Trauma therapy

EMDR (Eye Movement Desensitisation and Reprocessing)

EMDR (Eye Movement Desensitisation and Reprocessing) is a NICE-recommended, trauma-focused therapy that uses bilateral stimulation, such as guided eye movements or gentle tapping, to help you reprocess distressing memories so they gradually lose their emotional charge and the past comes to feel firmly in the past.

EMDR, which stands for Eye Movement Desensitisation and Reprocessing, is one of the most well-established trauma therapies we have. It does not take away what happened to you, and it does not erase your memories. Instead, it can change your relationship with them, so that a memory which once felt vivid and overwhelming begins to feel more settled and more distant: part of your history rather than your present.

When something frightening or painful overwhelms us, the brain can store the experience in a raw, unprocessed form, together with the beliefs we formed about ourselves in that moment, such as ‘I am in danger’ or ‘it was my fault’. EMDR helps your mind do the processing it was unable to do at the time, so those old beliefs can soften, and you can come to understand that the past is in the past, and that we are now here, in the present, safe from whatever we faced before. I trained in EMDR through EMDR UK in 2021, and I use it carefully, at a pace that feels manageable for you.

EMDR reprocessing: a charcoal drawing by Clare Burke of a figure with a shaft of light.
Charcoal drawing by Clare Burke

Who it can help

  • The aftermath of a single frightening or traumatic event, such as an accident, an assault, a medical trauma or a sudden loss
  • Post-traumatic stress: nightmares, flashbacks and intrusive memories that pull you back into what happened
  • Feeling constantly on guard, easily startled or unable to switch off, with a nervous system that stays stuck in alarm (hypervigilance and dysregulation)
  • Panic attacks, anxiety and a racing sense of threat that does not fit the present moment
  • Sleep that will not come, or nights broken by dreams of the event (insomnia)
  • Numbness, or feeling cut off from yourself and from the people around you
  • Shame and self-blame: the belief that what happened was somehow your fault, or that you are not safe or not good enough
  • Difficulty trusting others, or feeling on the edge of everyday situations you used to manage

What a session is like

We never rush into the difficult material. EMDR follows a structured set of phases, and we begin by getting to know your history together and building a sense of safety and steadiness, including simple grounding tools you can use during and between sessions. Only when you feel ready do we begin reprocessing.

During reprocessing, I invite you to bring a particular memory to mind while you follow a form of bilateral stimulation: usually your eyes tracking my hand or a moving light from side to side, or a gentle tapping on your knees or shoulders. This left-right rhythm seems to help the brain process the memory, a little like it does during dream sleep. We work in short sets and pause often to notice what has shifted. Because this processing needs enough time and space to open and settle within a single session, I often suggest 90-minute sessions (£135) for reprocessing work, always agreed with you in advance. You stay in control throughout, and we can slow down or stop at any point.

The evidence

EMDR is recommended by the National Institute for Health and Care Excellence (NICE) as one of the two first-line, trauma-focused psychological therapies for post-traumatic stress disorder (PTSD) in adults, alongside trauma-focused CBT. NICE guideline NG116 indicates EMDR is typically offered over 8 to 12 sessions, with more where a person has experienced multiple traumas.

NICE guideline NG116, Post-traumatic stress disorder (2018)

I offer EMDR both in person at my practice near Ashburton in Devon and online across the UK and internationally, and because bilateral stimulation adapts well to a screen, using guided on-screen movement or self-tapping, many people find online EMDR works well for them.

Common questions

Is EMDR recommended by NICE?

Yes. The National Institute for Health and Care Excellence (NICE) recommends EMDR as one of two first-line, trauma-focused therapies for PTSD in adults, alongside trauma-focused CBT (NICE guideline NG116, 2018). Its strong evidence base is one of the reasons I trained in it.

Will EMDR make me forget what happened?

No. EMDR does not remove or erase your memories. It works on how they are stored, so that when you think about the event it tends to feel less raw and less overwhelming, and more like something that belongs in your past.

What is bilateral stimulation?

Bilateral stimulation is a gentle, rhythmic left-right signal: usually your eyes following my hand or a light moving from side to side, or a soft tapping on each knee or shoulder in turn. You hold a memory in mind while this happens, which seems to help your brain process it, a little like it does during dream sleep.

How long does EMDR take, and why do you sometimes suggest 90-minute sessions?

It varies from person to person. For a single, more recent trauma, NICE indicates EMDR is often provided over 8 to 12 sessions, though complex or repeated trauma usually takes longer. Because reprocessing needs enough time to open and settle within one session, I often use 90-minute sessions (£135) for this work, agreed with you in advance.

Can EMDR be combined with other approaches?

Yes. I often weave EMDR together with Internal Family Systems (IFS) and art psychotherapy, and where your difficulties are rooted in early or relational trauma I draw on attachment-informed EMDR. We shape the work around what feels right for you.

Clare Burke, smiling, seated on an orange sofa

The first step

A free 20-minute conversation

It’s very hard to tell from reading a website! I offer a free introductory 20-minute conversation so we can meet, and you can see how it feels to talk with me.