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To ask for people's experiences of EMDR please

38 replies

JustForTheTasteOfItDC · 12/08/2024 14:54

I started EMDR a few weeks ago to try and help with OCD around germs/contamination that started after one of my DC was hospitalised as a baby. I also have history of an abusive mum and was advised that EMDR might help with this too.

I'm finding the therapy itself really hard. The first treatment session (where we were actually using the EMDR technique) was ok, but in the second session I felt completely dissociated towards the end, and could barely string a sentence together. I know I dissociate in times of stress and it's happened before in therapy, but I'm usually able to get back out of it reasonably quickly, whereas it felt as though each section of EMDR was just pushing me back into dissociation.

I'm meant to be going tonight, and I don't want to go. I've got form for quitting therapy just when I'm hitting stuff that is really painful, so I don't know if my resistance is just because I'm processing such painful stuff and I'm about to make a breakthrough, but I'm also worried that becoming dissociated repeatedly will make things worse rather than better.

(Yes, I know I should talk to my therapist about this, but it feels such a weird dynamic and so different to other therapy that I've had before where there is a lot of talking, with a good therapeutic relationship being at the heart of the therapy. Sometimes I feel as though I am just irritating this therapist!)

Is what I'm experiencing normal and have other people experienced this and I just need to keep going? Or is it that the therapist and I aren't a good fit if I don't feel as though he even likes me very much!

OP posts:
nothingcomestonothing · 12/08/2024 15:53

JustForTheTasteOfItDC · 12/08/2024 15:26

Sorry I should clarify that we have done a safe space right at the end of the session, but that was after I would say about the last 5-8 sets of EMDR of me being in a dissociative state. Am I right that you are saying that it's at that point that we would need to stop and do the safe space exercise?

Yes, either a safe space or some reframing of the picture you're working from so you can tolerate processing. Basically for EMDR to work we need the memory to have some 'heat' in it and for us to activate that heat to get the processing happening.

What you're describing sounds like your picture is too 'hot' and your brain is dealing with that intense 'heat' by dissociating. There are ways of making the memory less hot but still hot enough to enable you to process. Your therapist should be getting you into that window of tolerance, where there's enough heat to get processing but not so much you dissociate. That's where the skill is, or else anyone would be able to follow a protocol and do EMDR.

Hadalifeonce · 12/08/2024 15:29

It really helped DH. It took quite a lot of sessions, but it completely turned his life around.

JustForTheTasteOfItDC · 12/08/2024 15:26

nothingcomestonothing · 12/08/2024 15:21

I don't like the sound of that. He should pick up if you're unable to speak!

I don't agree you should expect to be dissociated after a session, a therapist shouldn't be sending a client out like that. I allow extra time for EMDR clients so we can do a safe space and I can be confident they're in a fit state to go back into the world. And if the session is incomplete, i.e. you haven't fully processed the memory you're working on and installed the positive cognition, you should always have a safe space exercise after you finish the last set. It's a bit concerning if that's not happening, you need to be helped to be in a fit state before you leave.

Sorry I should clarify that we have done a safe space right at the end of the session, but that was after I would say about the last 5-8 sets of EMDR of me being in a dissociative state. Am I right that you are saying that it's at that point that we would need to stop and do the safe space exercise?

OP posts:
nothingcomestonothing · 12/08/2024 15:21

JustForTheTasteOfItDC · 12/08/2024 15:10

I don't think he has recognised that I have dissociated, and in the moment I can't say it either. IMO it's recognisable when I have because I just can't function - he is waiting for me to talk and tell him what the latest "round" (sorry for lack of proper terminology) has brought up, but I can barely speak. I can only look blankly ahead.

We have set up the safe place stuff but never used it during a session, he has just encouraged me to use it between sessions.

I don't like the sound of that. He should pick up if you're unable to speak!

I don't agree you should expect to be dissociated after a session, a therapist shouldn't be sending a client out like that. I allow extra time for EMDR clients so we can do a safe space and I can be confident they're in a fit state to go back into the world. And if the session is incomplete, i.e. you haven't fully processed the memory you're working on and installed the positive cognition, you should always have a safe space exercise after you finish the last set. It's a bit concerning if that's not happening, you need to be helped to be in a fit state before you leave.

nocoolnamesleft · 12/08/2024 15:12

Really helped for my PTSD. Though I was a mess at the end of the first few sessions.

JustForTheTasteOfItDC · 12/08/2024 15:10

nothingcomestonothing · 12/08/2024 15:08

I provide EMDR. I am careful to tell clients beforehand how different it is to standard talking therapies, especially that when we stop a set and I ask what comes up I won't say much, we won't have a conversation - that's not because I'm not interested, I am, it's me trying to keep out of the way of the processing. Could that be the feeling you are irritating the therapist? If he doesn't engage with what you say at the end of the set it seems impatient/uninterested?

Is the therapist doing a safe place exercise with you when you dissociate? You need to be within your window of tolerance to process, is the therapist helping you get back into a state to process? That part concerns me the most in what you've said.

I don't think he has recognised that I have dissociated, and in the moment I can't say it either. IMO it's recognisable when I have because I just can't function - he is waiting for me to talk and tell him what the latest "round" (sorry for lack of proper terminology) has brought up, but I can barely speak. I can only look blankly ahead.

We have set up the safe place stuff but never used it during a session, he has just encouraged me to use it between sessions.

OP posts:
JustForTheTasteOfItDC · 12/08/2024 15:08

Thanks, it's helpful to know that it is somewhat normal - my therapist didn't mention that it might happen!

OP posts:
nothingcomestonothing · 12/08/2024 15:08

I provide EMDR. I am careful to tell clients beforehand how different it is to standard talking therapies, especially that when we stop a set and I ask what comes up I won't say much, we won't have a conversation - that's not because I'm not interested, I am, it's me trying to keep out of the way of the processing. Could that be the feeling you are irritating the therapist? If he doesn't engage with what you say at the end of the set it seems impatient/uninterested?

Is the therapist doing a safe place exercise with you when you dissociate? You need to be within your window of tolerance to process, is the therapist helping you get back into a state to process? That part concerns me the most in what you've said.

TruthorDie · 12/08/2024 15:07

Can work very well. But it’s an intense and draining process
Good luck with it all

voiceofastar · 12/08/2024 15:06

It's normal to feel like that. My EMDR therapist warned me I would and told me not to drive for 15-30 minutes afterwards.

PointyHairyLegHairs · 12/08/2024 15:02

Miraculous for my PTSD. I had no idea it was used for OCD.
Felt a ton lighter afterwards. My whole life improved a thousandfold.

Sauvblanctime · 12/08/2024 15:01

Disassociating though is normal, your brains trying to process a lot at once x

Sauvblanctime · 12/08/2024 14:59

Saved my life. But I had it to process trauma.

cried for about a week straight after my first session

defo talk to your therapist