The 8 Stages of EMDR Therapy: What to Expect in a Virtual Setting
Eye Movement Desensitization and Reprocessing (EMDR) therapy is a transformative approach to healing trauma and addressing emotional distress. For many clients, the idea of EMDR can feel daunting, especially in a virtual setting. This blog post will walk you through the 8 stages of EMDR therapy, explain how it works virtually using bilateralstimulation.io, and provide guidance to help you feel confident and prepared.
What is EMDR Therapy?
EMDR helps people process traumatic memories and disturbing life events in a way that reduces their emotional charge. It uses bilateral stimulation (eye movements, tapping, or audio cues) to facilitate the brain’s natural healing process. EMDR is particularly effective because it engages both sides of the brain, helping clients reprocess difficult memories in a safe and controlled environment.
Stage 1: History Taking
During this stage, your therapist will gather information about your history, symptoms, and therapy goals. This phase ensures a tailored treatment plan focused on your needs.
In a virtual setting, this conversation happens securely online. You’ll discuss your past experiences and identify specific memories or events to process in later stages. Remember, there are no wrong answers—this is a judgment-free space.
Stage 2: Preparation
Your therapist will explain the EMDR process and introduce you to bilateral stimulation tools like bilateralstimulation.io, which use moving visual cues or audio signals.
This stage also involves learning grounding techniques to help you stay present during sessions. Connecting with your body is key—your therapist may guide you through breathing exercises or visualization practices to create a sense of safety.
Stage 3: Assessment
Here, you’ll identify the target memory (the traumatic or distressing event you want to work on) and explore its related components:
Image: The worst part of the memory.
Negative Cognition: A belief about yourself tied to the memory (e.g., "I am not good enough," "I am unsafe").
Emotions: How the memory makes you feel now.
Body Sensations: Physical responses (e.g., tightness in your chest, butterflies in your stomach).
You’ll also identify a positive cognition you’d like to associate with the memory, such as "I am safe now."
Stage 4: Desensitization
This is the heart of EMDR therapy, where bilateral stimulation is used to help you reprocess the target memory. Your therapist might say, “Go with that,” encouraging you to notice and follow whatever comes up—thoughts, emotions, or sensations.
There are no wrong responses in EMDR. Whether you feel a strong emotion, experience a physical sensation, or have a new thought, it’s all part of the process.
Processing often takes more than one session for a single event, so it’s okay if everything doesn’t resolve immediately.
Stage 5: Installation
In this stage, your therapist will help you strengthen the positive cognition you identified earlier. For instance, if you chose "I am worthy," your therapist will guide you to deeply connect with this belief while using bilateral stimulation.
The goal is to replace the old, negative cognition with a positive one that feels true and empowering.
Stage 6: Body Scan
After processing, you’ll check in with your body to see if any lingering tension or discomfort remains. Your therapist may ask you to scan your body from head to toe, noticing any sensations.
If residual discomfort is present, additional processing may occur.
This step helps ensure that both your mind and body feel at ease regarding the memory.
Stage 7: Closure
Each session concludes with grounding techniques to ensure you leave feeling safe and stable. Your therapist might guide you through relaxation exercises or encourage journaling between sessions to capture insights or emotions that arise.
Stage 8: Reevaluation
At the start of your next session, your therapist will review your progress and discuss what has shifted since the last session. It’s common for new memories or emotions to surface between sessions. This is part of the healing process, and your therapist will support you as you navigate these changes.
What to Expect in a Virtual EMDR Session
Using tools like bilateralstimulation.io, your therapist will guide you through the process with ease. The platform offers visual and auditory cues that simulate in-person bilateral stimulation techniques, ensuring an effective virtual experience.
Here are some tips for a successful virtual session:
Create a Comfortable Space: Choose a quiet, private area where you feel safe.
Use Headphones: This can help you fully engage with auditory bilateral stimulation.
Stay Present: Your therapist will remind you to check in with your body and emotions throughout the session.
Common Negative Cognitions
Many clients identify with negative beliefs tied to trauma. Common examples include:
"I am not enough."
"I am powerless."
"I am unsafe."
"I can’t trust myself."
These beliefs are not truths—they are distortions created by trauma. EMDR helps to transform these into positive, affirming beliefs like "I am enough" or "I am safe."
What Happens Between Sessions
EMDR can stir up emotions or memories between sessions. Journaling, mindfulness, and self-care are important tools during this time. Communicate any significant changes or insights with your therapist at the next session.
Final Thoughts
EMDR therapy is a powerful tool for healing, whether in-person or virtual. By understanding the 8 stages of EMDR, you can approach your sessions with confidence, knowing there are no wrong answers and that your therapist is there to guide you every step of the way.
If you’re ready to start your healing journey, visit our contact page or schedule an appointment today!