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

by Irwin McClusky
November 4, 2025
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Eye Movement Desensitization and Reprocessing (EMDR) therapy is a structured approach used to help individuals recover from traumatic experiences, nervousness, panic attacks, and other distressing memories. Developed by psychologist Francine Shapiro within the late 1980s, EMDR has grow to be a widely recognized methodology for treating trauma-associated conditions comparable to post-traumatic stress dysfunction (PTSD). If you happen to’ve ever wondered what an EMDR session actually involves, this guide takes you through each section so that you know exactly what to expect.

1. The Initial Consultation and Preparation

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

Throughout this stage, you’ll additionally discuss any previous traumatic events, emotional triggers, and symptoms you need to address. The therapist will explain how EMDR works and reply questions to make sure you feel comfortable and informed.

Preparation additionally includes learning self-soothing methods—equivalent to breathing exercises, visualization, or grounding strategies—that provide help to keep calm throughout or after a session. These tools are essential for maintaining emotional balance throughout the treatment process.

2. Figuring out Goal Recollections

When you and your therapist are ready to begin, the next step is to determine the specific reminiscences that will be processed. These could embrace traumatic experiences, distressing thoughts, or painful emotions that proceed to affect your daily life.

Every target memory is analyzed in terms of three parts:

The image that represents the worst part of the memory

The negative belief about your self linked to that event

The physical sensations or emotions you’re feeling when recalling it

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

3. Desensitization: The Eye Movement Process

This is the core of EMDR therapy. Throughout desensitization, the therapist asks you to concentrate on the chosen memory while concurrently guiding your eye movements from side to side. This is usually carried out 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. As the session continues, you may discover the memory changing into less vivid or distressing. Some purchasers expertise new insights or connections as their brain integrates the expertise in a healthier way.

4. Set up of Positive Beliefs

Once the misery around the goal memory decreases, the therapist helps you strengthen the positive perception you created earlier. You’ll deal with that perception—reminiscent of “I am safe now” or “I’m strong”—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 perception to really feel true on both a cognitive and emotional level.

5. Body Scan

After the positive perception is installed, your therapist will guide you through a body scan. You’ll mentally check for any lingering physical rigidity or discomfort associated to the memory. In the event you still really feel any unease, additional processing might take place till your body feels calm and relaxed.

This step ensures that the healing will not be just mental but in addition physical, helping you achieve a sense of complete relief.

6. Closure and Reflection

Each EMDR session ends with a closure phase. Your therapist ensures you allow the session feeling stable and grounded, even if the processing isn’t fully complete. You could be asked to make use of the comfort methods learned earlier if any residual distress arises.

You’ll additionally discuss what you observed during the session—reminiscent of emotions, images, or ideas that surfaced—and how you’re feeling afterward. It’s common for processing to proceed between sessions, so journaling or reflection can assist track your progress.

7. Reevaluation

At the start of your next session, your therapist will check the way you’re feeling and review 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 certain that all points of trauma are effectively addressed over time.

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

With a trained EMDR therapist, recovery becomes not just potential—but actually transformative.

Irwin McClusky

Irwin McClusky

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