The first stage of EMDR therapy involves assessment of the current problems, and what the client wants to work on. Sources of support and techniques to stay grounded and manage difficult symptoms are also explored and practiced.
A plan is made collaboratively, taking into account past experiences, how their effects are manifesting in the present, and the client’s hopes for the future. Techniques the client can use to stay well in the here and now are also explored and strengthened before embarking on processing. Once the client feels ready, EMDR processing can begin.
The process involves the client bringing a target memory to mind, and the therapist supporting them to make side-to-side movements with their eyes, arms or via tracking sounds or tactile stimulation.
It is thought that these side-to-side movements help the mind to shift into a mode where it is able to process unpleasant memories, taking away their power. This does not mean that the memories are gone, but the client’s relationship with them shifts to a more manageable, healthy one.
Some people describe it as shifting from having a traumatic, vivid and visceral memory to simply “something that happened”. They might also find that their physical symptoms, such as pain or tension, improve.
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