I started EMDR recently for Complex PTSD (many small traumas). I'll have my 5th appointment tomorrow -- NOT 5th EMDR session. My first appointment was a basic QUICK history and why I was there and what I wanted to get out of my sessions with her. I did give her consent to discuss my history with another therapist that knew me well. EMDR is an 8 phase treatment.
Anyway...this is what my 50 minute appointments consisted of thus far:
1st) Brief history, current issues, what exactly brought me in, future expectations and discussion of EMDR including questions I had for her and/or therapy
2nd) EMDR Phase 1 - clinician took a run down of specifics in history, emotions & feelings for having the need for EMDR, past instances of those feelings, triggers, my coping mechanisms, and ending with positive thoughts of myself.
3rd) Phase 1 cont'd - Discussed future expectations. These all had to be in a positive light so anything I said negatively had to be turned around.
Phase 2 - This is preparation for reliving those memories. I was given 2 coping mechanisms that I had to do there and practice during the week.
4th) Phase 2 cont'd (Preparation) - Given one coping mechanism which is also my "calm/happy place" that has a code word for if I need it. With this coping mechanism, we used the EMDR instrument and practiced with a very MILD annoyance to see how I handled the coping mechanism she gave me.
I was supposed to be given 2 mechanisms that day, but I think my review of the week took longer than planned so I assume my next appointment will be another coping mechanism.
I haven't left any of my appointments in a bad mood. In fact, I'm usually happy because she makes sure I am on a positive note when I leave. That doesn't mean the rest of my week is perfect - because it's far from it. Weather affects my mood. When my thoughts start going, I get on my roller coaster, but I am trying to use the coping mechanisms when I can.
I also can tell you that my clinician said if someone attempts to just stop in the middle of EMDR once they start opening the major doors of trauma, then that can cause a lot more problems since you may open doors that you didn't know lay dormant in your mind.
I agree that the ground work has to be laid as a foundation before opening the doors of trauma and trusting the therapist is a major factor as well. She always checks how everything went between sessions and makes sure I'm feeling ok before leaving.
I'm hoping this works...I've read a lot of positive things about EMDR. I'm actually to the point of wondering what else is left for me if this doesn't work. I'm very motivated and have researched as much as possible so my therapist believes I will do really well. Every patient is different.
I hope that helps some.