Clinical reference only. This content is intended for trained clinicians and does not replace formal EMDR training or supervision. See our family guide.
EMDR Protocol Reference
Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based psychotherapy for trauma and PTSD. This guide covers the standard 8-phase protocol.
Quick Reference
The 8 phases follow a three-pronged approach:
- Past memories that set the foundation
- Present triggers that activate distress
- Future templates for adaptive behavior
The 8 Phases
History and Treatment Planning
Comprehensive history-taking and treatment planning
Preparation
Teaching stabilization and resource development
Assessment
Activating target memory and establishing baselines
Desensitization
Processing with bilateral stimulation
Installation
Strengthening the positive cognition
Body Scan
Checking for residual physical disturbance
Closure
Ensuring stability at session end
Reevaluation
Evaluating treatment progress
Core Components
- NC: Negative Cognition — irrational self-belief
- PC: Positive Cognition — desired self-belief
- VOC: Validity of Cognition — how true PC feels (1-7)
- SUD: Subjective Units of Disturbance (0-10)
- BLS: Bilateral Stimulation — eye movements, taps, or tones
Session Flow
- Open with reevaluation (Phase 8)
- Continue previous target or select new one
- Assessment if new target (Phase 3)
- Desensitization until SUD = 0 (Phase 4)
- Installation until VOC = 7 (Phase 5)
- Body scan until clear (Phase 6)
- Closure (Phase 7)
Training Resources
This reference guide is not a substitute for formal EMDR training. For certification and training:
- EMDRIA: EMDR International Association — emdria.org
- EMDR Institute: Founded by Francine Shapiro — emdr.com