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EMDR phases

Phase-guided support for therapist-led work.

BilateralFlow organizes prompts and resources around EMDR’s eight-phase framework while keeping clinical judgment with the therapist.

1

Phase 1: History Taking & Treatment Planning

Understand presenting concerns, readiness, resources, and target sequence.

Therapist task

Gather history, assess stability, identify targets, and plan pacing.

Client experience

Collaborative mapping of themes, triggers, strengths, and treatment focus.

Related worksheet

EMDR Target Map

Related app tool

Phase 1 treatment planning support

2

Phase 2: Preparation

Build readiness, stabilization, resourcing, and informed consent.

Therapist task

Teach regulation, safe/calm place, container, and orientation skills.

Client experience

Practicing grounding and noticing what helps the body feel steadier.

Related worksheet

Safe Place + Container Guide

Related app tool

Preparation prompts and slower BLS presets

3

Phase 3: Assessment

Clarify target components before reprocessing.

Therapist task

Identify target image, NC, PC, VOC, emotions, SUD, and body sensation.

Client experience

Naming what is present while staying within therapist support.

Related worksheet

EMDR Assessment Worksheet

Related app tool

Assessment checklist

4

Phase 4: Desensitization

Support processing of target material with therapist-guided BLS.

Therapist task

Run sets, monitor response, track SUD, and use interweaves when clinically indicated.

Client experience

Noticing images, thoughts, emotions, sensations, and shifts as they arise.

Related worksheet

Processing Log

Related app tool

Minimal prompts and BLS workspace

5

Phase 5: Installation

Strengthen adaptive positive cognition when clinically ready.

Therapist task

Check VOC and support installation of the positive cognition.

Client experience

Noticing how true the positive belief feels now.

Related worksheet

Positive Belief Installation Worksheet

Related app tool

VOC reminder and PC focus

6

Phase 6: Body Scan

Notice residual somatic disturbance or ease.

Therapist task

Guide body scan and respond to remaining activation as appropriate.

Client experience

Scanning the body for tension, shifts, neutrality, or ease.

Related worksheet

Body Scan Map

Related app tool

Body scan prompt panel

7

Phase 7: Closure

Return to stability and orient to the present before session ends.

Therapist task

Support containment, grounding, closure scripts, and between-session plan.

Client experience

Pausing, grounding, and placing unfinished material into containment.

Related worksheet

Closure Reflection Sheet

Related app tool

Closure scripts and grounding tools

8

Phase 8: Reevaluation

Review prior work, current response, and next clinical direction.

Therapist task

Reassess SUD/VOC, new material, improvements, and whether to continue or move on.

Client experience

Reflecting on what changed, what remains, and what came up between sessions.

Related worksheet

Reevaluation Worksheet

Related app tool

Reevaluation prompts

Pair phases with resources.

Download worksheets for preparation, assessment, processing support, closure, and reevaluation.

Explore Resources