EMDR Basics: A Refresher

A clear introduction to EMDR for clinicians looking to understand how it works and how it’s used in practice.

1. What is EMDR?

EMDR (Eye Movement Desensitization and Reprocessing) is a structured psychotherapy approach used to help clients process distressing memories and reduce their emotional impact. EMDR combines attention to distressing memories with bilateral stimulation within a structured therapy. Its mechanisms remain under study.

EMDR is a recommended treatment for PTSD. Evidence for other conditions varies and should be evaluated separately.


2. The 8 Phases of EMDR Therapy

1. History Taking

Gather the client’s history and plan for treatment.

2. Preparation

Build resources and skills to help the client feel safe and ready.

3. Assessment

Identify the target memory and related negative beliefs.

4. Desensitization

Attend to the target memory during clinician-guided sets of bilateral stimulation.

5. Installation

Strengthen an adaptive belief associated with the target memory.

6. Body Scan

Check the body for any remaining tension or distress.

7. Closure

Support present orientation and plan for the period between sessions.

8. Reevaluation

Review progress and determine next steps in treatment.


3. What EMDR looks like in session.

EMDR sessions are collaborative and client-centered. After identifying a target, the clinician guides the client through sets of bilateral stimulation-while the client notices what comes up. Distress typically reduces as the memory is reprocessed and new insights emerge. Closure includes attention to the client’s state and a plan for the period between sessions.

Therapist taking notes while speaking with a client during a counseling session.

4. Common Misconceptions

EMDR is not just eye movements

Bilateral stimulation is one component of a structured, eight-phase therapy – not the treatment itself.

EMDR is not hypnosis.

EMDR is not trance work. Clients stay engaged with the therapist and can pause or stop the process.

EMDR is structured, not random.

Every session sits inside a treatment plan: assessment, preparation, carefully chosen targets, and monitored processing.

EMDR doesn’t require detailed retelling of trauma.

Clients do not have to narrate every detail of a traumatic experience for EMDR to proceed; the work still happens inside a structured clinical process.


5. Next Steps

Explore EMDR in Practice

Learn how EMDR is applied across clinical settings.

Read the Research

Discover the evidence behind EMDR’s effectiveness.

Build Confidence

Structured consultation helps you grow your skills and clarity.

Ready to apply these insights with confidence?

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Curated by Timothy Vermillion, DSW, LCSW, BCD

 Clinical insights, research updates, and consultation perspectives for EMDR therapists committed to doing the work well.

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