“What to Expect in an EMDR Session?” is one of the main questions that clients ask before starting an EMDR therapy. Eye Movement Desensitization and Reprocessing (EMDR) is a specialized therapy designed to help individuals process and heal from traumatic experiences. While it may sound complex, understanding what happens during a typical EMDR session can demystify the process and make it more approachable for those considering this form of therapy.

The Structure of an EMDR Therapy Session

EMDR Therapy sessions are structured and follow a consistent process. Here’s what you can typically expect:

1. Check-In and Preparation: The session begins with the therapist checking in on how you’re feeling and discussing any recent experiences that may have surfaced since your last session. This phase also includes grounding techniques to ensure you’re emotionally prepared for the session.
2. Target Identification: You and your therapist will identify a specific traumatic memory or distressing issue to focus on. This could be a past event, a disturbing image, or a negative belief about yourself. The therapist will ask you to think about this target and the emotions, physical sensations, and thoughts associated with it.
3. Bilateral Stimulation: The core of EMDR Therapy involves bilateral stimulation, most commonly through guided eye movements. The therapist will ask you to follow their fingers as they move them back and forth in front of your eyes. Alternatively, the therapist may use tapping, auditory tones, or other forms of bilateral stimulation. This stimulation is done while you focus on the traumatic memory.
4. Processing the Memory: As you engage in bilateral stimulation, the memory and associated emotions may change. You might notice shifts in your thoughts, emotions, or physical sensations. The therapist will periodically pause the stimulation to ask what you’re noticing and guide you through the process.
5. Installing Positive Beliefs: Once the distress associated with the memory decreases, the therapist will help you install a positive belief to replace the negative one. For example, a belief like “I am powerless” might be replaced with “I am strong and in control.”
6. Body Scan: After processing the memory, the therapist will guide you through a body scan, asking you to notice any residual tension or discomfort. If any remains, it may be addressed through further bilateral stimulation.
7. Closure: The session ends with grounding techniques to ensure you feel stable and calm. The therapist may ask you to visualize a safe place or use other relaxation techniques to help you leave the session feeling secure.
8. Reevaluation: At the start of the next session, your therapist will review the previous work to assess progress and decide on the next steps.

In other words,

An EMDR session is a carefully guided process that helps you safely confront and reprocess traumatic memories. The structured nature of EMDR, combined with the therapist’s support, creates a safe space for healing. Each session brings you closer to reducing the emotional impact of past trauma, helping you move forward with greater resilience and peace of mind.