During the preparation phase, the therapist is providing psycho-education on EMDR and teaching coping strategies to manage working through the traumatic memories you will be working on during EMDR. The Therapist will help you understand what to expect, and how to manage distress that may come up during the process.bance.
During the Assessment phase, you and your therapist are going to begin addressing a specific target or memory you would like to work on. The therapist will ask questions to create the specific target you will be addressing, such as identifying the image from the target event, your negative belief about yourself connected with this event, and a positive belief you’d like to believe such as I’m enough / I am okay as I am, I have control over my life.
From there, the therapist will assess how true the positive belief feels to you now using the Validity of Cognition scale (also called the VOC). Next the therapist will assess how disturbing this event feels to you now using Subjective Units of Disturbance (SUD) scale. The goal of EMDR is to have the VOC as high as possible (to strongly believe the positive belief) and to bring the SUD as close as to a zero as possible (the client to report no disturbance).
The Desensitization phase of treatment is where the reprocessing happens. The therapist will lead the client through bilateral stimulation which can be done through eye movements, taps or sounds until the target event has no disturbance (a SUD of zero).
This phase of treatment, we focus on strengthening the positive belief associated with this particular event. For example, the memory the client may be working on is a physical abuse, with the negative belief about themselves being, “I am powerless.” During the previous phase that the client completed. The work to reprocess that event and fully realized that as an adult they are no longer in that situation and have more control and strength than they did when they were young.
During this phase of treatment, the positive cognition, “I am now in control,” will be strengthened and installed. How deeply the person believes that positive cognition is then measured using the Validity of Cognition (VOC) scale. The goal is for the person to accept the full truth of their positive self-statement at a level of 7 (completely true).
Goal: To identify and release any remaining physical tension or discomfort associated with the trauma.
Process: The client is asked to mentally scan their body while focusing on the target memory and positive belief. If any physical tension or discomfort remains, the therapist uses bilateral stimulation to help the client release it, ensuring that the body is free from any residual trauma-related sensations.
Every EMDR session ends with Phase 7, Closure. If the processing of the event is not completed, the therapist will guide the client in using their resources and calming skills to ensure the client will leave the session regulated and ready to re-enter their day. The client is always prepared for what will be expected in the next session, and how to manage things that may come up between sessions.
Reevaluation begins every new session to assess where the client is at and determine what will be most helpful in the new session. Although clients may feel relief early in treatment, it is very important to complete all eight phases to ensure the problem is addressed as necessary, just like any treatment prescribed by a doctor.