory
  • Form a positive belief you’d like to have instead
  • Notice physical sensations and emotions
  • Follow the therapist’s finger moving side to side
  • Process how you feel after each set of movements
  • Continue until the memory becomes less disturbing3

The Results

While EMDR isn’t a “quick fix,” many clients are amazed at how rapidly they process painful memories. The memory itself remains, but without the emotional charge or physical effects when thinking about it.

When to Consider EMDR

It’s never too late to seek help – PTSD can be successfully treated many years after the traumatic event. While some may start with watchful waiting, the main treatment options in the UK include EMDR and Cognitive Behavioural Therapy (CBT). Though traumatic events are difficult to process, confronting and understanding your feelings with professional help is often the most effective path to healing.

Recommended Reading

  1. “The Body Keeps the Score” by Bessel van der Kolk A comprehensive look at trauma’s impact and healing

  2. “Getting Past Your Past” by Francine Shapiro Written by EMDR’s developer about how the therapy works

  3. “Attachment-Focused EMDR” by Laurel Parnell Exploring the relationship between trauma and attachment

Remember: EMDR should always be conducted by a properly trained and qualified therapist who can guide you safely through the process.

Finding the Right Support

Taking the first step towards therapy is significant. Whether you’re seeking support for yourself, your child, or your family, I understand how important it is to find the right fit.

I offer a free initial telephone consultation to:

  • Discuss your current challenges
  • Answer your questions about therapy
  • Consider whether face-to-face or online sessions would work best
  • Explore how we might work together

Leanne Tomkins is a HCPC Registered Clinical Psychologist Practising in Bromsgrove, Birmingham, Worcestershire and online working with adults and children.

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