Trauma processing

EMDR

EMDR (Eye Movement Desensitisation and Reprocessing) is a trauma-focused therapy that helps the brain process distressing experiences that continue to feel present, reactive or unresolved.

Rather than simply talking about what happened, EMDR works with memories, emotions, beliefs and body sensations that may remain linked to past experiences.

How does EMDR work?

EMDR is guided by the Adaptive Information Processing (AIP) model.

Normally, new experiences are processed and integrated with existing memory networks. We can remember what happened while recognising that it belongs to the past.

However, highly distressing or traumatic experiences may not be fully processed. Elements of the original experience—including images, emotions, physical sensations and negative beliefs—can remain linked together in ways that allow the past to be triggered by situations in the present.

This can help explain why someone may intellectually know “I am safe now” while their body reacts as though the danger is happening again.

EMDR and trauma processing

EMDR uses a structured process involving preparation, attention to selected aspects of a distressing memory, and bilateral stimulation, commonly through guided eye movements or other alternating stimulation.

From an AIP perspective, this process is intended to facilitate the brain's natural information-processing system, allowing previously distressing material to become more adaptively integrated with existing memory networks.

The memory is not erased. Instead, it can become less emotionally and physically charged, while more adaptive information becomes accessible—for example, moving from “I am powerless” toward “I survived, and I am safe now.”

What can EMDR help with?

  • traumatic or distressing experiences
  • PTSD and complex trauma
  • developmental and relational trauma
  • grief and loss
  • phobias and fears
  • medical trauma
  • panic and trauma-related anxiety
  • intrusive images or memories
  • distressing body memories and trauma-related physical reactions

EMDR is individually paced, and appropriate preparation and assessment are important before trauma processing begins.

How EMDR integrates with Schema Therapy

For complex presentations, EMDR can sit inside a broader Schema Therapy plan. Schema work can clarify modes, needs and protective patterns before processing begins, then help consolidate change afterwards.

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