Eye Movement Desensitisation and Reprocessing (EMDR)
A structured therapeutic approach to processing distressing memories and exploring their impact on present-day experiences.
Understanding EMDR
Eye Movement Desensitisation and Reprocessing, or EMDR, is a psychological therapy used to help people process distressing or traumatic experiences, including those associated with post-traumatic stress. It involves bringing selected memories to mind while following guided alternating stimulation, such as side-to-side eye movements or tapping. The aim is to reduce the distress associated with these memories, rather than erase what happened.
For autistic and ADHD individuals, distress can arise not only from significant traumatic events but also from repeated experiences of misunderstanding, rejection, exclusion, sensory overwhelm or pressure to mask their natural ways of being. Over time, these experiences may contribute to anxiety, shame, emotional exhaustion or a persistent sense of being unsafe or not good enough. EMDR may help people work through the impact of these experiences, when appropriate, using an approach adapted to their individual needs.
What the process may involve
EMDR involves preparation as well as memory processing. For neurodivergent people, the process may be adapted to accommodate sensory preferences, communication styles and individual ways of processing experiences. It may involve:
- Understanding your experiences: Discussing your history, current concerns and therapy goals, including the impact of significant events and repeated experiences such as rejection, masking or feeling misunderstood.
- Preparing for therapy: Developing coping strategies and establishing a sense of safety before beginning memory-focused work.
- Adapting the approach: Agreeing on the type of alternating stimulation that feels most comfortable, such as eye movements, tapping or tactile buzzers, and adjusting the sensory environment where needed.
- Using clear and predictable communication: Explaining each stage of the process, using specific questions and instructions, and checking in regularly rather than relying on vague or open-ended prompts.
- Working at your pace: Processing selected memories with flexibility around the length of each set of stimulation, opportunities to pause and additional time to reflect.
- Reviewing your experience: Checking how you are responding throughout therapy and adjusting the approach to your sensory, cognitive and emotional needs.
Readiness and pace
Working with distressing memories can bring up uncomfortable emotions or physical sensations. Preparation, readiness and ongoing review are important parts of the process. For neurodivergent clients, clear explanations, predictability, sensory considerations and respect for individual communication and processing styles can help make therapy more accessible. The aim is not to change a person's neurotype or make them conform to neurotypical expectations, but to address distress in a way that respects who they are.
EMDR is not suitable for everyone, and research specifically examining its effectiveness with autistic people and those with ADHD remains limited, yet promising. Discuss any concerns with your psychologist, including your sensory preferences, communication needs and the adjustments that may help you feel safe and understood, to determine whether EMDR is appropriate for your circumstances.
Appointments
Psychology appointments are available via telehealth across Australia, or in person in Brisbane. Contact the team to discuss your needs and whether this approach and appointment format are suitable for you.