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A Step-by-Step Look at What Occurs During an EMDR Session

Peggy Perin by Peggy Perin
November 4, 2025
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Eye Movement Desensitization and Reprocessing (EMDR) therapy is a structured approach used to assist individuals recover from traumatic experiences, anxiety, panic attacks, and different distressing memories. Developed by psychologist Francine Shapiro within the late Eighties, EMDR has turn out to be a widely acknowledged technique for treating trauma-associated conditions akin to submit-traumatic stress dysfunction (PTSD). If you happen to’ve ever wondered what an EMDR session truly includes, this guide takes you through each section so that you know exactly what to expect.

1. The Initial Session and Preparation

The EMDR process begins with an assessment session the place your therapist gathers information about your history, current challenges, and goals for therapy. This part helps the therapist determine whether or not EMDR is appropriate for you.

Throughout this stage, you’ll additionally focus on any past traumatic occasions, emotional triggers, and signs you need to address. The therapist will explain how EMDR works and reply questions to make sure you really feel comfortable and informed.

Preparation also contains learning self-soothing methods—equivalent to breathing exercises, visualization, or grounding methods—that help you stay calm during or after a session. These tools are essential for sustaining emotional balance throughout the treatment process.

2. Identifying Goal Memories

Once you and your therapist are ready to begin, the subsequent step is to establish the specific reminiscences that will be processed. These might include traumatic experiences, distressing thoughts, or painful emotions that proceed to affect your day by day life.

Each goal memory is analyzed in terms of three parts:

The image that represents the worst part of the memory

The negative perception about yourself linked to that event

The physical sensations or emotions you are feeling when recalling it

You’ll also create a positive belief to replace the negative one—such as transforming “I am energyless” into “I’m in control now.”

3. Desensitization: The Eye Movement Process

This is the core of EMDR therapy. Throughout desensitization, the therapist asks you to focus on the chosen memory while concurrently guiding your eye movements from side to side. This is usually done by following the therapist’s fingers, a moving light, or rhythmic sounds.

These bilateral stimulations are thought to help the brain reprocess the memory, reducing its emotional intensity. Because the session continues, you may discover the memory becoming less vivid or distressing. Some shoppers experience new insights or connections as their brain integrates the experience in a healthier way.

4. Set up of Positive Beliefs

Once the distress across the target memory decreases, the therapist helps you strengthen the positive perception you created earlier. You’ll deal with that perception—reminiscent of “I’m safe now” or “I am robust”—while continuing the eye movement stimulation.

This step helps reinforce a more adaptive way of thinking and builds emotional resilience. The goal is for the positive belief to really feel true on each a cognitive and emotional level.

5. Body Scan

After the positive belief is put in, your therapist will guide you through a body scan. You’ll mentally check for any lingering physical stress or discomfort related to the memory. If you still really feel any unease, additional processing could take place till your body feels calm and relaxed.

This step ensures that the healing is not just mental but additionally physical, helping you achieve a way of full relief.

6. Closure and Reflection

Every EMDR session ends with a closure phase. Your therapist ensures you allow the session feeling stable and grounded, even when the processing isn’t fully complete. You might be asked to use the relief strategies learned earlier if any residual misery arises.

You’ll also discuss what you noticed during the session—comparable to emotions, images, or ideas that surfaced—and how you feel afterward. It’s frequent for processing to continue between periods, so journaling or reflection can assist track your progress.

7. Reevaluation

On the start of your next session, your therapist will check the way you’re feeling and overview the progress made. If the target memory still causes misery, additional processing will occur. If not, you’ll move on to new targets. This ongoing evaluation helps be sure that all facets of trauma are effectively addressed over time.

EMDR therapy is a robust tool for healing emotional wounds and restoring mental balance. By following this structured, proof-based mostly process, individuals typically find reduction from painful recollections and begin to rebuild their sense of safety, confidence, and well-being.

With a trained EMDR therapist, recovery turns into not just possible—however truly transformative.

Peggy Perin

Peggy Perin

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