You know how it ends before it starts. One of you says the thing, or does not say the thing, and there is a half second where you both recognize what is coming. You could write the transcript. You know which line will land badly, which defense will follow, where the voices will rise, who will go quiet first, and how the evening will feel afterward. And knowing all of that changes nothing, because the fight arrives on schedule anyway and runs its full course while both of you watch it happen.

For people who solve problems for a living, this is a specific kind of maddening. You have talked it through, more than once, in good faith, on a calm day, and reached what felt like resolution, and then two weeks later you are back in the same loop with the same script. At some point a quieter thought creeps in, that maybe the problem is the relationship itself, or that maybe one of you is simply unreasonable. We want to offer a different reading. The fight is not unsolvable. You have been trying to solve the wrong problem.

We hear a version of this story from a large share of the adults who eventually reach out to us, and the striking thing is how often they have been considering therapy for years. What kept them away was not that nothing was wrong. It was the belief that whatever was wrong had not been earned by a history severe enough to justify it. This post is written for the appraisal question rather than the symptom question, because in our experience the appraisal is what actually stands between people and treatment.

If EMDR sounds like a gimmick to you, that is a fair place to start. Here is what actually happens in a session, from the first appointment to the part that shifts.