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What Does an EMDR Session
Look Like?
First, the client
and the therapist work together to collect basic information about the
traumatic experience. The most disturbing part of the incident is identified
and becomes the processing target. Example: image of rapist's face.
Next the negative belief connected to the trauma is identified. Example:
"I'm dirty, I'm ruined for life." Next a positive, preferred belief
is named. Example: "I'm safe now, it's over, I can move on with my life."
Next, the client is asked to rate (on a scale of 1-7) how true the positive
belief feels when paired with the target image. Usually, the number
is very low, the positive belief does not feel very true at this point.
Client is then asked to name the feelings, emotions that the target
memory elicits, and to rate the associated distress level (on a scale
of 0-10). Example: Target memory of being raped elicits fear and shame
with a distress level of 9. Client is then asked to name where this
target memory is experienced in the body. Example: solar plexus. This
completes the information gathering portion of the session. The therapist
has a worksheet that she follows in order to gather this information,
exactly as stated above.
The next part
of the session focuses on the desensitization process . The
client is asked to hold the image of the target memory, the negative
belief and the body area in their awareness. While the client is doing
that, the therapist guides the client's eyes to move rapidly back and
forth, by following the therapists' fingers. (This is also called "bilateral
stimulation") This movement is done in sets. Sets may last from a few
seconds to a minute or so. During each set the client is instructed
to "just notice whatever comes up, without controlling the experience
in any way. After a few sets clients usually report a significant decrease
in distress level, as though the memory is fading away, or no longer
has an emotional charge. The target memory is completely processed when
recall of the image no longer brings up disturbing emotions and the
client reports a zero on the distress scale.
At this point,
the client and therapist move onto the installation phase ,
this is the point where the new, positive belief is installed into the
neural pathways, using bilateral stimulation. When the client reports
a 7 the scale measuring the truth of the new positive belief, the session
is complete.
Contributed by Beth Burton
Krahn, MA, RCC
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