EMDR (Eye Movement Desensitization & Reprocessing) is the #1 treatment for trauma and traumatic stress.
As an EMDR therapist, it's important to know how to use each of the 8 phases of EMDR correctly for the resolution of traumatic memories.
So what do you do when you have 5 minutes left in your session but your target isn't clear?
How to End Your Session if the Target is Incomplete
When a session is incomplete, I always like to make sure there's enough time at the end of the session to ground a client. So we're not releasing them back into the world feelings hyper-aroused or activated.
This is where you can use some of your resources, including:
The Calm Place
These are some effective examples of how to end a session so that your client is feeling calm at the end of the session.
Why is stabilization at the end of an EMDR Session important?
If grounding is not done at the end of the session, the client may leave the office feeling that the EMDR process is not safe, so we want our clients to have faith in the process and faith in us to help them maintain stabilization in between sessions.
I always end sessions by saying, “as you know, once we start the eye movements or the bilateral (BLS), reprocessing can continue once you leave my office or the Telehealth session since so many of us are on computers right now."
It is also helpful for client's to log their progress in between sessions. This helps promote their awareness to any reprocessing that continues in between sessions.
A copy of the log I use with clients can be found in my free EMDR Handbook.
How to Begin the Next Session with an Incomplete EMDR Target
When beginning your next EMDR Phase 4 session, you always begin with Re-Evaluation.
I know EMDR is an eight phase model, but the eight phases does not mean we go exactly in that order. Re-evaluation is Phase eight, but it's also done at the beginning of
every session when you're in Phase 4.
During re-evaluation, you will first start with the global assessment. You'll ask them questions, such as:
what in your life is different right now?
Do you have any new insights?
How are your symptoms?
Is your anxiety different?
Is your depression different?
Any flashbacks or dreams?
The global questions are more about their level of functioning rather than information specific to the target memory.
Then you'll move to questions that are specific to the target memory that you have been working on. You may ask questions such as:
So related to the target (memory) that we're working on, do you have any different insights about that?
Do you have any different emotions when you think about that memory?