Understanding The 8 EDMR Phases: A Path to Healing Trauma

Written by Davida Taurek, LPCC

 
2 peoples faced pressed together, eyes next to each other, EDMR
 

At Courageous Counseling Center, we believe that healing from trauma is a journey, and one tool we offer is EMDR or Eye Movement Desensitization and Reprocessing. This process involves 8 phases all of which helps the brain reprocess memories, reducing their emotional intensity and promoting healing. The 8 Phases of EMDR provide a structured yet flexible approach to overcoming the emotional weight of these traumatic memories. EMDR is grounded in the idea that traumatic experiences can disrupt the brain's ability to process and integrate memories. In this blog, we will break down each of the 8 Phases of EMDR to give you a deeper understanding of how this transformative therapy works.

Phase 1: History Taking and Treatment Planning

The first phase is the history-taking and treatment planning phase. This is where the therapist and client work together to establish a comprehensive understanding of the client’s personal history, including traumatic experiences and current emotional struggles. During this phase, we identify specific target memories that will be the focus of the EMDR treatment. It’s a collaborative process where we discuss the client’s goals for therapy, and the therapist begins to form a plan for treatment based on the client’s unique needs. This phase is essential for setting the foundation of the therapy, ensuring that it is personalized and goal-oriented.

Phase 2: Preparation

The Preparation phase is designed to ensure that the client feels safe and ready to begin the EMDR process. During this phase, the therapist educates the client about what to expect from the therapy and introduces strategies for managing emotional distress that may arise during sessions. Grounding techniques, such as deep breathing and mindfulness, are introduced to help clients feel in control of their emotional state. This phase is about building trust and ensuring that the client feels emotionally equipped to navigate the therapeutic process, creating a sense of safety before diving into the deeper work of trauma processing.

Phase 3: Assessment

The Assessment phase focuses on identifying the specific traumatic memories that will be processed during EMDR. In this phase, the therapist and client work together to select one or more memories that will serve as the focus of the therapy. We assess the emotional charge attached to the memory, the negative beliefs the client holds about themselves, and the positive beliefs they would like to replace them with. For example, a client may hold a negative belief such as "I am not safe," and the goal would be to replace that with a positive belief such as, "I am safe and in control." The Assessment phase ensures that the therapy is focused and targeted, providing a clear path for healing.

Phase 4: Desensitization

The Desensitization phase is the heart of EMDR therapy. During this phase, the client focuses on the traumatic memory while engaging in bilateral stimulation, typically through eye movements, taps, or sounds. The purpose of bilateral stimulation is to help the brain reprocess the memory, reducing its emotional intensity. As the client recalls the traumatic memory, they may experience shifts in their emotional responses, and the memory’s distressing impact diminishes over time. This phase allows clients to reframe their memories, leading to reduced emotional charge and a healthier perspective on their past experiences.

Phase 5: Installation

Once the emotional charge surrounding the traumatic memory has been reduced, the Installation phase focuses on strengthening the positive beliefs that the client wants to adopt. The goal is to replace negative beliefs, such as "I am unworthy" or "I am powerless," with empowering beliefs like "I am worthy of love and respect" or "I am in control of my life." During this phase, the therapist uses bilateral stimulation to reinforce these positive beliefs, allowing the client to internalize them and integrate them into their sense of self.

Phase 6: Body Scan

The Body Scan phase involves helping clients become more aware of any physical tension or discomfort that may still be associated with the traumatic memory. Trauma is often stored in the body. Manifesting as tension, pain, or other physical sensations. During this phase, the client mentally scans their body to identify any areas of discomfort. The therapist then helps the client release any remaining tension or distress, ensuring that the trauma is processed on both an emotional and physical level. This phase is crucial for achieving complete healing, as it ensures that the body is free of the residual effects of trauma.

Phase 7: Closure

At the end of each session, the Closure phase helps the client return to a state of equilibrium. Whether the traumatic memory has been fully processed or not, the therapist ensures that the client feels stable and grounded before leaving the session. The therapist may review any emotional shifts that occurred during the session and reinforce grounding techniques to maintain emotional balance. The Closure phase provides a sense of completion for the session, allowing the client to leave feeling safe and confident in their ability to continue their healing journey.

Phase 8: Reevaluation

The Reevaluation phase occurs at the beginning of each new session. During this phase, the therapist and client assess the progress made in previous sessions. We revisit the memories that have been processed to ensure that the emotional charge has been fully resolved. If any remaining distress is identified, we work to process it further. This phase also provides an opportunity to explore any new memories or issues that may have arisen in the client’s emotional landscape. The Reevaluation phase ensures that the healing process continues to move forward and that the client is achieving lasting results.

Is EMDR right for you?

The 8 Phases of EMDR provide a structured and effective framework for healing from trauma, guiding clients through each step with care and precision. This therapeutic approach not only helps individuals process painful memories but also empowers them to shift negative beliefs and reclaim control over their emotional lives. At Courageous Counseling Center, we are dedicated to supporting you on your journey toward healing, providing a safe and nurturing space to explore and overcome past traumas. If you’re ready to begin the process of transformation, we invite you to reach out to our team and discover how EMDR can help you move forward with greater peace, resilience, and emotional strength. Together, we can unlock your path to healing.

 

Cybil Gilbertson, LMFT

Accepting new California clients via Telehealth or in-person at our Santa Barbara office

 
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