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EMDR therapy

EMDR therapy online for police and emergency services

EMDR (eye movement desensitisation and reprocessing) is a structured therapy for the distress that traumatic memories can leave behind. Here's what it involves, in plain language.

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At a glance

FormatVideo, from home
Session length90 minutes
Starts withPreparation
Sessions neededVaries, reviewed often

What EMDR is

You bring a difficult memory to mind in small, manageable steps while following guided eye movements, taps or sounds. The aim is for the memory to feel less distressing and less present.

You don't have to describe every detail aloud, although some talking is part of the work.

What it isn't

  • It isn't hypnosis. You stay alert and in control.
  • It isn't a quick fix. Preparation comes first.
  • It doesn't erase memories. The aim is that they hurt less.
  • You can stop or slow down at any point.

The eight phases, briefly

Most of the early work is preparation (shaded). Processing a memory only begins once you feel steady enough, and every session ends with you settled.

1

History and planning

We talk about what brought you here and choose where to start.

2

Preparation

You learn ways to settle yourself, and we check EMDR suits you.

3

Assessment

We pick a memory and note what comes with it: image, belief, feelings.

4

Desensitisation

Short sets of guided eye movements or taps while you notice what arises.

5

Installation

We strengthen a more helpful belief about the memory.

6

Body scan

We check for any tension still held in the body.

7

Closure

Every session ends steadily, with grounding and a plan for between sessions.

8

Review

Next time we check how things have settled and decide what's next.

What the guidance says

NICE (NG116) recommends EMDR as one of the trauma-focused therapies for adults with PTSD after non-combat trauma. Trauma-focused CBT is also recommended, and I'll tell you if I think another approach would suit you better.

The World Health Organization also advises that EMDR should be considered for adults with PTSD.

If your trauma was in combat

NICE's EMDR recommendation is for non-combat trauma. If your difficulties come from combat, we'll talk through the options at the start so you're offered the approach most likely to help, which may be a specialist veterans' service.

How online sessions work

  • A video call from a quiet, private place
  • Guided eye movements on screen, or self-tapping, whichever you prefer
  • Headphones and a stable connection help
  • We agree what to do if you're interrupted mid-session

Honest limits

  • EMDR can be tiring or upsetting at times
  • It isn't right for everyone straight away; some people need more preparation first
  • The number of sessions varies, and we review regularly
  • It isn't an emergency service
Georgia Powell

Written by Georgia Powell

BACP Accredited counsellor and psychotherapist, trained in EMDR (standard training, EMDR Europe-accredited, completed October 2026). Last reviewed October 2026.

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Sources

NICE guideline NG116: post-traumatic stress disorder · WHO guidelines for the management of conditions specifically related to stress (2013) · EMDR Association UK