Common Questions
Frequently Asked Questions about EMDR Therapy
Can EMDR therapy be done online?+
Yes, and research supports its effectiveness in online delivery. At Sky Therapies, all EMDR sessions are conducted online via secure video platform, making this treatment accessible to clients throughout Ontario regardless of location. Online EMDR uses the same structured phases and bilateral stimulation techniques as in-person EMDR. For bilateral stimulation, the clinical team uses audio tones or client-directed self-tapping (butterfly hug technique) when eye-movement tracking via screen is not optimal. Many clients find the comfort and privacy of their own space actually enhances the therapeutic process, particularly when working with shame-based experiences or early trauma.
How many EMDR sessions will I need?+
The number of sessions varies considerably depending on what you are processing. EMDR is not a single-session intervention. It works through a defined sequence of eight phases, and adequate preparation before active processing is essential for safety and effectiveness. Single-incident trauma (one specific event with a clear onset): Often 6 to 12 sessions. Complex or developmental trauma (multiple events, early childhood, relational patterns): Often 12 to 30 or more sessions, with a longer preparation phase before active memory processing begins. Anxiety or phobia without significant trauma history: Often 4 to 8 sessions. The Sky Therapies clinical team will discuss a realistic treatment plan with you in your initial consultation. Sky Therapies offers a free 20-minute consultation to help you assess fit before committing to a course of treatment.
Do I need to talk about my trauma in detail during EMDR?+
No. Unlike traditional talk therapy, EMDR does not require you to narrate your experiences in detail. Instead, it uses bilateral stimulation to engage the brain’s natural information processing system while you hold a targeted memory in mind. The processing is internal, and you maintain control throughout.
What is bilateral stimulation?+
Bilateral stimulation refers to guided eye movements, alternating taps, or auditory tones that engage both sides of the brain during EMDR processing. During online sessions at Sky Therapies, the clinical team uses audio tones or client-directed self-tapping techniques such as the butterfly hug when eye-movement tracking via screen is not optimal.
What should I expect in my first EMDR session?+
Your first session focuses on history-taking and preparation, not active trauma processing. The Sky Therapies team will learn about your current concerns, life history, and identify target memories for processing. You will also build emotional regulation skills and learn about the EMDR process before any bilateral stimulation begins. The preparation phase is not rushed. Moving too quickly into processing without adequate stabilization is counterproductive and potentially destabilizing.
Is EMDR effective for complex trauma?+
Yes. EMDR is increasingly used for complex and developmental trauma, including early experiences of neglect, abuse, and attachment disruption. Complex trauma typically requires more sessions (12 to 30 or more) and a longer preparation phase before active memory processing begins. The Sky Therapies clinical team will assess readiness carefully and tailor the treatment plan to your specific needs.
When is EMDR not the right fit?+
EMDR may not be the best fit when active dissociative disorders or severe dissociation require specialized preparation protocols before standard processing can begin safely, when active psychosis or unstable severe mental illness requires stabilization first, when clients prefer modalities with more verbal structure such as CBT, somatic therapy, or DBR, or when clients have very limited affect tolerance and may need longer preparation phases. If you are unsure, a consultation call with Sky Therapies is designed to answer exactly that question.
Is EMDR therapy covered by insurance in Ontario?+
EMDR therapy conducted by a Registered Psychotherapist (RP) or Registered Social Worker (RSW) is often eligible for coverage under extended health benefits. Most major employee benefits plans in Ontario include psychotherapy coverage. Coverage limits, reimbursement rates, and eligible providers vary by plan. Check your plan documentation or contact your benefits provider directly. Sky Therapies therapists are registered with applicable Ontario regulatory bodies. Sky Therapies provides official receipts for all sessions that you can submit to your benefits provider. OHIP does not cover psychotherapy services delivered by psychotherapists; however, sessions with a psychiatrist who uses EMDR as part of their practice may be covered. The team at Sky Therapies can clarify this during your consultation.
What makes Sky Therapies different for EMDR?+
Sky Therapies specializes in trauma-informed therapy using an integrative approach. Where many practices offer a single modality, our therapists are trained across several evidence-based trauma treatment methods, including EMDR, Somatic Mind-Body Therapy, Deep Brain Reorienting (DBR), Pain Reprocessing Therapy, and Brainspotting. This means your treatment is not confined to a single protocol. When EMDR alone is not sufficient, or when your presentation calls for a somatic or body-based approach alongside memory processing, the clinical team can draw from a broader clinical toolkit. All services at Sky Therapies are delivered online, with no commute, no waiting room, and scheduling flexibility including evenings and weekends.
How do I get started with EMDR at Sky Therapies?+
If you are ready to explore EMDR therapy, the first step is a free 20-minute consultation. This call is not a therapy session. It is a conversation to understand what you are dealing with, answer your questions, and confirm whether Sky Therapies is the right fit for what you need. Book your free consultation or contact us directly through our website. Sky Therapies typically responds to inquiries within one business day.
What areas does Sky Therapies serve?+
Sky Therapies serves clients throughout Toronto, the Greater Toronto Area, and all of Ontario via secure online video platform. Our clients are located in Toronto, North York, Markham, Ottawa, Vaughan, Guelph, Brampton, Windsor, St. Catharines, Oshawa, Kingston, Scarborough, Oakville, Peterborough, Richmond Hill, Whitby, and throughout the province.