EMDR Phase 8 Explained: Reevaluation and How EMDR Knows It's Actually Working

This blog is adapted from one of our recent podcast episodes.  You can take a listen at the button above.

Every phase of EMDR has been building to this. Phase 8 - Reevaluation - is where the work gets checked. Not completed. Checked.

This is the phase that circles back to targets previously processed and asks: did it hold? Is the distress still at zero? Is the positive cognition still strong? Is the body still clear? And what came up between sessions that we need to address?

In this final blog post in the eight-phase series, we walk through what reevaluation actually looks like in session, why it's almost never normal for nothing to come up between sessions, what EMDR getting "worse" actually means, and what neurodivergent clients need to know about this phase specifically.

Key Takeaways

In this blog post, you'll learn:

  • What EMDR Phase 8 Reevaluation is and when it happens

  • What the therapist is checking in on and the two things that must both look good before moving forward

  • Why it's almost abnormal for nothing to come up between sessions

  • What "EMDR makes things worse" actually means and the shred of truth behind the misconception

  • Why neurodivergent clients may need a more circular treatment approach in this phase

  • How to avoid the self-fulfilling prophecy trap for ADHD and neurodivergent clients

  • The magician analogy: how much should clients actually know about EMDR going in?

What Is EMDR Phase 8 Reevaluation?

Phase 8 is the check-in. At the beginning of each new session after target processing has occurred, the therapist goes back to previously worked targets and assesses whether the progress has held.

This is different from every other phase in the series. Phases 1 through 7 were all about doing - history taking, preparing, assessing, desensitizing, installing, scanning, closing. Phase 8 is about verifying. The work has been done. Now we find out if it stuck.

Reevaluation doesn't happen in every session - only in sessions that follow target processing work. But at a certain point in EMDR treatment, it becomes a regular opening to sessions, a rhythm of checking in before moving forward.

What the Therapist Is Checking In Phase 8

Reevaluation has two distinct focal points and both need to look good before moving on to the next target.

1. The target itself

The therapist returns to the previously processed memory and checks three things:

  • SUD level — When you think about that memory now, what comes up? Is distress still at zero or one? If it's higher, reprocessing is needed.

  • Validity of Cognition (VOC) — Is the positive cognition still holding strong at a six or seven? If it's weakened, that needs to be addressed.

  • Body scan — Is the body still clear? Any new or returning somatic activation needs to be processed.

2. What came up between sessions

The brain doesn't stop processing when the session ends. Dreams are common. Memories surface. Connections emerge. New material appears that may or may not be related to the target that was worked on.

Checking in on between-session material is just as important as checking in on the target itself. Something that came up between sessions might need to become a new target. Something positive that emerged might be worth reinforcing. Either way, it doesn't get skipped.

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It's Almost Abnormal for Nothing to Come Up

For a client to come into a reevaluation session and report that absolutely nothing came up between sessions is unusual. Almost abnormal.

The brain continues processing after EMDR sessions end. That processing generates material such as fragments, dreams, memories, connections, emotions. For most clients, something surfaces. The question isn't whether anything came up; it's how much came up and whether it was manageable.

The middle ground is most common: a couple of things emerged, they were manageable, the client is okay. Less common, but not rare, is the session where five or six significant things came up. When that happens, it shapes how the therapist proceeds, and it may mean slowing down the pace of processing to give the client's system more time to integrate between sessions.

"EMDR Made Things Worse" — The Shred of Truth

One of the most common misconceptions about EMDR circulating online is that it makes things worse. 

There is a shred of truth in it. EMDR often brings up more material. A memory gets desensitized, and the brain responds by surfacing connected material that also needs to be addressed. For some clients, especially those who have historically been skilled at containing or suppressing, this can feel destabilizing. Their containment system gets overtaxed, and things start coming up that they're not used to experiencing consciously.

That is real. It's not nothing.

But it's not EMDR getting worse. It's the brain doing exactly what the process is designed to prompt - surfacing material for processing. It's like being sore after a workout. Some soreness is expected and even indicates something is working. But if someone can't get out of bed the next morning, or can't function at work, the workout was too much too fast.

EMDR should move a client forward. It will sometimes get harder before it gets easier. That's different from EMDR not working or from EMDR being harmful.

How Much Should Clients Know Going In? The Magician Analogy

I want clients informed enough to feel safe and willing to engage. I don’t want clients so cognitively loaded with information that they can't be present in the process.

It's like watching a magician. You know logically there's no actual magic happening. That knowledge keeps you safe - you're not scared, you trust the performer. But if someone in the crowd shouts out how every trick is done, the whole experience collapses. You need to know enough. Not everything.

For EMDR, that means: understand what the phases are, know what to expect in broad strokes, trust the process enough to engage. Don't over-research the specific mechanisms. Don't read detailed accounts of what other people experienced during processing and expect to replicate them. Let whatever comes up, come up.

Neurodivergent Clients and Reevaluation: What's Different

One of the most important clinical notes in this series is about neurodivergent clients, specifically those with ADHD, autism, or AuDHD, in the reevaluation phase.

