Reevaluation at the Start of Each Session
Begin every new EMDR session by checking whether last session’s gains held — and what emerged in between.
Why it works
Processing continues between sessions: new associations, dreams, and somatic shifts are common as the memory network integrates newly linked material. Reevaluation surfaces this between-session processing, confirms that previous targets are truly resolved (not just temporarily suppressed), and identifies what to target next. Skipping reevaluation risks repeating work that already resolved or missing material that emerged since the last session.
How to do it
- At the start of each session, return to the previous target memory and check the SUD and VOC.
- Ask: "Have you noticed anything related — dreams, intrusions, body sensations — since last time?"
- If the previous target is fully clear (SUD = 0, VOC = 7), document it and select the next target.
- If distress has returned, resume processing before moving on.
- Keep a brief between-session journal of any related material to report at reevaluation.
Evidence
Reevaluation is Phase 8 of the standard EMDR protocol and is required in all validated EMDR training. Its rationale — that between-session consolidation continues — aligns with sleep-dependent memory consolidation research. (clinical)
Reevaluation as a distinct phase is clinically mandated but not separately trialed; its function is part of the overall protocol structure.
Sources
- Walker (2017), "Why We Sleep" (general reference for sleep-dependent memory consolidation)
Common mistake
Assuming last session’s SUD = 0 reading is permanent and jumping to a new target without checking — distress that seemed resolved sometimes resurfaces as adjacent material comes to light.
Practice this with IX Coach
7 days free, then $40/month (~$1.30/day).
More practices for EMDR: Eye Movement Desensitization and Reprocessing
- Safe Place Installation
Anchor a vivid, calming mental image you can return to when distress spikes during processing.
- Identifying and Targeting the Trauma Memory
Pinpoint the specific memory, its worst moment (the "touchstone"), and the negative belief it installed.
- Bilateral Stimulation During Active Processing
Hold the distressing memory in mind while tracking rhythmic left-right stimulation — and notice what shifts.
- Installation of the Positive Cognition
Once distress has cleared, strengthen the preferred self-belief with bilateral stimulation.
- Body Scan and Session Closure
Sweep attention through the body after processing to catch residual tension before closing the session.
- Cognitive and Somatic Interweaves
When processing stalls, a brief therapist-supplied statement or question can restart the chain.
Related concepts
- Cognitive Behavioral Therapy (CBT), Made Practical
The core techniques, the mechanisms, and where the evidence is strongest
- Dialectical Behavior Therapy (DBT) Skills, Made Practical
The four DBT skill sets, the mechanisms behind them, and an honest read on the evidence
- Radical Acceptance, Made Practical
Ending the second arrow — RAIN and the skills of accepting what is