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The Power of Desensitization and Reprocessing in EMDR Therapy: A Closer Look at Phase Four

Writer's picture: Olivia SavorOlivia Savor

EMDR therapy desensitization and reprocessing

In the journey towards healing from trauma, Eye Movement Desensitization and Reprocessing (EMDR) therapy stands out as a highly effective approach. Developed by Francine Shapiro in the late 1980s, EMDR has evolved into a comprehensive therapy method recognized for its ability to alleviate distress associated with traumatic memories. Central to the EMDR protocol are its eight distinct phases, each serving a unique purpose in guiding individuals towards resolution and emotional healing. In this blog post, we delve into phase four of EMDR therapy – the Desensitization and Reprocessing phase – examining its significance, processes, and outcomes.


Understanding Phase Four:

Phase four of EMDR therapy marks a crucial stage in the treatment process. After establishing a therapeutic relationship, identifying targets, and preparing the client for reprocessing, this phase focuses on desensitizing the distress associated with traumatic memories and facilitating their adaptive resolution. Desensitization involves reducing the emotional charge attached to these memories, allowing individuals to revisit them without experiencing overwhelming emotional distress.


Key Processes in Phase Four:

  1. Dual Attention Stimulus: During desensitization, clients engage in bilateral stimulation, such as following the therapist's hand movements with their eyes or listening to alternating sounds. This bilateral stimulation serves to activate both hemispheres of the brain, facilitating the processing and integration of traumatic memories.

  2. Accessing Traumatic Memories: Clients are guided to access the target memory identified in earlier phases. Through the therapist's support, individuals gradually explore the memory while maintaining a dual focus on the present moment and the past experience.

  3. Processing: As clients recall the traumatic memory, they notice associated thoughts, emotions, and bodily sensations. Through bilateral stimulation, these elements are reprocessed, allowing for new insights, perspectives, and meanings to emerge.

  4. Installation of Positive Beliefs: Alongside reprocessing traumatic memories, phase four involves installing positive beliefs that counter the negative cognitions associated with the trauma. Clients cultivate self-compassion, resilience, and empowerment, fostering a sense of safety and control.

Outcomes and Benefits:

  1. Reduced Distress: Through desensitization, clients experience a significant reduction in the emotional distress connected to traumatic memories. What once triggered intense fear, anxiety, or sadness becomes more manageable and less overwhelming.

  2. Integration and Resolution: Phase four facilitates the integration of fragmented aspects of traumatic memories, allowing for a coherent narrative to emerge. Clients gain a deeper understanding of their experiences and can make meaning out of their past traumas.

  3. Empowerment: As clients reprocess traumatic memories and install positive beliefs, they develop a greater sense of agency and empowerment. They recognize their ability to cope with challenges and navigate future stressors effectively.

Phase four of EMDR therapy, the Desensitization and Reprocessing phase, plays a pivotal role in the healing journey of individuals recovering from trauma. Through targeted processes such as desensitization, reprocessing, and the installation of positive beliefs, clients experience profound transformations, moving from a state of distress towards integration and resolution. By harnessing the innate capacity for adaptive processing, EMDR empowers individuals to reclaim agency over their narratives and embark on a path towards healing and wholeness.


Liv Savor, LMHC

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