As discussed in Part 1, Eye Movement Desensitization and Reprocessing is a collaborative psychotherapy approach that uses bilateral stimulation designed to help individuals process trauma and distressing memories so that it is no longer overwhelming and or disruptive. Part one off two discussed the six important factors therapists look to initiate before starting EMDR Therapy. Part 2 continues important information about EMDR Therapy focusing on the phases that help pace the treatment to ensure layers of safety have been developed. 

What Are the Phases of EMDR Therapy? 

EMDR follows an eight-phase protocol designed to ensure safety, structure, and effective processing. 

Phase 1: History Taking and Treatment Planning 

The therapist gathers information about your history, symptoms, and goals. Together, you identify target memories or experiences to address. 

Phase 2: Preparation 

This phase focuses on stabilization and skill-building. Clients learn grounding techniques, emotional regulation skills, and ways to manage distress between sessions. 

Phase 3: Assessment 

Specific components of the target memory are identified, including: 

  • Negative beliefs (e.g., “I am not safe”) 
  • Desired positive beliefs 
  • Emotional intensity 
  • Body sensations associated with memory 

Phase 4: Desensitization 

Bilateral stimulation is introduced while the client briefly focuses on aspects of the memory. The brain begins reprocessing information, often leading to reduced emotional intensity. 

Phase 5: Installation 

The therapist helps strengthen positive beliefs that emerge during processing, reinforcing adaptive perspectives. 

Phase 6: Body Scan 

Clients notice remaining physical tension or sensations linked tthe memoryAdditional processing may occur if needed. 

Phase 7: Closure 

Each session ends with stabilization to ensure clients leave feeling grounded and emotionally safe, regardless of how much processing occurred. 

Phase 8: Reevaluation 

At the start of subsequent sessions, the therapist evaluates progress, assesses remaining distress, and determines next steps. 

In summary, it is important for individuals considering EMDR to understand that this is a personal journey. Some individuals feel resolution within only a handful of sessions, while for others, it may take years. It depends on how much preparation work an individual might need to safely process trauma without it causing additional harm or additional stress to your current life. 

EMDR therapy is not about reliving trauma; it is about helping the brain process experiences that may feel stuck or unresolved. Preparation and safety are essential components of successful treatment. By building strong therapeutic relationshipsdeveloping emotional regulation skills, and creating internal resources, clients can engage in EMDR with greater confidence and resilience. 

If you are considering EMDR therapy, working with a trained clinician who prioritizes pacing, consent, and safety can help ensure a supportive and effective healing process. 

–  Rachel Walls, LCSW