I have lost count of how many times a client has looked at me mid-session—frustrated, defeated, or just quietly desperate—and said some version of this:
“I thought I’d already processed this. Why is it back?”
Sometimes they are angry. Sometimes they are apologetic, as though they have failed the therapy. Sometimes they do not even need to say it out loud; I see it in the way their shoulders drop when the exact same image from childhood appears yet again, or when the same exhausting scene from a conflict with an ex-partner hijacks the set.
They feel as though they are going in circles. As though nothing is changing. As though the work is fundamentally broken.
I deeply understand why it feels that way. From the client's side of the room, it feels like absolute stuckness. It feels like proof that they are fractured in a way that cannot be fixed.
But from my side—after years of sitting closely with people as their nervous systems process complex trauma—that feeling is rarely the truth. In fact, it is usually the exact opposite of what is actually happening in their brain.
I am not saying this simply to offer hollow reassurance. I am saying it because I have watched this specific pattern unfold enough times, across vastly different people with very different histories, to know that when a memory returns in EMDR, it almost always means the processing is deepening, not stalling.
So, let me walk you through what I see clinically when a client tells me they are "stuck." Because if you could see what I see, I believe you would be much gentler with yourself.
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The Onion You Do Not Realise You Are Peeling
One client spent months on a single target memory from adolescence. A caregiver had just finished harshly comparing them to a sibling—again—and delivered a deeply humiliating insult in front of others. The exact phrase had echoed in their mind for years.
For weeks, this memory kept coming back. They would look at me and say, “I’m just looping on the exact same scene. I see myself walking into the room, the specific look on their face, and I feel nothing. It’s the same thing every time. I’m not getting anywhere.”
From her perspective, I understood why she thought that. The visual was identical. The words her mother said had not changed. But what she could not yet see—what I could—was that every time the scene returned, her brain was working on a completely different layer of the trauma.
- The First Time: She was stuck in the cognitive replay. She was hearing the words, telling the story to herself, analyzing what it meant. That is not nothing—it is the logical mind trying to get a handle on the narrative. But it is surface-level.
- The Second Time: The image was the same, but her body had entered the room. She started noticing a tightness in her stomach, a heavy pressure in her chest. She was not just thinking about the memory anymore; she was processing it somatically. That is a deeper channel.
- The Third Time: They were no longer just replaying the words or holding the physical sensation. They were accessing something underneath all of that: the profound grief of being unseen, the specific, aching wound of needing protection from the exact person who was supposed to provide it. In the middle of a set, they finally voiced a profound, previously unspoken heartbreak about being completely unprotected in that moment.
Same memory. Same visual sequence. Completely different layer.
This is what I mean when I tell clients that trauma is stored in layers. It is not a tidy single file that gets permanently deleted with one keystroke. It is a tangled web of thoughts, sensations, emotions, and physiological meanings encoded in your nervous system. Processing does not wipe all of that out at once. It moves through it, channel by channel, depth by depth. The visual stays the same so your mind has a safe anchor. The actual healing work happens underneath.
I once explained it to a client this way: “Memories are not important because what’s important is the sting. You may go with the same memory three thousand, four thousand times… but each time, some new layer of trauma will pop up.”
You are not stuck. You are just not finished. And that is completely normal.
When Distress Goes Up, You Are Not Going Backwards
Here is a moment that frightens people more than almost anything in EMDR. You have been doing the work. The distress level (your SUDs score) has been dropping. You are starting to feel that maybe—just maybe—you are getting somewhere. Then, one day, the same memory returns, and the distress shoots right back up. Maybe even higher than before.
I have watched clients spiral in this moment. I’m getting worse. The therapy isn’t working. I’m regressing.
And almost every time, I have to gently lean in and tell them: This is not regression. This is the next layer.
One client had been processing a deep-seated belief that she was fundamentally vile and unlovable. We had done heavy work around the profound shame attached to that belief. Her distress had dropped substantially; she was feeling lighter and clearer. Then, in a later session, the target memory returned—and her distress spiked far higher than it had been in weeks.
She panicked. She thought everything she had worked so hard for was wasted.
