In general, EMDR doesn't begin immediately with someone with an early complex trauma history. Rather, there needs to be time taken to build the relationship with the therapist, so that the client feels safe and contained by it. Next, there might be some other steps taken to help the client feel strong and safe, these include, typically, safe place and other ego strengthening measures, including resource development. Sometimes the trauma work itself is planned in pieces, so that it isn't overwhelming. This is called fractionation. For example, the processing might first address, say, the picture, and the sounds or smells, etc, might be held apart, using imagery, for a later time. This isn't always necessary but for some people it is. The client always has the authority to stop an EMDR session. There are things that can happen during the EMDR session to make it less intense also, such as seeing it as if it were on a black and white screen, at a distance. This dilutes the intensity of the emotion. Generally, it isn't a good idea for therapists to hug their clients during EMDR. More likely, the therapist uses his/her tone of voice to communicate support.
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