The patient is then asked to identify a desired positive thought, such as "I am a worthwhile person," this positive thought is rated against the negative thought on a scale of 1-7, with 1 being "Completely false" and 7 being "Completely true." This method helps create a goal for treatment. The patient then combines the visual image of the trauma with the negative belief, generally evoking strong feelings, which are then rated on the Subjective Unit of Disturbance (SUD) scale. While focusing on the combination of the traumatic image and negative thought, the patient watches the therapist move his hand in a particular pattern causing the patient's eyes to move involuntarily. Blinking lights are sometimes substituted for hand movements, likewise hand tapping and auditory tones may be used instead of eye movements. After each set of eye movements the patient is asked to clear their mind and relax. This may be repeated several times during a session.
Step No. 4: This step of treatment involves desensitization to the negative thoughts and images. The patient is instructed to focus on the visual image of the trauma, the negative belief he/she has of self, and the bodily sensations caused by the anxiety, while at the same time following the therapist's moving finger with their eyes.