What she did not know yet was that the shame she had just processed had been acting like a heavy, leaden lid. It had been so overwhelming that her mind could not open what was underneath it safely. Once that shame layer was processed enough, the lid finally came off, and what was underneath—raw grief, betrayal, righteous anger—finally had room to breathe and surface. The distress did not rise because she was regressing. It rose because she was finally able to feel what had been blocked for decades.
In my clinical notes afterwards, I wrote: “The SUDs went up because she can NOW FEEL what was previously blocked by shame.”
That spike was progress. That was the lid coming off something that had been tightly sealed to keep her alive.
Does Therapy Feel Overwhelming Right Now?
When the "lid" comes off old trauma, the emotional spike can feel terrifying if you are navigating it alone. In my practice, we pace this work carefully, ensuring you have the somatic resources to handle the distress without spiraling. Reach out to discuss a consultation.
Book a ConsultationThe Doubt That Is Actually Your Bodyguard
If you have ever sat down for a session and found yourself thinking—really loudly—"Is this even working? Am I doing it right? Maybe I’m just making this all up. Maybe I should just quit."—you are not alone. And you are not broken.
You are experiencing a completely normal trauma response that I see in nearly every single client. I want to reframe this for you, because understanding it changes everything.
That doubt is not a sign that the therapy is failing. It is a protector part.
It is a highly specific, highly adaptive mechanism your brain built to keep you away from the most threatening material. Think about it from a survival perspective: If you genuinely believe the therapy is not working, you will stop. If you stop, the deeply painful memory you are getting close to stays locked away. The protector wins. And from its perspective—a perspective shaped by years of surviving in environments where feeling your feelings was physically or emotionally unsafe—that is a massive victory.
I have frequently said to clients in session: “Doubting is a better thing than facing this. It’s going to sting a lot. It’ll feel like a sledgehammer hit your face once those parts move aside.”
The doubt is embedded in the memory channel itself. It is woven directly into it. Its entire job is to keep the status quo.
I remember one client who kept asking me, almost in tears, “Was I just making this up? Am I faking the memory? Am I doing EMDR wrong?” She was not. What she was hearing was an internalised voice from her parents, who had told her repeatedly throughout her childhood that she was too sensitive, that she was imagining things, that she was constantly exaggerating.
That voice had not simply disappeared when she grew up. It had become part of her internal architecture, and it was now trying to sabotage her own healing because healing felt drastically more dangerous than familiar pain.
Eventually, in a later session, she caught it. That doubting voice rose up and told her EMDR was too overwhelming and she should pause. And for the first time, another voice—her own, adult, grounded voice—pushed back: “No—I actually feel better. My body knows what it’s doing. I should trust myself.”
That was a milestone. The doubt part did not vanish. It just stopped being the only voice in the room.
"I’ve Never Done Anything Consistently"—And Other Lies Your Wound Whispers
There is a specific flavour of stuckness that comes up repeatedly in my sessions. It sounds exactly like this:
“I’ve never done anything consistently in my life. I start things and never finish. This will probably fail too. I’m just not the kind of person who sticks with things.”
I have heard those exact words from multiple clients. And here is the painful irony: the people who say this are usually sitting right in front of me, for their third or fourth or tenth session in a row. They are literally being incredibly consistent by showing up. They simply cannot see it because the trauma wound acts as a filter, actively screening out any evidence that contradicts their core negative belief.
In clinical terms, I refer to this as positive dismissal. It is a profound cognitive blind spot.
A client once told me with absolute conviction: “There’s never been a glimpse of consistency in my entire life.” They had just spent weeks showing up to therapy, doing the heavy lifting, noticing their patterns, and making small behavioural changes at home. But none of it registered.
A few sessions later, they told me about their week. They experienced a minor slip in their routine—the exact kind of trigger that used to initiate a complete emotional collapse. Historically, they would think, Well, I’ve ruined the entire day, might as well give up.
But this time, they paused. They thought, “It’s okay. I can still complete one small task. I can still take a walk.” And they did.
That is not nothing. That is exactly the kind of incremental, metacognitive change that physically rewires the brain. But alongside it came the old, fearful voice: “Sure, but you’ve never been able to keep it all together. What if you actually succeed and then there’s nothing left to run from?”
