Skip to main content
Alexa Aversano Therapy

Writing · August 2026

What EMDR Actually Feels Like

Written for the person who read the description, thought that sounds like nonsense, and then kept reading anyway.

Book a free consult

Almost everyone who books an EMDR consult with me asks some version of the same question within the first four minutes. They ask it politely, because they do not want to insult my profession, but the question underneath is: is this real, or is this the therapy equivalent of a crystal.

Fair. Eye movement desensitization and reprocessing is a terrible name for something fairly ordinary, and the short summaries online make it sound like a magic trick. So let me tell you what actually happens, hour by hour, and what people say about it afterward. I am not going to promise you a result, because I cannot, and anyone who does on a website should worry you.

The first sessions are not EMDR

This surprises people. You do not walk in and start moving your eyes. The first stretch, and it may be one session or it may be several, is history and preparation. I want to know what happened, what is happening now, what your support looks like, and how your body behaves when it gets overwhelmed.

Then we build what the protocol calls resourcing. In practice that means you get a few reliable ways to bring your own activation down: a calm place you can locate internally, orienting to the room, breath work if that suits you and something else if it does not. This part is unglamorous and it is the reason the rest of it works. Nothing gets opened before there is somewhere to put it.

Then we pick one thing

Not your childhood. One memory, or one image, or one belief that goes with it, such as I am not safe or it was my fault. We rate how disturbing it feels right now, on a scale, which sounds clinical and is genuinely useful later when you cannot remember how bad it used to be.

The strange-sounding part

You hold that memory in mind while doing something bilateral. Usually that means following my hand or a moving dot with your eyes, in sets of about thirty seconds. Some people prefer alternating taps on their own knees, or tones through headphones. Over video it is typically a visual on your screen or self-tapping, and it works fine, which is the question everyone asks second.

After each set I say something like, what are you noticing. You say whatever came up. Not a polished narrative, just the raw thing: a smell, a sentence your mother used to say, an ache in your jaw, a wildly unrelated memory of a school hallway. Then we do another set. That is essentially the whole session, repeated, for about forty minutes.

What people report

The most common description I hear is that it feels like being on a train. Things go past. You do not have to grab them or explain them, and there is a slightly odd sensation of being both in the memory and safely in the room at the same time. That dual awareness is the point.

People also report yawning, tearing up out of nowhere, sudden tiredness, tingling hands, or a heaviness that lifts halfway through. Some sessions are emotional. Some are surprisingly flat, and flat is not failure. Occasionally someone laughs at something absurd that surfaces, and then apologizes, which they do not need to do.

What tends not to happen is what people fear most: being trapped in the worst moment with no way out. You can stop at any point. You are talking, blinking, aware of the time. It is not hypnosis and you are not going anywhere you cannot leave.

The end of the hour, and the days after

We always close deliberately. If we are mid-process, we contain it on purpose rather than letting the timer decide. You should be able to drive home, answer an email and eat dinner.

For a day or two afterward, some people notice more dreams, or find that other memories drift up unbidden. I ask clients to keep a very short log, a line or two, not an essay. It gives us the next thread.

Over time, the thing that often changes is not the content of the memory but the charge on it. Nothing is erased and I would be suspicious of any method that claimed otherwise. People describe it as the memory finally sitting still, or as being able to think about it while making coffee instead of losing the afternoon.

Who it is not for, and how long it takes

EMDR is not right for everyone or for every moment in someone's life. If you are in an actively unsafe situation, or you have very little support around you, stabilization work comes first and it may come first for a long while. That is a clinical judgment we make together on the consult call, not a box you tick on a form.

As for how many sessions, I do not know, and I will keep saying that. A single-incident event in an otherwise steady life often moves faster than twenty years of something chronic. Guessing at a number would just be marketing.

If you have read this far and it sounds less strange than it did at the top, that is about the right reaction. The next step, if you want one, is a free 10-minute call.

Related: EMDR Therapy · EMDR Intensives · More writing

Alexa Aversano, LMFT, California license 140766. This article is general information, not therapy or medical advice, and no outcome is promised. If you are in crisis, call or text 988, call 911, or go to the nearest emergency room.

Alexa Aversano Therapy

Come as you are.

A free, confidential ten-minute call. No paperwork, no pressure, and no obligation to book anything afterwards.