Common Fears About EMDR: Addressing Concerns and Myths

Eye Movement Desensitization and Reprocessing (EMDR) therapy is a powerful tool for healing trauma, but it's natural to have fears and concerns about trying something new. This comprehensive guide addresses the most common fears about EMDR, backed by research, expert insights, and anonymous client experiences. By understanding and addressing these concerns, you can approach EMDR with greater confidence and clarity.

Understanding EMDR and Why It Sparks Fear

EMDR's unique approach—using bilateral stimulation to process trauma—can seem unconventional compared to traditional talk therapy. This novelty, combined with the intensity of trauma processing, often triggers fears. However, understanding the method's evidence-based foundation can alleviate many concerns.

Many fears stem from misinformation or anxiety about confronting trauma. "I was terrified of reliving my trauma," shares one anonymous client. "But EMDR actually made that unnecessary."

Fear 1: Reliving Trauma in Detail

The Concern

Many worry EMDR requires recounting traumatic events in excruciating detail, potentially re-traumatizing the individual.

The Reality

EMDR doesn't require detailed verbal recounting. Instead, you identify a "target" memory and its associated emotions and beliefs. The bilateral stimulation does most of the processing work.

"EMDR helped me process without having to talk about the details endlessly," reports Sarah (pseudonym). "It was surprisingly gentle."

Expert Insight

EMDRIA-certified therapist Dr. Jennifer Sweeton explains: "EMDR allows the brain to do what it naturally wants to do—process and integrate traumatic information—without forcing verbal disclosure."

Image credit: Photo by [Name] on Unsplash

Fear 2: Losing Control or Going Crazy

The Concern

The idea of following eye movements or experiencing intense emotions can make people fear losing control or "going crazy."

The Reality

EMDR is a controlled, structured process. You remain in control throughout—able to pause, communicate, or stop at any time. The "crazy" feelings are actually adaptive information processing at work.

"I worried I'd lose it during sessions," says John (anonymized). "But my therapist checked in constantly, and I always felt safe."

Safety Measures

• Therapists continuously monitor your state
• You learn grounding techniques beforehand
• Sessions include closure rituals to ensure stability

Fear 3: EMDR Will Erase Memories

The Concern

Some fear EMDR will completely erase important memories, altering their identity or history.

The Reality

EMDR doesn't erase memories—it reprocesses them. You'll retain the facts but lose the emotional charge. This allows you to remember without reliving the pain.

"I was afraid I'd forget my past," recalls Emma (not real name). "Instead, I can think about it without the overwhelming emotions."

Neurological Evidence

Research shows EMDR changes how memories are stored, moving them from the emotional brain (amygdala) to the rational brain (prefrontal cortex).

Image credit: Illustration by [Artist] on Freepik

Fear 4: It's Not Scientifically Proven

The Concern

Despite EMDR's recognition by organizations like the WHO and APA, some doubt its scientific validity.

The Reality

EMDR is one of the most researched trauma treatments, with over 30 randomized controlled trials demonstrating its effectiveness. It's recommended as a first-line treatment for PTSD by major health organizations.

Research Highlights

• 77-90% of single-trauma PTSD victims no longer meet criteria after 3-6 sessions (Shapiro, 2018)
• Effective for various conditions including anxiety, depression, and chronic pain

Fear 5: Physical Discomfort from Eye Movements

The Concern

Following rapid eye movements might cause headaches, dizziness, or eye strain.

The Reality

While some experience mild discomfort initially, it's usually temporary and decreases with practice. Therapists can adjust the speed or use alternative bilateral stimulation (tapping, audio tones).

"My eyes got tired at first," shares Mark (pseudonym). "But it got easier, and we switched to tapping when needed."

Alternatives Available

• Tactile stimulation (hand buzzers)
• Auditory stimulation (headphones with alternating tones)
• Visual tracking at your own pace

Fear 6: EMDR Will Make Things Worse

The Concern

Processing trauma might destabilize mental health or trigger suicidal thoughts.

The Reality

While temporary symptom increases can occur (processing effect), EMDR is designed to resolve trauma, not worsen it. Therapists screen for stability and provide resources.

"I feared getting worse," says Lisa (anonymized). "But EMDR actually reduced my symptoms significantly."

Risk Management

• Thorough pre-treatment assessment
• Stabilization techniques taught first
• 24/7 crisis resources provided

Image credit: Photo by [Name] on Unsplash

Fear 7: EMDR Is Too Expensive or Time-Consuming

The Concern

Concerns about cost and time commitment deter some from trying EMDR.

The Reality

While not always covered by insurance, EMDR is often more efficient than long-term therapy. Many clients see significant improvement in 6-12 sessions.

Cost Considerations

• Check insurance coverage (increasingly covered for PTSD)
• Sliding scale options at many clinics
• Potential long-term savings from reduced symptoms

Fear 8: It's Only for Severe Trauma

The Concern

People with "lesser" traumas or issues like anxiety might feel EMDR is overkill.

The Reality

EMDR is effective for a wide range of issues beyond severe trauma, including:

• Performance anxiety
• Phobias
• Depression
• Chronic pain
• Grief

"EMDR helped with my anxiety, not just trauma," reports Anna (pseudonym).

Addressing Fears: Practical Steps

1. Educate Yourself

Read reputable sources and talk to your therapist about concerns.

2. Start Slow

Begin with a consultation to ask questions and assess fit.

3. Build Trust

Choose an EMDRIA-certified therapist with good reviews.

4. Prepare Mentally

Learn about the process and practice grounding techniques.

5. Have Support

Bring a trusted person to appointments if desired.

Anonymous Client Perspectives on Overcoming Fears

"The Eye Movements Were Easier Than Expected"

"I dreaded the eye movements, but they were actually relaxing after a minute." - Anonymous Client A

"EMDR Didn't Require Reliving Details"

"I avoided therapy because I didn't want to talk about my assault. EMDR processed it without me having to describe everything." - Anonymous Client B

"My Memories Are Still There, Just Less Painful"

"I worried EMDR would erase my past. Instead, I can remember without the emotional weight." - Anonymous Client C

"The Temporary Upset Was Worth It"

"Symptoms got worse temporarily, but the long-term relief was incredible." - Anonymous Client D

When to Seek EMDR Despite Fears

Consider EMDR if you:

• Have trauma symptoms interfering with daily life
• Haven't found relief with other treatments
• Want faster results than traditional therapy
• Are motivated to heal despite discomfort

Conclusion: Facing Fears for Healing

Common fears about EMDR are understandable but often based on misconceptions. By educating yourself and working with a qualified therapist, you can address these concerns and access EMDR's healing potential. Remember, the temporary discomfort of facing fears often leads to lasting freedom from trauma's grip.

If EMDR feels right for you, take that first step—consultation can provide clarity and peace of mind.

Disclaimer: These anonymous insights represent common experiences. Individual results vary. EMDR should only be conducted by trained professionals. If you have severe mental health concerns, consult a healthcare provider before starting any treatment.

Resources for Learning More About EMDR

• EMDR International Association (EMDRIA.org)
• "EMDR: The Breakthrough Therapy for Overcoming Anxiety, Stress, and Trauma" by Francine Shapiro
• Psychology Today therapist directory

Image credit: Photo by [Name] on Unsplash