I told them what I genuinely believe: “The core is the fear. You don’t burn it out, you can’t move.” The fear of succeeding—of having no crisis to manage, no chaos to define themselves against—is just as paralysing as the fear of failure. For someone who has only known how to exist through a lens of high-anxiety, calm can feel like a profound threat.
How You Will Know You Are Moving (Even When It Does Not Feel Like It)
Because your own internal sensors can be so unreliable while processing trauma, I want to give you some concrete clinical markers. These are the subtle shifts I watch for in every single session.
- The memory looks the same, but the charge is different. One client described circling back to her ex-partner’s abuse and realising: “Every cycle I go around feels different. Less confusion every time. I can see the relationship more clearly... It hurts but I’m no longer asking why, no longer engaging with the illusion of him.” The image had not changed. Her relationship to it had.
- Your body joins the conversation. When you start a memory and suddenly notice your stomach churning, or your jaw clenching—that is not a setback. That is a shift from cognitive analysis to somatic processing. It feels highly uncomfortable, but it is actually the trauma leaving the physical body.
- You catch yourself in the act. A client who used to doubt everything once paused mid-sentence and said: “It feels like this is the same voice that’s led me to all this failure.” He was not arguing with the voice. He was neutrally observing it. That metacognitive shift is one of the strongest indicators that therapy is actively working.
- Between sessions, something softens without your permission. A client told me: “I had an unpleasant conversation with my father, and normally I’d spiral for days. This time… I didn’t. I kind of noticed that my brain was quieter.” That is the memory network losing its vice grip on your present-day life.
What It Feels Like to Not Need a Plan
In the final minutes of a recent session, a client who had been so certain they were incapable of stability had one of those rare moments that therapists learn to simply sit back and let unfold.
Their mind spontaneously built an image of a calm, ordinary life. Then the old protective voices jumped in: “Where’s the plan? Where are you even going?”
But this time, something was different. There was no panic. No collapse into shame. They sat there, looking a little stunned, and noted that despite having no grand plan figured out, they felt a profound sense of peace.
I smiled and reminded them: This is how most people in the world live. They don’t have it all figured out, but they aren't panicking.
That is the ultimate destination of trauma recovery. Not a perfectly organised mind with all the answers. Not a life devoid of sadness or bad days. But the ability to sit quietly in your messy, uncertain life—with all the memories that still occasionally hurt—and not be destroyed by them.
A Few Things to Remember the Next Time You Feel Stuck
If you take nothing else from this article, please remember this:
- It is not the exact same memory. It is the same image, but the sting has changed. You are processing something now that you were not strong enough to touch before.
- The doubt is your bodyguard. It is trying to pull you away from painful material. When doubt gets aggressively loud, you are probably getting very close to something incredibly real.
- Your perception of consistency is warped. If you are showing up at all—even imperfectly—you are already actively disproving the lie that you never stick with anything.
- The small changes are the real evidence. A conversation that does not lead to a three-day spiral. A memory you can recall without physically collapsing. That is the proof.
I am not worried. I have seen this pattern too many times. You are not broken. You are not endlessly looping. You are simply deep in the work, and your brain knows exactly what it is doing—even when you do not.
And most of all: the fact that you are scared it is not working? That you care enough to be deeply afraid? That is not a sign of failure. That is a sign of investment. Your protector parts are still doing their job. Your only task is to keep showing up and, gently, let them know they can finally rest.
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Related Reading
• What Actually Happens When You Heal: An EMDR Therapist's Notes
• Overcoming the "Pink Lens": When EMDR Therapy Feels Like It "Didn't Work"
• What EMDR Healing Actually Looks Like: The Power of the Pause
This article is for informational purposes only and does not constitute medical or therapeutic advice. Trauma therapy affects people differently. If you're experiencing significant distress, please consult with a qualified mental health professional. EMDR therapy should only be provided by appropriately trained practitioners. Dr. Antonio D'Costa is an MD Pediatrician. EMDR is an evidence-based specialized therapy for processing traumatic experiences and related emotional symptoms.