The Heart of EMDR: Understanding Phases 3 and 4

During Phase 3 of Eye Movement Desensitization and Reprocessing (EMDR) therapy, the groundwork is set for reprocessing and desensitization. The client and therapist assess the components of targeted memories. The components are the specific images, thoughts, emotions, and body sensations that are connected with a memory. This comprehensive assessment utilizes the Subjective Units of Disturbance (SUD) scale and the Validity of Cognition (VoC) scale. Phase 3 facilitates a greater understanding the root of trauma and provides a roadmap for subsequent phases.

Once Phase 3 is completed, the therapist guides the client into Phase 4, where the structured protocol integrates bilateral stimulation with reprocessing and desensitizing the targeted memories. Phase 4 then facilitates the formation of more adaptive beliefs. I call this the "Aha" moment of the EMDR process - or the "lightbulb" moment! Desensitization is the process that takes the charge out of the memory - I often use the example that before desensitization, the memory is like touching a hot burner on a stove. After desensitization, the burner is no longer hot - it is still there, it just doesn't burn anymore. 

Together, Phase 3 and Phase 4 continue the client's transformative journey from distress to empowerment, fostering Post Traumatic Growth (PTG) and healing.

If you'd like more information about EMDR therapy, feel free to reach out to me at jfosterlpc@protonmail.com.

All articles are for informational purposes only.  Always consult with a licensed mental health professional before choosing any therapy modality.