Do I have to describe the trauma in every detail?

No. With EMDR it is often sufficient to recall the memory internally — you do not have to articulate every detail. Your therapist needs a basic understanding, but you determine how much you put into words.

Is EMDR scientifically recognised?

Yes. EMDR is well researched for the treatment of post-traumatic stress disorders and is recommended internationally by professional associations. For other applications the evidence is of varying strength — your therapist will evaluate this for your situation.

Are memories deleted in the process?

No. The memory remains, but it loses its overwhelming emotional charge. Many describe it in such a way that afterwards the experience is truly 'in the past' and no longer feels present.

How many sessions will I need?

This depends very much on the nature of the trauma. A single, clearly defined event can sometimes be processed in a few sessions; prolonged or multiple traumatisations require considerably more time and careful stabilisation.

Am I fit to drive after a session?

Usually yes, but after intensive sessions fatigue and lack of concentration can occur. Listen to your feelings — if in doubt, it is better to be picked up or to use public transport.

Trauma Therapy (EMDR) — Procedure, Preparation & Cost

EMDR (Eye Movement Desensitization and Reprocessing) is a well-researched method for treating the consequences of trauma. Distressing memories are deliberately recalled while guided eye movements or other bilateral stimuli trigger processing in the brain — the memory remains, but loses its overwhelming force. The method is particularly well established for post-traumatic stress disorders.

Typical Areas of Use

Consequences of accidents, violence or other traumatic experiences
Recurring distressing memories and nightmares
Severe startle response and inner tension
Fears that stem from a traumatic event

How It Works

1At the beginning there are detailed discussions: your therapist will clarify your history, your current stability and whether EMDR is suitable for you.
2In a stabilisation phase you learn techniques to regulate strong emotions yourself — such as exercises for inner safety and calming.
3In the actual EMDR session you recall a distressing memory whilst following the hand movements of your therapist with your eyes, or perceiving bilateral sounds or touches — in short sections, with breaks for discussion.
4This process is repeated until the memory noticeably loses its distress; subsequently a helpful, coherent perspective on the experience is anchored.
5At the end of each session the therapist ensures that you leave for home feeling stable and anchored in the here and now.

How to Prepare

If possible, do not schedule any demanding appointments after sessions — your mind often needs rest afterwards.
Consider who can support you in everyday life if memories continue to have an effect in the days after a session.
Bring your insurance card and, if available, the medical referral and any previous reports with you.

Side Effects & Risks

Strong emotions, memories or physical reactions can occur during and after sessions — this is part of the processing, but is guided and dosed.
In the days afterwards, vivid dreams, fatigue or emerging memory fragments are possible.
In cases of acute instability or certain accompanying conditions, EMDR is not immediately suitable — this is why stabilisation always comes first.
As with any psychotherapy: the rapport with your therapist is important; the method should only be applied by appropriately trained professionals.

Afterwards — and When to Seek Help

After an EMDR session many people feel tired or emotionally moved — plan for rest and be patient with yourself. It is normal for processing to continue in the following days, for example in dreams or spontaneous memories; making notes can help you bring it to the next session. Contact your therapist if the distress remains strong for days, if you feel increasingly disconnected or no longer safe — and in acute crises call the emergency number 144 at any time or Dargebotene Hand (telephone 143).

Cost & Insurance

EMDR is a recognised psychotherapy method. For psychological psychotherapists, basic insurance covers the treatment with a medical referral — initially usually 15 sessions, which can be extended; for psychiatrists it is directly covered by basic insurance. The deductible and co-payment apply as usual. This is for guidance without guarantee — if in doubt, ask your insurer.

Frequently Asked Questions

Do I have to describe the trauma in every detail?: No. With EMDR it is often sufficient to recall the memory internally — you do not have to articulate every detail. Your therapist needs a basic understanding, but you determine how much you put into words.
Is EMDR scientifically recognised?: Yes. EMDR is well researched for the treatment of post-traumatic stress disorders and is recommended internationally by professional associations. For other applications the evidence is of varying strength — your therapist will evaluate this for your situation.
Are memories deleted in the process?: No. The memory remains, but it loses its overwhelming emotional charge. Many describe it in such a way that afterwards the experience is truly 'in the past' and no longer feels present.
How many sessions will I need?: This depends very much on the nature of the trauma. A single, clearly defined event can sometimes be processed in a few sessions; prolonged or multiple traumatisations require considerably more time and careful stabilisation.
Am I fit to drive after a session?: Usually yes, but after intensive sessions fatigue and lack of concentration can occur. Listen to your feelings — if in doubt, it is better to be picked up or to use public transport.