Standard EMDR processes:

Standard EMDR processes:

EMDR, or Eye Movement Desensitization and Reprocessing, is a psychotherapy approach developed by Francine Shapiro to help people process distressing memories. It’s particularly effective for individuals who have experienced trauma. The standard EMDR protocol involves the following phases:

History-taking and Treatment Planning:

  • The therapist gathers information about the client’s history and identifies target memories or events to be processed.
  • Treatment goals and a plan are discussed.

Preparation:

  • The therapist explains the EMDR process and helps the client develop coping mechanisms and relaxation techniques.
  • Establishing trust and rapport is crucial during this phase.

Assessment:

  • The target memory or event is identified, and the client is asked to recall the distressing image, negative self-belief, and related emotions and body sensations.
  • The client rates the subjective level of distress associated with the memory.

Desensitization:

  • The client focuses on the target memory while simultaneously engaging in bilateral stimulation, typically through side-to-side eye movements guided by the therapist.
  • Sets of eye movements are repeated until the distress associated with the memory decreases.

Installation:

  • Positive beliefs and emotions are targeted to replace the negative ones associated with the memory.
  • The client is guided to focus on a positive cognition while engaging in bilateral stimulation.

Body Scan:

  • The client is guided to notice any residual tension or discomfort in the body related to the memory.
  • Bilateral stimulation is used to help process any remaining distress.

Closure:

  • The therapist ensures that the client is in a stable state before ending the session.
  • The client is provided with tools for self-regulation between sessions.

Reevaluation:

  • At the beginning of each session, the therapist checks for any new material or associations related to the target memory.
  • If necessary, additional processing is done.

It’s important to note that while the standard EMDR protocol includes these phases, the approach is flexible and can be adapted based on the individual’s needs and circumstances. EMDR should be conducted by a trained and licensed mental health professional.

Shervan K Shahhian

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