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A Step-by-Step Look at What Happens Throughout an EMDR Session

by Margaret Minnis
November 4, 2025
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Eye Movement Desensitization and Reprocessing (EMDR) therapy is a structured approach used to help folks recover from traumatic experiences, anxiousness, panic attacks, and different distressing memories. Developed by psychologist Francine Shapiro within the late Nineteen Eighties, EMDR has turn into a widely acknowledged technique for treating trauma-associated conditions equivalent to publish-traumatic stress dysfunction (PTSD). In case you’ve ever wondered what an EMDR session really includes, this guide takes you through every part so that you know exactly what to expect.

1. The Initial Consultation and Preparation

The EMDR process begins with an assessment session where your therapist gathers information about your history, present challenges, and goals for therapy. This phase helps the therapist determine whether EMDR is appropriate for you.

Throughout this stage, you’ll also discuss any past traumatic events, emotional triggers, and signs you need to address. The therapist will clarify how EMDR works and answer questions to ensure you really feel comfortable and informed.

Preparation additionally includes learning self-soothing strategies—reminiscent of breathing exercises, visualization, or grounding methods—that allow you to stay calm throughout or after a session. These tools are essential for sustaining emotional balance throughout the treatment process.

2. Figuring out Target Memories

When you and your therapist are ready to start, the following step is to determine the precise memories that will be processed. These may embody traumatic experiences, distressing thoughts, or painful emotions that continue to affect your day by day life.

Each goal memory is analyzed in terms of three components:

The image that represents the worst part of the memory

The negative perception about yourself related to that occasion

The physical sensations or emotions you feel when recalling it

You’ll additionally create a positive perception to replace the negative one—akin to transforming “I am powerless” into “I am in control now.”

3. Desensitization: The Eye Movement Process

This is the core of EMDR therapy. During desensitization, the therapist asks you to concentrate on the chosen memory while simultaneously guiding your eye movements from side to side. This is normally accomplished 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, chances are you’ll notice the memory changing into less vivid or distressing. Some clients experience new insights or connections as their brain integrates the expertise in a healthier way.

4. Set up of Positive Beliefs

Once the distress around the goal memory decreases, the therapist helps you strengthen the positive belief you created earlier. You’ll give attention to that belief—corresponding to “I am safe now” or “I’m sturdy”—while persevering with 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 installed, your therapist will guide you through a body scan. You’ll mentally check for any lingering physical tension or discomfort associated to the memory. If you happen to still really feel any unease, additional processing may take place until your body feels calm and relaxed.

This step ensures that the healing shouldn’t be just mental but in addition 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 permit the session feeling stable and grounded, even if the processing isn’t totally complete. You might be asked to make use of the relief techniques learned earlier if any residual distress arises.

You’ll also focus on what you seen through the session—comparable to emotions, images, or ideas that surfaced—and the way you’re feeling afterward. It’s widespread for processing to continue between classes, so journaling or reflection might help track your progress.

7. Reevaluation

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

EMDR therapy is a powerful tool for healing emotional wounds and restoring mental balance. By following this structured, proof-primarily based process, individuals usually find aid from painful recollections and start to rebuild their sense of safety, confidence, and well-being.

With a trained EMDR therapist, recovery turns into not just doable—but actually transformative.

Margaret Minnis

Margaret Minnis

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