What Does a Therapist Do During EMDR Sessions?
The Healing of a Different Kind Starts Here
If you’ve ever found yourself caught in a loop of anxiety, flashbacks, or emotional overwhelm from past trauma, you’re not alone. A lot of people do traditional talk therapy and find it doesn’t do enough to help them heal. That is why EMDR therapy — Eye Movement Desensitization and Reprocessing — has become popular. It is more than just talking; it is an act that directly targets the brain’s memory-processing mechanisms. But how exactly does it work? And what exactly is an EMDR therapist specialist, and how do they assist others in recovery? In this guide, we'll take you behind the scenes of EMDR, sharing precisely what a trained EMDR therapist does and why your therapist must guide you every step.
The EMDR and Its Phases: 8 Steps with a Guide by the Therapist
EMDR is not free-form. It is based on a highly structured, evidence-informed model of eight distinct stages. Each phase is guided by a trained and, whenever possible, certified professional therapist who customizes the process around your trauma, needs, and goals. This structured approach ensures a clear path to healing, providing you with reassurance and confidence in the process. Let’s go through each part to see what the therapist is doing.
Phase 1: Case History and Treatment Plan
What the Therapist Does:
- Once we meet, I will do a comprehensive psychosocial and history intake.
- Detoxifies/De-charges significant traumatic experiences or negative beliefs
- Tailors care to meet your specific needs.
The EMDR therapist aims to understand not only your trauma history but also current triggers, emotional struggles, and life patterns. They’re asking questions like: What incidents continue to bother you? What do you think about yourself as a result of them? This material is a guide to the reprocessing work that lies ahead.
Stage 2: Ready and Building Protection
What the Therapist Does:
- How does EMDR therapy work?
- Develops trust and a secure therapeutic relationship
- Teaches you to use a relaxation technique (like deep breathing, visualization)
- Aids you in the formation of a “safe place” you can visit if sessions become too heated emotionally
An experienced EMDR therapist understands that emotional safety takes priority. They “rehearse” you emotionally and mentally, ensuring you are prepared to handle any upset during the memory work. They also set up explicit modes of communication — hand signals for pause, for example — so you stay in charge throughout.
Phase 3: Target Memory Evaluation
What the Therapist Does:
- Selects the memory to focus on in the session
- And looking into the emotions, beliefs, and bodily sensations connected.
- Aids you in grading your distress (SUD), as well as the intensity of the belief (VOC)
Together, the therapist and you identify a target memory — a particular event that gives rise to emotional distress. Together you ring it out, identifying the negative belief (for example, “I am powerless”) and one you want to believe instead (like “I am in control now”). The therapist then works with you to rate your levels of belief and distress to measure your progress.
Step 4: Desensitization Using Bilateral Stimulation
What the Therapist Does:
- Commences bi-lateral stimulation (BLS), such as with eye movements, tapping, or auditory cues
- Monitors your reaction to a memory
- Lead one to allow and let thoughts, images, and feelings come up, without censorship.
- Modifies BLS pacing and approach as indicated
This is the essence of EMDR. Your EMDR therapist will guide you in connecting your hand positions for bilateral stimulation, as shown above, while also noticing yourself at a brief distance when you have “the” memory. As you move, your brain starts to reprocess your experience — to play it back, so it’s not in a “stuck” state of feeling but a state of resolution. Between sets of BLS, the therapist checks in, so you can track your progress and stay grounded.
Stage 5: The Installation of Positive Beliefs
What the Therapist Does:
- Assists in refocusing on the new positive belief you want to hold
- Leverages BLS to reinforce this belief related to the original memory.
- Observes the believability of the new thought
Even after the distress around a memory diminishes, the therapist helps you install a new belief. So, if you remembered “I’m not safe,” the goal might be to help you come to believe that, in fact, “I am safe now.” The therapist employs additional BLS to reinforce this belief neurologically.
Phase 6: Body Scan
What the Therapist Does:
- Assists your awareness of any residual tension or aches in your body
- Addresses residual pain with more BLS as required
Even if your memory and belief feel cared for, your body still holds on to tension. The EMDR therapist clinician encourages a mindful check-in. If any sensation remains (e.g., tightness in the chest or clenching of the jaw), they may return to previous phases to maximize processing.
Phase 7: Closure
What the Therapist Does:
- Read your emotions before leaving the room
- Guides you through grounding techniques to help bring you back down to earth
- Aids in returning to calm, even if complete processing isn’t done
Each EMDR session concludes with closure. The therapist should keep you regulated, not raw or emotionally flooded. You can also try in-session visualization, relaxation techniques, or journaling exercises. The therapist may assign you a small task or reflection to work on before your next session. This guidance and support from your therapist will make you feel less alone and more supported in your healing journey.
Phase 8: Reevaluation
What the Therapist Does:
- Starts the next session by reviewing the previously worked material
- Tests whether new memories or emotions have emerged
- Determine with you whether to continue, revisit, and/or switch gears.
The third phase cements for lifelong integration. The therapist reevaluates the fear response to the original memory and the intensity of the new belief. They’ll help you see your layers as they emerge.
Why the Role of an EMDR Therapist Professional is Critical
Trauma Work Is Not DIY
And if you are thinking about processing the trauma on your own, remember that doing so can retraumatize or destabilize you. EMDR therapists are trained to notice when their clients seem to be dissociating, or when they become emotionally flooded, or when they get into a block — and to intervene in the most delicate of ways. Trauma work is not a DIY project. It's a complex and delicate process that requires the guidance of a professional EMDR therapist.
They Help Wire Your Brain While It’s Remapped
Consider a therapist EMDR provider like a trail guide. They are not the ones walking your path, but they know the way and, with effort, can shepherd you through safely. Without them, you might take a wrong turn or get stuck in emotional loops.
They Track Your Healing
A good EMDR therapist will use those measures and what’s happening in their clinical observations to ensure there’s actual progress, not just a feeling, being witnessed. This data-driven method helps you work with your therapist to assess and track outcomes over time.
Who Is EMDR Therapy Good For?
EMDR therapy may be helpful if you’ve been exposed to:
- PTSD or complex trauma
- Attacks of panic or chronic anxiety
- Grief and loss
- Emotional neglect or abuse
- Aversion or addiction
- Painful medical or trauma memories
How I Found an EMDR Therapist OR EMDR Provider
Look for therapists who:
- Are you licensed in your state or country
- Have finished EMDRIA-approved training.
- Have you treated this kind of condition before
- Provide a safe, nonjudgmental place.
Organizations, including EMDRIA, maintain directories you can use as a starting point. Interview potential therapists, and don’t hesitate to ask questions about anything you've noticed.
Final note: When it comes to healing, we all need an escort
EMDR therapy is not just a technique; it is a healing adventure. And like any good journey, it requires an informed and compassionate guide. An experienced EMDR therapist does much more than just the eye movements. They create trust, provide safety, track progress, and help you rewrite the internal scripts left behind by trauma. With their assistance, whatever has traumatized you can become a stepping stone to resilience, self-trust, and peace that lasts.
Would you be ready to begin? Finding the right EMDR therapist might be the first step toward real healing. Follow the guidelines above to find a good one, and then you can return to a peaceful state.