Research supports what I have observed clinically: neurodivergent clients are more likely than neurotypical clients to come into a reevaluation session and find that the previous session's progress hasn't fully held. The distress level may have increased. The positive cognition may have weakened. Body sensations may have returned.

This doesn't mean EMDR doesn't work for neurodivergent clients. It absolutely does. EMDR is still highly efficacious for PTSD even with co-occurring ADHD or autism. What it means is that the treatment plan needs to be more circular. Clinicians working with neurodivergent clients should expect to revisit targets more often, use specific protocols designed for neurodivergent presentations, and build a more iterative pace into the overall treatment structure.

The important caveat: be careful about how this information lands for a neurodivergent client. Telling someone with ADHD that their gains may not hold can become a self-fulfilling prophecy. The message isn't "this won't work for you." The message is: "Your clinician needs to approach a few things a little differently, and when they do, this can still be deeply effective for you."

If you have a neurodivergent diagnosis and are considering EMDR, ask your therapist: how do you approach treatment planning for neurodivergent clients? That question alone will tell you a lot about their experience level.

Curious about EMDR for ADHD or AuDHD? Book a free consultation at Seen Therapy →

When to Move to the Next Target

Once both focal points of reevaluation look good (the original target is clear and what came up between sessions has been addressed, the therapist moves to the next target.

Not before then. Both things need to be in a good place.

If the target held but significant new material came up, that material gets processed or triaged before moving forward. If the target didn't hold, it gets revisited. The circular nature of EMDR isn't a flaw in the protocol - it's a feature that allows the therapist to meet clients where they actually are, not where they're theoretically supposed to be.

Wrapping Up the Eight-Phase Series

We have covered every phase individually, gave each one its own dedicated time, and didn't collapse them together even when it would have been easier. Because each phase deserves that. Each one has a distinct role, distinct clinical considerations, and distinct implications for both the clinician doing the work and the client experiencing it.

If you've been listening to this series and want to go deeper or if you have questions you'd like answered on the podcast, send them to admin@seentherapy.org.

Ready to start EMDR therapy? Book a free consultation with Cassandra →

Frequently Asked Questions About EMDR Phase 8

What is EMDR Phase 8 Reevaluation?

Phase 8 is the check-in phase that begins each new EMDR session after target processing has occurred. The therapist checks whether progress on the previous target has held - assessing SUD level, validity of cognition, and body scan - and also checks in on any material that came up between sessions.

When does Phase 8 happen in EMDR?

Phase 8 happens at the beginning of sessions that follow target processing work. It doesn't occur in every session, but at a certain point in EMDR treatment it becomes a regular opening ritual, checking in before moving forward to new material.

Is it normal for things to come up between EMDR sessions?

Yes, and it's actually almost abnormal for nothing to come up. The brain continues processing after sessions end, which means memories, dreams, emotions, and connections often surface between appointments. The question is how much came up and whether it was manageable, not whether anything came up at all.

Does EMDR make things worse before they get better?

For some clients, EMDR does get harder before it gets easier, particularly because processing one memory often surfaces connected material that also needs to be addressed. For clients who are skilled at suppressing or containing emotions, this can feel destabilizing. But this is the brain doing what EMDR is designed to prompt, not the therapy failing. Cassandra compares it to post-workout soreness: some is expected and indicates progress; too much too fast is a signal to adjust the pace.

Why might EMDR gains not hold between sessions for neurodivergent clients?

Research indicates that neurodivergent clients, particularly those with ADHD or autism, are more likely to come into reevaluation and find that previous progress has partially reversed. This is thought to be related to how neurodivergent nervous systems process and consolidate new information. It doesn't mean EMDR doesn't work for neurodivergent clients - it does, but it does mean clinicians need to use more circular treatment plans and specific protocols tailored to neurodivergent presentations.

What happens after reevaluation?

Once the original target is confirmed clear and any between-session material has been addressed, the therapist moves to the next target and begins the process again, returning to the assessment and desensitization phases for the new target. EMDR treatment continues in this cyclical way until all identified targets have been processed and verified.

Related Resources

About Cassandra Minnick

EMDR Intensive Therapy for Busy Professionals | Trauma & Anxiety Treatment | Licensed Professional Counselor, EMDRIA Certified

I'm an EMDRIA-certified EMDR therapist with over a decade of experience helping adults understand and heal from chronic trauma. My practice focuses on the often-confusing patterns that emerge in adulthood—the behaviors, reactions, and relationship dynamics that don't make sense until we trace them back to their origins.

Chronic trauma doesn't always look like what we expect. It shows up in how we respond to conflict, how we relate to ourselves, and in the persistent feeling that something is "off" even when life looks fine on the surface. I work with clients to make sense of these patterns and create lasting change through EMDR therapy.

I specialize in EMDR intensive therapy—a condensed format that works particularly well for busy professionals who need effective treatment without the commitment of weekly sessions stretched over months or years.

I've been practicing EMDR since 2016, and I'm passionate about helping people move from survival mode to actually living their lives. When you've spent years adapting to trauma, reclaiming yourself is both powerful and possible.

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EMDR Phase 7 Explained: Closure and Why Every Single EMDR Session Must End Here