Do I have to talk about the trauma in detail? — Gisela Ramirez
Post-Traumatic Stress Disorder (PTSD) & Trauma

Do I have to talk about the trauma in detail?

Gisela Ramirez4 min read10 February 2025

The fear of having to narrate what happened, week after week, stops many people getting help. EMDR asks for far less retelling than you expect, and the early sessions are about stability.

It is the question people ask before any other, and the answer they expect is the reason many of them have not sought help. Will I have to go through it? Describe it, in detail, to a stranger, and then again the following week? The prospect of that is, for a lot of people, almost as bad as the thing itself.

For EMDR, the answer is far less than you fear. I want to explain what is and is not asked of you, and why.

What EMDR does not require

EMDR does not require a blow-by-blow retelling of what happened. The processing does not depend on you narrating the event to me. It depends on you briefly holding the memory in mind while bilateral stimulation, typically guided eye movements, helps your brain do the filing it could not do at the time. You are the one in contact with the memory. I am guiding the process, not collecting the story.

In practice that means you will say far less about what happened than you expect. You will need to tell me enough for us to identify the memory we are working on, the image that represents its worst moment, and the belief about yourself that goes with it. That can be a few sentences. It does not have to be the whole account, and you will never be asked to give a graphic description to prove you are unwell.

Why the early sessions are not about the memory at all

We do not start with the trauma. The early sessions are assessment and stabilisation: understanding your history in broad terms, what is happening now, and building the coping resources you will need for the processing work. Nobody begins reprocessing until they feel stable and prepared. The ground is built first, and for longer histories it is built for longer.

This matters because processing a raw memory brings its charge up before it takes it down, and you need somewhere steady to do that from. Building that steadiness is the first half of the work.

What a processing session is like

When we do come to the memory, it looks like this. You bring the image to mind, briefly, along with the belief and the feeling. Then a set of eye movements, perhaps thirty seconds. Then I ask what you notice. You say a few words, whatever came up, a thought, a sensation, a shift. Then another set. The memory moves, associations arise, and over the session and the ones that follow, the charge comes down and the memory changes from something that is happening to something that happened.

At no point in that are you narrating the event. You are noticing what your mind does with it, and reporting in a sentence. Some people say very little at all.

If talking is easier

Some people do want to tell the story, and that is fine; there is room for it if it helps you. But it is not required by the method, and I will not push for detail you do not want to give. What I need is enough to work with, and enough is less than most people think.

What about the rest of the trauma?

People often have not one memory but many, or a period of years. EMDR does not require processing every one. Memories cluster, and working on the representative ones tends to shift the cluster. We plan this together, choosing which memories to target and in what order, and the choosing is yours.

Online EMDR is well established, and I find it works as well as sitting in a room together. Screen-based bilateral stimulation works well, and being in your own space, with the option to end a session and be at home already, is something many people find makes the work easier to approach.

I am accredited with EMDR Europe. If the fear of retelling has been the thing between you and getting help, there is more on how I use EMDR for trauma, and on the method itself on the EMDR page, and neither involves the ordeal you are picturing.