Phase

Purpose

Procedure

Medical history collection

Obtain background information;

Identify suitability for EMDR treatment;

Identify reprocessing targets from events in the patient’s life according to standardized three-pronged protocol

Standard medical history-questionnaires and diagnostic psychometrics;

Review of selection criteria;

Questions and techniques to identify : 1) past events that have laid the foundations for the pathology; 2) current triggers; and 3) future needs

Preparation

Prepare suitable patients for EMDR reprocessing of targets

Education based on the symptom profile;

Metaphors and techniques to foster stabilization and a sense of personal control

Assessment

Access the target for EMDR reprocessing by stimulating primary aspects of the memory

Elicit body image, negative beliefs currently held, desired positive belief, current emotions, physical sensations and baseline measures

Desensitization

Reprocess experiences toward an adaptive resolution (no distress)

Standardized protocols incorporating eye movements (taps or tones) that allow the spontaneous emergence of insights, emotions, physical sensations, and other memories

Installation

Improve connections to positive cognitive networks

Enhance the validity of the desired positive belief and fully integrate the positive effects within the memory network

Body scan

Complete reprocessing of any residual disturbance associated with the target

Concentration on and reprocessing of any residual physical sensation

Closure

Ensure patient stability on completion of an EMDR session and between sessions

Use of guided imagery or self-control techniques if needed;

Briefing on expectations and behavioral reports between sessions

Reassessment

Ensure maintenance of therapeutic outcomes and patient stability

Evaluation of treatment effects;

Evaluation of integration within broader social system