EMDR Therapy: The Importance of Comprehensive Preparation

One common challenge that new EMDR therapists often face is developing a thorough case conceptualization and treatment plan for their clients. It's easy to get excited about starting the "eye movements," but it's important to remember that the eye movement component is just one part of EMDR therapy, not the entirety of it. Effective EMDR therapy involves much more than just eye movements; it's about understanding what is currently affecting the client, identifying their goals, and recognizing the negative beliefs that are impacting them now. From there, you can identify the target memories and then  address these presenting issues.

Even though EMDR is a structured protocol with eight phases within the Three-Pronged Approach, these phases are not strictly linear, especially at the beginning of treatment. Phases 1 (History Taking and Treatment Planning) and 2 (Preparation) are foundational for all the work you will do with the client. These phases should not be rushed because a lack of proper case conceptualization, target sequence planning, or client preparation can make Phases 3 through 6 more challenging and potentially painful for the client, as well as more difficult for you as a therapist.

When preparing your client for EMDR therapy, consider the following key points:

1. Comprehensive preparation and conceptualization are essential before moving on to the reprocessing phases of EMDR.

2. Take the time to fully understand the client's current issues, negative beliefs, and past memories that are affecting them in the present.

3. Identify the client’s internal and external resources, and work on developing their emotional regulation skills and distress tolerance.

4. Ensure that the client has a strong "container" or a "safe place" to return to if they feel overwhelmed during reprocessing.

5. Be flexible and creative with preparation techniques, incorporating movement, music, visual arts, or other expressive modalities that resonate with the client.

6. Don’t rush into reprocessing if the client isn't ready. Prioritize stabilization and building a strong therapeutic relationship.

7. Remember that ongoing preparation and resource-building might be necessary, even as you progress through the EMDR protocol.

The key takeaway is not to underestimate the importance of the preparation phase. Establishing a solid foundation in this phase will help ensure that the client can safely and effectively engage in the reprocessing work of EMDR therapy.  If you are new to EMDR therapy or struggling with how to prepare your clients for the reprocessing phase, I am available for group and individual consultations. As an EMDRIA-approved trainer and consultant, I can help you tailor Phase 2 of EMDR to meet your client's specific needs. Please feel free to contact me at [email protected] for more information.