I have been doing EMDR for over 2 years. I thought it a lot of "hooey" at first. but have found it to be very helpful. Don't worry about being self concious. I was too. It gets easier over time. Also. be sure to be honest about what is going on with you during the session. Remember, there is no right or wrong as far as you are concerned. I'm not sure I'd want to do this over Skype. I have become very emotional during some sessions, and needed to have my T there with me in order to get back to my safe place.