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What to Expect During Your First EMDR Session

  • June 9, 2026 Published:
  • Emma Written By
  • Meg Zarnick, MSW Medical Reviewer:
  • 5:53 pm Posted Time:

Beginning Eye Movement Desensitization and Reprocessing (EMDR) therapy can feel like a big step, especially if you’re unsure about what the process entails. EMDR is an evidence-based therapy designed to help individuals heal from trauma, anxiety, PTSD, and other emotional challenges. Unlike traditional talk therapy, EMDR focuses on reprocessing troubling memories or negative beliefs that may affect your current emotions or behaviors.

At Excel Behavioral Health, we want you to feel fully prepared and supported as you begin your healing journey. Here’s a closer look at what you can expect during your first EMDR session and how the process helps you work through unresolved emotional pain.

What Is EMDR Therapy?

EMDR therapy is a specialized treatment that helps individuals process traumatic or distressing memories. These memories, which may feel unresolved or “stuck,” can trigger emotional and physical stress long after the event has passed. EMDR works by using bilateral stimulation—such as guided eye movements, tapping, or auditory tones—to help the brain reprocess these memories.

The ultimate goal of EMDR is to reduce the emotional impact of trauma and create healthier beliefs and behaviors. It’s especially effective for treating PTSD, anxiety disorders, phobias, and other trauma-related conditions.

Before Your First EMDR Session in NJ

Before you begin EMDR therapy, you’ll likely have an initial consultation with your therapist to discuss your background, symptoms, and treatment goals. At Excel Behavioral Health, this consultation helps us create a customized therapy plan tailored to your unique needs.

Assessment and Treatment Planning

Your therapist will gather information about your history, including any traumatic events, significant life experiences, or patterns of distress you’ve noticed. This assessment not only helps identify the root of the issue but also guides the creation of a structured plan for your EMDR sessions.

Building Trust and Safety

Feeling emotionally safe is essential for effective EMDR therapy. Your therapist will establish a comfortable, judgment-free environment and introduce you to relaxation techniques you can use during and outside of sessions to remain calm and grounded.

Step-by-Step: Your First EMDR Session

Your first EMDR session is usually focused on preparation, education, and setting the stage for successful therapy. Here’s what you can expect:

1. Discussing the Process

The session typically begins with your therapist explaining how EMDR works. They’ll walk you through the eight-phase EMDR model, which includes preparation, assessment, desensitization, and reprocessing. You’ll learn why bilateral stimulation is used and how it helps reduce emotional distress tied to specific memories.

2. Identifying a Target Memory

Your therapist will work with you to identify a specific memory, belief, or sensation that will serve as the focus of your session. If you’re unsure where to begin, they may guide you through the process by exploring emotional triggers or recurring thought patterns.

For example, you might choose to focus on a traumatic event that regularly causes distress, a moment of humiliation, or even a vague sense of fear or discomfort.

3. Establishing a Baseline

Once a target memory is selected, your therapist will ask you to rate its emotional intensity on the Subjective Units of Distress Scale (SUDS), which ranges from 0 (no distress) to 10 (extreme distress). This helps both you and your therapist track your progress during and after the session.

4. Introducing Bilateral Stimulation

Your therapist will introduce bilateral stimulation, the core technique used in EMDR therapy. This may involve:

  • Moving your eyes back and forth as you follow the therapist’s hand or a light.
  • Listening to alternating auditory tones through headphones.
  • Feeling gentle taps on your hands or shoulders.

During this process, you’ll focus on the identified memory or belief while allowing thoughts, emotions, and sensations to naturally arise.

5. Free Association and Reprocessing

As you engage in bilateral stimulation, your therapist will encourage you to share any thoughts, memories, or feelings that come up without judgment or overthinking. The idea is to let your mind process the memory organically, helping you shift its emotional impact.

This process may feel intense at times, but your therapist will guide you through it at a pace that feels manageable. The goal is to reduce the distress you associate with the memory while fostering more adaptive and constructive beliefs.

6. Grounding and Closure

At the end of the session, your therapist will ensure you feel calm and emotionally balanced. You’ll practice grounding exercises together, such as deep breathing or mindfulness techniques, to refocus on the present moment.

You might also discuss positive affirmations or coping tools to reinforce the progress made during the session.

What You Might Feel After Your First Session

It’s normal to experience a range of emotions after your first EMDR session. You might feel a sense of relief, empowerment, or exhaustion as your mind begins to process and release the identified memory.

At times, you may notice additional thoughts or emotions surfacing between sessions. This is a natural part of the healing process. Be sure to share any new developments with your therapist at your next session, as they can guide future treatments.

How EMDR Therapy Supports Healing

EMDR therapy has been shown to provide profound results for individuals struggling with trauma and related conditions. By reprocessing disturbing memories, clients experience:

  • A reduction in emotional distress tied to past events.
  • Improved emotional regulation and stress management.
  • Enhanced self-confidence and a greater sense of control over their lives.

At Excel Behavioral Health, our therapists are certified experts in EMDR, ensuring that every client receives effective and compassionate care.

Take the First Step With EMDR Therapy at Excel Behavioral Health

Starting EMDR therapy is an important step toward healing and reclaiming your sense of peace. At Excel Behavioral Health, we focus on creating a supportive and personalized environment for every client. If you’re ready to take the next step in addressing the pain tied to your past, our dedicated therapists are here to help.

Contact Excel Behavioral Health today to learn more about EMDR therapy and schedule your first session. Together, we’ll help you process your experiences and build a brighter, healthier future.