Do You Need Counselling or EMDR Therapy? How to Know Which Is Right for You

If you are struggling with anxiety, intrusive thoughts, low mood, or a sense of feeling emotionally stuck, it can be difficult to know what type of therapy might help. Many people begin by searching for counselling because it feels familiar and accessible. For some, this is exactly what they need. For others, particularly when symptoms feel rooted in earlier experiences, counselling alone may not feel enough.

At Atlantic CBT & EMDR, I start by taking time to understand what is maintaining your distress, rather than trying to fit you into a particular therapy model. Different difficulties need different approaches, and this is something we explore together.

What is EMDR therapy?

EMDR stands for Eye Movement Desensitisation and Reprocessing. It is a structured, evidence-based psychotherapy that helps people process memories and experiences that continue to cause emotional or physical distress in the present.

EMDR is commonly used when difficulties are linked to trauma or distressing experiences. These include; complex trauma, childhood experiences, emotional or physical abuse, neglect, or any experiences which caused a lot of emotion at the time. This can also be the case for people struggling with OCD, which can often be traced back to emotionally distressing events from the past. These experiences may not always be remembered absolutely clearly, but their effects can still be felt through anxiety, intrusive thoughts, strong emotional reactions, or a persistent sense of threat.

UK clinical guidance from the National Institute for Health and Care Excellence recommends EMDR as an effective treatment for adults with PTSD and complex trauma, this can be found in NICE guideline NG116.

How EMDR works

I often explain EMDR by thinking about how the brain normally processes information. Most experiences are processed naturally over time and stored away so they feel firmly in the past. When something overwhelming or threatening happens, this process can become disrupted. The memory can remain “stuck”, feeling far more current than it should.

During EMDR therapy, bilateral stimulation - such as eye movements or tapping - is used while you briefly focus on aspects of a memory, image, or belief. This helps the brain’s natural processing system to restart, allowing the memory to be stored in a more manageable way. Over time, it tends to feel less vivid, less emotionally charged, and less triggering.

EMDR is always paced carefully. Preparation, stabilisation, and safety come first, and we only move forward when you feel ready.

Counselling vs EMDR: understanding the difference

Counselling provides a space to talk, reflect, and feel supported. It can be very helpful for current life stress, relationship difficulties, grief, or decision-making. Having a place where you feel heard and understood can in itself be valuable.

EMDR therapy is different in that it focuses specifically on reprocessing past experiences that continue to affect how you feel, think, or respond in the present. This is why some people seek EMDR after finding that talking alone has not reduced their symptoms, or when they notice their reactions feel automatic, intense, or difficult to control.

Neither approach is “better” in general terms. What matters is what is driving your difficulties and what will be most helpful for you.

When EMDR therapy may not be suitable

There are times when EMDR is not the right place to start. During periods of significant instability, active substance dependence, or unmanaged dissociation, it is usually important to focus first on stabilisation and coping strategies. This preparatory work helps ensure therapy feels safe and contained.

We would always discuss this carefully as part of an assessment, and any decisions are made collaboratively and at your pace.

Why accreditation matters

EMDR is a specialised therapy that requires specific training, supervision, and ongoing professional development. Working with an accredited EMDR therapist helps ensure that therapy is delivered safely, ethically, and in line with clinical guidance.

It is always reasonable to ask a therapist about their training, accreditation, and experience, particularly when working with trauma or complex difficulties.

Online EMDR therapy in the UK and Cornwall

Online EMDR therapy is now widely offered across the UK, including Cornwall. Sessions are delivered securely and can be just as effective as in-person work when provided by a qualified and experienced therapist.

Many people find online therapy more accessible, allowing them to engage in sessions from the comfort and privacy of their own space. 

If you would like to explore whether online EMDR therapy might be right for you, you’re very welcome to get in touch.

Frequently asked questions

How do you know which therapy is right for you?

The right therapy depends on what is maintaining your difficulties. When symptoms are linked to trauma or past experiences, EMDR is often helpful. Counselling may be more appropriate for current life stress or emotional support.

How do I know if EMDR therapy is right for me? 

If your reactions feel strongly triggered, intrusive, or connected to earlier experiences, EMDR may be worth considering. An initial consultation can help clarify this.

Who is not a good candidate for EMDR therapy? 

EMDR may not be suitable during periods of instability or active substance misuse. In these cases, preparation and stabilisation come first.

What is the difference between EMDR therapy and counselling? 

Counselling focuses on talking and reflection. EMDR focuses on reprocessing distressing memories so they no longer feel overwhelming in the present.

Can you access online EMDR therapy in the UK? 

Yes. Online EMDR therapy is available across the UK and can be effective when delivered by an accredited EMDR therapist.

You can reach out to me at Atlantic CBT & EMDR, where we can have a discussion about whether EMDR might be right for you.