What a course looks like
EMDR is phased. The early sessions are history-taking and preparation: understanding what happened, identifying the memories that still drive symptoms, and building enough stability and coping skill that processing is safe. Processing sessions come after that, not before.
In a processing session you hold a specific image, belief and body sensation in mind while attending to a bilateral stimulus. The therapist works in short sets, checking in between each one. Eye movements are the best known form; tapping or tones are used where they suit better.
What the guidelines say
The Australian Guidelines for the Prevention and Treatment of Acute Stress Disorder, PTSD and Complex PTSD — developed by Phoenix Australia, with recommendations approved by the NHMRC in 2020 — make strong recommendations for adults with PTSD for trauma-focused CBT, prolonged exposure, cognitive therapy, cognitive processing therapy and EMDR.
In the United Kingdom, NICE recommends trauma-focused CBT, with EMDR offered for PTSD presenting more than three months after a non-combat-related trauma, or earlier where the person prefers it. In other words, EMDR is a first-line option, not an alternative therapy.
Medicare and EMDR
EMDR is on the list of focussed psychological strategies approved for Better Access items, so sessions using it are rebatable in the same way as CBT sessions, provided the usual plan and referral requirements are met.
Who it suits
EMDR is most established for post-traumatic stress, including single-incident trauma. It is not the right first step for everyone: where there is current danger, unmanaged risk, or very limited day-to-day stability, stabilisation work comes first. We assess that before recommending it, and the decision is made with you.