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Unpacking Phase 5 of EMDR Therapy: Navigating Installation and Body Scan Techniques

Writer's picture: Olivia SavorOlivia Savor


EMDR therapy phase 5

Eye Movement Desensitization and Reprocessing (EMDR) therapy is a comprehensive approach used to address various psychological issues, particularly trauma-related disorders. One of the critical phases in EMDR therapy is Phase 5, which involves installation and body scan. In this phase, clients develop and reinforce positive beliefs while also ensuring the resolution of any residual disturbance. Let's delve deeper into what Phase 5 entails and how it contributes to the overall healing process in EMDR therapy.

Understanding Phase 5: Phase 5 of EMDR therapy marks a pivotal point in the treatment process. After identifying and processing disturbing memories in the preceding phases, Phase 5 focuses on strengthening adaptive beliefs and sensations. This phase aims to replace negative cognitions associated with traumatic experiences with positive beliefs, promoting psychological resilience and emotional well-being.


Installation:

Installation involves the establishment of positive beliefs or adaptive cognitions that counteract the negative beliefs associated with the traumatic event. Therapists guide clients in identifying and internalizing empowering statements that reflect their innate strengths and capabilities. These positive beliefs serve as a foundation for resilience and self-confidence, enabling clients to navigate life's challenges more effectively.


The installation process typically involves several steps:

  1. Identifying Positive Beliefs: Clients work with their therapists to identify positive beliefs that resonate with them and align with their desired emotional state. These beliefs should be realistic, meaningful, and empowering.

  2. Rating Validity: Clients rate the validity of the positive beliefs on a scale to gauge their level of acceptance and conviction. This step helps therapists assess the readiness for installation and potential barriers to embracing positive cognitions fully.

  3. Bilateral Stimulation: Similar to earlier phases of EMDR therapy, bilateral stimulation techniques such as eye movements, taps, or auditory cues are used to facilitate the installation process. This bilateral stimulation helps integrate the positive beliefs into the client's neural networks, promoting deeper internalization and emotional resonance.


Body Scan:

In addition to installing positive beliefs, Phase 5 involves a body scan to identify and address any remaining somatic sensations or physical discomfort associated with the traumatic memory. Clients are encouraged to notice any residual tension, discomfort, or emotional distress in their bodies while simultaneously focusing on the positive beliefs installed earlier.


The body scan process enables clients to:

  1. Increase Body Awareness: By directing attention to physical sensations, clients develop a heightened awareness of their bodies' responses to traumatic memories. This increased awareness serves as a pathway for processing unresolved emotions and releasing somatic distress.

  2. Promote Integration: Integrating positive beliefs with somatic awareness fosters a sense of coherence and alignment between mind and body. Clients learn to associate positive cognitions with feelings of safety and comfort, counteracting the physiological arousal triggered by traumatic memories.


Phase 5 of EMDR therapy, encompassing installation and body scan, plays a crucial role in consolidating therapeutic gains and promoting holistic healing. By instilling positive beliefs and addressing residual somatic sensations, this phase empowers clients to reclaim agency over their lives and move forward with greater resilience and self-confidence. Through collaboration with skilled therapists and the application of evidence-based techniques, individuals undergoing EMDR therapy can embark on a transformative journey toward healing and recovery from trauma.


Liv Savor, LMHC

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