In EMDR the client has control:
In Eye Movement Desensitization and Reprocessing (EMDR), the therapeutic process is structured to provide the client with a significant degree of control. EMDR is a psychotherapeutic approach that was originally developed to help individuals process distressing memories and experiences, particularly those associated with trauma.
Here’s how client control is typically emphasized in EMDR:
Client-Centered Approach: EMDR is based on a client-centered therapeutic approach. The therapist works collaboratively with the client to identify target memories or experiences that are causing distress. The client is actively involved in the therapeutic process, providing information and feedback.
Dual Attention Stimulus: The core component of EMDR involves the use of bilateral stimulation, such as side-to-side eye movements, auditory tones, or tapping. During this phase, clients are encouraged to allow their minds to wander and notice whatever thoughts, feelings, or images arise. The therapist doesn’t direct the content but facilitates the client’s natural processing.
Stop and Start: Clients are given the ability to stop the bilateral stimulation at any time during the process. If the client becomes overwhelmed or needs a break, they have the autonomy to pause the EMDR session. This empowers clients to manage their own pace and comfort level.
Subjective Units of Disturbance (SUD) Scale: Clients use a subjective rating scale, often referred to as the SUD scale, to assess the level of distress associated with a specific memory or experience before and after processing. This scale provides a quantitative measure, allowing clients to gauge their own progress.
Feedback and Processing: Throughout the EMDR process, therapists regularly check in with clients to gather feedback on their experiences. This ongoing dialogue helps tailor the therapy to the individual’s needs and ensures that the client feels in control of the therapeutic process.
It’s important to note that while clients have control during EMDR, the therapy is typically conducted by trained mental health professionals who guide and support the process. The therapist’s role is to facilitate the client’s natural adaptive processing and help create a safe and supportive environment.
Shervan K Shahhian