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Managing overwhelm during a session
What to do if emotions feel too intense.
Why Overwhelm Happens During EMDR-PEP
- Your brain is processing a lot at once - emotions, memories, and sensations may come up quickly.
- Unresolved emotions may feel intense - distressing memories can temporarily heighten feelings.
- Your body may react automatically - feelings like anxiety, tension, or dissociation can occur.
- It’s a normal part of healing - overwhelm doesn’t mean something is wrong; it’s part of processing.
Signs You Might Be Overwhelmed
- Rapid heartbeat or difficulty breathing - a sign your nervous system is reacting.
- Feeling disconnected or dissociated - zoning out, feeling unreal, or like you’re watching from outside.
- Racing thoughts - struggling to stay present, thoughts jumping from one to another.
- Intense emotional waves - tears, fear, anger, or sadness that feels too strong to handle.
- Physical discomfort - nausea, dizziness, or muscle tension.
How to Manage Overwhelm in the Moment
Pause and Ground Yourself- Stop the eye movements - take a break before continuing.
- Use sensory grounding - touch an object like a stone, fabric, or something textured.
- Notice five things - name five things you can see, hear, or touch.
- Use temperature changes - hold an ice cube, drink cold water, or use a warm compress.
- Use the ‘Safe Pause’ feature - tap the red hand icon during your session to revisit your Safe Place and feel grounded.
Focus on Your Breathing
- Box breathing - inhale for 4 seconds, hold for 4, exhale for 4, hold for 4.
- Slow, deep breaths - inhale deeply through your nose, exhale slowly through your mouth.
- Hum or sigh - making a sound while exhaling can help calm your nervous system.
Shift to a Calming Thought or Image
- Use your Safe Place - visualize somewhere you feel secure and peaceful.
- Repeat a reassuring phrase - “I am safe,” “I am in control,” or “I can pause anytime.”
- Think of a positive memory - recall a moment you felt comforted or strong.
Reduce the Intensity
- Slow down or stop the session - taking a break doesn’t mean you’ve failed.
- Lower the stimulation - if using visual EMDR, close your eyes or rest briefly.
What to Do If Overwhelm Doesn’t Settle
- Shift your focus completely - step outside, stretch, or listen to music.
- Talk to someone supportive - a friend, family member, or therapist.
- Do a calming activity - journaling, drinking tea, or wrapping yourself in a blanket.
- Decide whether to continue or stop for now - it’s okay to pause and return when ready.
Preventing Overwhelm Before Your Next Session
- Set an intention beforehand - remind yourself you can go at your own pace.
- Ensure a supportive environment - quiet, comfortable, and free from distractions.
- Practice grounding beforehand - start with deep breaths or a calming exercise.
- Keep a safety plan ready - know which grounding techniques work best for you.